Minimally invasive excision of lumbar epidural lipomatosis using a spinal endoscope.
In this report, we describe the case of a patient with a long-term radiculopathy due to epidural lipomatosis at the L3-4 intervertebral disc level. The fatty tissue was located on the dorsal side of the dural sac in the spinal canal and compressed the dural sac. The fatty tissue was removed endoscopically. After surgery, the symptoms disappeared, and neurological deficits normalized. We would like to state that epidural lipomatosis is a good candidate for minimally invasive endoscopic surgery because of its anatomic location.
Sairyo
K
K
Department of Orthopedics, The University of Tokushima School of Medicine, Tokushima, Japan. sairyokun@hotmail.com
Sakai
T
T
Higashino
K
K
Hirao
B
B
Katoh
S
S
Yasui
N
N
D000368:Aged; D002420:Cauda Equina / Q000033:anatomy & histology / Q000473:pathology; D019299:Decompression, Surgical / Q000295:instrumentation / Q000379:methods; D004388:Dura Mater / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D004824:Epidural Space / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008068:Lipomatosis / Q000150:complications / Q000473:pathology / Q000601:surgery*; D017116:Low Back Pain / Q000209:etiology / Q000473:pathology / Q000601:surgery; D008159:Lumbar Vertebrae / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D011128:Polyradiculopathy / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013115:Spinal Canal / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome