Lumbar spinal stenosis combined with obesity-induced idiopathic spinal epidural lipomatosis treated with posterior lumbar fusion: case report

被引:3
|
作者
Han, Xiao [1 ]
Xu, Derong [2 ]
Ren, ZhiNan [3 ]
Chen, Xin [1 ]
Li, Zheng [1 ]
Li, Shugang [1 ]
机构
[1] Chinese Acad Med Sci & Peking Union Med Coll, Med Coll Hosp, Dept Orthopaed, Peking Union Dongcheng Dist Shuaifuyuan 1, Beijing 100730, Peoples R China
[2] Qingdao Univ, Dept Orthoped, Affiliated Hosp, Qingdao, Peoples R China
[3] Zhengzhou Univ, Affiliated Hosp 1, Dept Orthopaed, Zhengzhou, Peoples R China
基金
中国国家自然科学基金;
关键词
Lumbar spinal stenosis; Obesity; Spinal epidural lipomatosis; Posterior lumbar fusion; Case report; PATHOGENESIS; COMPRESSION; PATIENT;
D O I
10.1186/s12893-021-01157-8
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background Spinal epidural lipomatosis is a rare cause of lumbar spinal stenosis. While conservative therapy is applicable for most of cases, surgical intervention is necessary for severe ones. This is the first time we apply this modified technique to this disease. Case presentation The case is a 53-year-old man. He is 175 cm tall and weighs 102 kg (body mass index 33.3 kg/cm(2)), presenting with low back pain and bilateral legs pain and numbness. Radiological examination showed severe lumbar spinal stenosis resulting from adipose hyperplasia, combined with hyperosteogeny and hypertrophy of ligaments, which are common etiological factors. Posterior decompression, internal fixation and a modified articular fusion technique was performed on this patient, and regular follow-up that up o 22 months showed outstanding clinical outcomes. Conclusions A suitable style of posterior lumbar fusion should be considered to especially severe case with lumbar spinal stenosis and idiopathic spinal epidural lipomatosis.
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页数:10
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