Indirect decompression with lateral interbody fusion could be effective for lumbar canal stenosis due to spinal epidural lipomatosis: Two case reports
Backgrounds: For the surgical treatment of lumbar canal stenosis (LCS) due to spinal epidural lipomatosis (SEL), several studies have reported direct decompression, including fat debulking. However, none of these studies have mentioned indirect decompression for SEL. Here we report two cases in whic...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Interdisciplinary Neurosurgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751922001232 |
| _version_ | 1818019959353114624 |
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| author | Yusuke Ota Satoshi Nozawa Chizuo Iwai Kazunari Yamada Kazunari Fushimi Atsushi Nakano Masashi Neo Haruhiko Akiyama |
| author_facet | Yusuke Ota Satoshi Nozawa Chizuo Iwai Kazunari Yamada Kazunari Fushimi Atsushi Nakano Masashi Neo Haruhiko Akiyama |
| author_sort | Yusuke Ota |
| collection | DOAJ |
| description | Backgrounds: For the surgical treatment of lumbar canal stenosis (LCS) due to spinal epidural lipomatosis (SEL), several studies have reported direct decompression, including fat debulking. However, none of these studies have mentioned indirect decompression for SEL. Here we report two cases in which indirect decompression with lateral interbody fusion (LIF) was effective in treating LCS due to SEL. Case description: Case 1 involves a 71-year-old male with LCS due to SEL at the L3/4 and L4/5 levels without a history of steroid usage. Case 2 involves a 60-year-old male with LCS due to SEL at the L2/3, L3/4, and L4/5 levels, who had been medicated with prednisolone (2.5 mg/day) and methotrexate (6 mg/week) for the treatment of remitting seronegative symmetrical synovitis with pitting edema syndrome. After oblique lateral interbody fusion and posterior fusion with percutaneous pedicle screw, the patients’ symptoms disappeared immediately. Postoperative magnetic resonance imaging showed that the epidural fat had been successfully stretched, and the dura was decompressed. Conclusions: Indirect decompression with LIF could be a new surgical option for treating LCS due to SEL. |
| first_indexed | 2024-04-14T07:59:45Z |
| format | Article |
| id | doaj.art-cef6188fec264b45a230ad8d4268a0c8 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-14T07:59:45Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-cef6188fec264b45a230ad8d4268a0c82022-12-22T02:04:56ZengElsevierInterdisciplinary Neurosurgery2214-75192022-12-0130101609Indirect decompression with lateral interbody fusion could be effective for lumbar canal stenosis due to spinal epidural lipomatosis: Two case reportsYusuke Ota0Satoshi Nozawa1Chizuo Iwai2Kazunari Yamada3Kazunari Fushimi4Atsushi Nakano5Masashi Neo6Haruhiko Akiyama7Department of Orthopaedic Surgery, Gifu University, Gifu, JapanDepartment of Orthopaedic Surgery, Gifu University, Gifu, Japan; Corresponding author at: Department of Orthopaedic Surgery, School of Medicine, Gifu University, 1-1 Yanagido, Gifu City, Gifu 501-1194, Japan.Department of Orthopaedic Surgery, Gifu University, Gifu, JapanDepartment of Orthopaedic Surgery, Gifu University, Gifu, JapanDepartment of Orthopaedic Surgery, Gifu Prefectural General Medical Center, Gifu, JapanDepartment of Orthopedic Surgery, Osaka Medical and Pharmaceutical University Mishima-minami Hospital, Takatsuki, JapanDepartment of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, JapanDepartment of Orthopaedic Surgery, Gifu University, Gifu, JapanBackgrounds: For the surgical treatment of lumbar canal stenosis (LCS) due to spinal epidural lipomatosis (SEL), several studies have reported direct decompression, including fat debulking. However, none of these studies have mentioned indirect decompression for SEL. Here we report two cases in which indirect decompression with lateral interbody fusion (LIF) was effective in treating LCS due to SEL. Case description: Case 1 involves a 71-year-old male with LCS due to SEL at the L3/4 and L4/5 levels without a history of steroid usage. Case 2 involves a 60-year-old male with LCS due to SEL at the L2/3, L3/4, and L4/5 levels, who had been medicated with prednisolone (2.5 mg/day) and methotrexate (6 mg/week) for the treatment of remitting seronegative symmetrical synovitis with pitting edema syndrome. After oblique lateral interbody fusion and posterior fusion with percutaneous pedicle screw, the patients’ symptoms disappeared immediately. Postoperative magnetic resonance imaging showed that the epidural fat had been successfully stretched, and the dura was decompressed. Conclusions: Indirect decompression with LIF could be a new surgical option for treating LCS due to SEL.http://www.sciencedirect.com/science/article/pii/S2214751922001232Spinal Epidural LipomatosisIndirect DecompressionOblique Lateral Interbody Fusion |
| spellingShingle | Yusuke Ota Satoshi Nozawa Chizuo Iwai Kazunari Yamada Kazunari Fushimi Atsushi Nakano Masashi Neo Haruhiko Akiyama Indirect decompression with lateral interbody fusion could be effective for lumbar canal stenosis due to spinal epidural lipomatosis: Two case reports Interdisciplinary Neurosurgery Spinal Epidural Lipomatosis Indirect Decompression Oblique Lateral Interbody Fusion |
| title | Indirect decompression with lateral interbody fusion could be effective for lumbar canal stenosis due to spinal epidural lipomatosis: Two case reports |
| title_full | Indirect decompression with lateral interbody fusion could be effective for lumbar canal stenosis due to spinal epidural lipomatosis: Two case reports |
| title_fullStr | Indirect decompression with lateral interbody fusion could be effective for lumbar canal stenosis due to spinal epidural lipomatosis: Two case reports |
| title_full_unstemmed | Indirect decompression with lateral interbody fusion could be effective for lumbar canal stenosis due to spinal epidural lipomatosis: Two case reports |
| title_short | Indirect decompression with lateral interbody fusion could be effective for lumbar canal stenosis due to spinal epidural lipomatosis: Two case reports |
| title_sort | indirect decompression with lateral interbody fusion could be effective for lumbar canal stenosis due to spinal epidural lipomatosis two case reports |
| topic | Spinal Epidural Lipomatosis Indirect Decompression Oblique Lateral Interbody Fusion |
| url | http://www.sciencedirect.com/science/article/pii/S2214751922001232 |
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