Clinical research progress of spinal epidural lipomatosis.
10.7507/1002-1892.202305071
- Author:
Lele ZHANG
1
;
Yuzhu XU
1
;
Pan FAN
1
;
Xi LI
1
;
Jiadong WANG
1
;
Yuao TAO
1
;
Xiaolong LI
1
;
Yuntao WANG
1
Author Information
1. Department of Spine Surgery, Zhongda Hospital Affiliated to Southeast University, Nanjing Jiangsu, 210009, P. R. China.
- Publication Type:Review
- Keywords:
Spinal epidural lipomatosis;
clinical presentation;
conservative management;
pathogenesis;
surgery management
- MeSH:
Humans;
Decompression, Surgical/methods*;
Epidural Space/surgery*;
Lipomatosis/surgery*;
Magnetic Resonance Imaging;
Spinal Cord Diseases/surgery*
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2023;37(10):1284-1291
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To review the clinical research progress of spinal epidural lipomatosis (SEL).
METHODS:The clinical studies on SEL at home and abroad in recent years were extensively reviewed, and the pathogenesis, clinical and imaging manifestations, and treatment status of SEL were summarized and analyzed.
RESULTS:SEL is a disease characterized by compression of the spinal cord and nerve roots due to abnormal accumulation of epidural adipose tissue in the spinal canal. Its prevalence and diagnosis rate are low and the pathogenesis is not fully understood. MRI is the most sensitive and specific diagnostic test for SEL. Surgical decompression and removal of excess adipose tissue are the only options for patients with acute SEL or those who have failed conservative management, and conservative management should be considered for other patients.
CONCLUSION:SEL is a rare disease and related research still needs to be improved. In the future, high-quality, multi-center and large-sample studies will be of great significance for evaluating the choice of treatment methods and effectiveness of SEL patients.
