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Journal of orthopaedics v.15 no.1, 2018년, pp.36 - 39  

Incidence of spinal epidural lipomatosis in patients with spinal stenosis

Malone, Jason Bradley (Good Samaritan Regional Medical Center, 3600 NW Samaritan Dr., Corvallis, OR 97330 USA ) ; Bevan, Patrick Jon (Good Samaritan Regional Medical Center, 3600 NW Samaritan Dr., Corvallis, OR 97330 USA ) ; Lewis, Todd Jay (Good Samaritan Regional Medical Center, 3600 NW Samaritan Dr., Corvallis, OR 97330 USA ) ; Nelson, Andrew David (Good Samaritan Regional Medical Center, 3600 NW Samaritan Dr., Corvallis, OR 97330 USA ) ; Blaty, Doug Edward (Good Samaritan Regional Medical Center, 3600 NW Samaritan Dr., Corvallis, OR 97330 USA ) ; Kahan, Michael Eastland (Good Samaritan Regional Medical Center, 3600 NW Samaritan Dr., Corvallis, OR 97330 USA ) ;
  • 초록  

    Abstract Inroduction Spinal Epidural Lipomatosis (SEL) is believed to be a rare disorder. The incidence and prevalence of clinically symptomatic SEL in patients with spinal stenosis has never been reported in the literature. Our study aims to determine the prevalence, incidence, and associated risk factors of SEL in patients with the diagnosis of spinal stenosis. Methods This is a retrospective study. We reviewed the charts of 831 patients with the diagnosis of spinal stenosis over a 30 month period. All patients had spinal MRIs. Grading of SEL was performed using the BorrE method. Results 52 patients (21 female and 31 male) had symptomatic moderate and severe SEL. We found a prevalence of 6.26% and an annual incidence of 2.5%. SEL was most commonly seen at L5-S1 level. 27% had received corticosteroids. All SEL patients were overweight and 79% were obese. Conclusions SEL is not uncommon in patients with spinal stenosis. SEL should be considered as a possible diagnosis in those with symptoms of spinal stenosis especially in those with associated risk factors.


  • 주제어

    Spinal epidural lipomatosis .   Lumbar epidural lipomatosis .   Benign spinal tumor.  

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