BRIEFLY NOTED - CAUDA-EQUINA SYNDROME CAUSED BY MIGRATING FAT GRAFT AFTER LUMBAR SPINAL DECOMPRESSION - A CASE-REPORT DEMONSTRATED WITH MAGNETIC-RESONANCE-IMAGING

被引:11
作者
STROMQVIST, B
JONSSON, B
ANNERTZ, M
HOLTAS, S
机构
[1] Departments of Orthopedics and Diagnostic Radiology, Lund University Hospital, Lund
关键词
D O I
10.1097/00007632-199101000-00018
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
CAR FORMATION is one of the main complications of decompressive surgery in the lumbar spine.3,5 Epidural fat grafting has been demonstrated to diminish scar formation experimentally.2,4,6 This procedure is generally performed and was recommended in a recent monograph on lumbar spinal stenosis.8 Recently, however, six cases have been presented in which compression of the cauda equina ascribed to displacement of the fat graft occurred.7,9 The following is a case report of a patient in whom the left L5 nerve root was decompressed and on whom epidural fat grafting was performed. On the day after surgery, the fat graft had migrated up to the level of the L3 vertebra, causing cauda equina syndrome. © Lippincott-Raven Publishers.
引用
收藏
页码:100 / 101
页数:2
相关论文
共 9 条
[1]  
Van Akkerveeken P., Van De Kraan W., Muller J., The fate of the free fat graft, Spine, 11, pp. 501-504, (1986)
[2]  
Jacobs R.R., McClain O., Neff J., Control of postlaminectomy scar formation, Spine, 5, pp. 223-229, (1980)
[3]  
Key J.A., Ford L.T., Experimental intervertebral disc lesions, J Bone Joint Surg (Am), 30, pp. 621-630, (1948)
[4]  
Kiviluoto O., Use of free fat transplants to prevent epidural scar formation, Acta Orthop Scand, 164, pp. 1-75, (1976)
[5]  
La Rocca H., Macnab I., The laminectomy membrane, J Bone Joint Surg (Br), 56, pp. 545-550, (1974)
[6]  
Langenskiold A., Kiviluoto O.K., Prevention of scar formation after operation on the lumbar spine by means of free fat transplants, Clin Orthop, 115, pp. 92-95, (1976)
[7]  
Mayer P.J., Jacobsen F.S., Cauda equina syndrome after surgical treatment of lumbar spinal stenosis with application of free autogenous fat graft, J Bone Joint Surg (Am), 71, pp. 1090-1092, (1989)
[8]  
Postacchini F., Lumbar Spinal Stenosis, pp. 207-208, (1989)
[9]  
Prusick V.P., Lint D.S., Bruder W.J., Cauda equina syndrome as a complication of free epidural fat grafting, J Bone Joint Surg (Am), 70, pp. 1256-1258, (1988)