title: Results of the prophylactic surgery of lumbosacral lipomas 20 years of experience in the Paediatric Neurosurgery Department La Timone Enfants Hospital, Marseille, France.
abstract: We conducted a retrospective study of children with lumbosacral lipomas treated in the Department of Pediatric Neurosurgery hospital Timone Enfants in the last 20 years. We selected patients with lipomas of the conus medullaris who underwent preventive surgery. 86 ,4 % of the patients remained asymptomatic during the follow-up. Worse results were observed in children older than one year old at surgery with transitional lipoma, with the conus medullaris was below L5 and when the resection had been partial. In view of the results, the authors recommend the preventive surgery before the first year of life under neurophysiologic monitoring in order to perform a total near-total resection with a neural plate reconstitution.
authors.affiliation: University of Malaga, Av de Cervantes 2, P.C: 29071, Malaga, Spain. sandraperez7@yahoo.com.
authors.forename: Sandra Pérez
authors.initials: SP
authors.lastname: da Rosa
authors.affiliation: La Timone Enfants Hospital, 264 Rue saint -Pierre, P.C: 13385, Marseille, France.
authors.forename: Didier
authors.initials: D
authors.lastname: Scavarda
authors.affiliation: La Timone Enfants Hospital, 264 Rue saint -Pierre, P.C: 13385, Marseille, France.
authors.forename: Maurice
authors.initials: M
authors.lastname: Choux
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008067:Lipoma / Q000601:surgery*; D008297:Male; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods; D012189:Retrospective Studies; D013120:Spinal Cord Neoplasms / Q000601:surgery*; D016896:Treatment Outcome
keywords: Lipoma of the conus medullaris; Lumbosacral lipoma; Prophylactic surgery; Tethered cord syndrome