Universität zu Köln

Bayerl, Simon Heinrich, Dinkelbach, Malte, Heiden, Petra, Prinz, Vincent, Finger, Tobias and Vajkoczy, Peter (2019). Treatment results for lumbar epidural lipomatosis: Does fat matter? Eur. Spine J., 28 (1). S. 69 - 78. NEW YORK: SPRINGER. ISSN 1432-0932

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Abstract

PurposeThe lumbar epidural lipomatosis (LEL) is a rare disease that can cause sciatic pain syndrome or neurological deficits comparable to symptoms caused by a classical spinal canal stenosis. In severe cases surgical decompression was conducted. However, the outcome after decompressive surgery has only been investigated in small case series. In this study we compared the outcome of LEL patients after microsurgery with the outcome of patients with classical spinal stenosis (CSS).MethodsPatients with LEL (n=38) and patients with CSS (n=51), who received microsurgical decompression, were followed in a prospective observational study for 3years. The clinical results including the Oswestry Disability Index, Numeric Pain Rating Scale (NRS), Roland and Morris Disability Questionnaire, the Short Form-36 Score and the Walking Distance were analysed and compared between both groups.ResultsPatients with LEL improved significantly after microsurgical decompression in a 3-year follow-up concerning back pain, leg pain and pain-associated disability equal to patients with CSS (NRSback_LEL_preop.=6.4; NRSback_CSS_preop.=6.3; NRSback_LEL_3-years=3.2; NRSback_CSS_3-years=3.6; NRSleg_LEL_preop.=6.3; NRSleg_CSS_preop.=6.5; NRSleg_LEL_3-years=2.5; NRSleg_CSS_3-years=2.9; ODILEL_preop.=52.7; ODICSS_preop=51.8; ODILEL_3-years=32.3; ODICSS_3-years=27.6). The microsurgical decompression had a positive effect on the health-related quality of life, and patient satisfaction was high in both groups (LEL group71%, CSS group69%).ConclusionsLEL can influence the quality of life dramatically and cause a high degree of disability. A surgical decompression is a safe and effective procedure with a good clinical outcome comparable to the results in patients with an osteoligamentous spinal stenosis. Therefore, microsurgical decompression can be recommended in patients with LEL if conservative treatment fails. [GRAPHICS] .

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Bayerl, Simon Heinrich UNSPECIFIED UNSPECIFIED UNSPECIFIED Dinkelbach, Malte UNSPECIFIED UNSPECIFIED UNSPECIFIED Heiden, Petra UNSPECIFIED UNSPECIFIED UNSPECIFIED Prinz, Vincent UNSPECIFIED UNSPECIFIED UNSPECIFIED Finger, Tobias UNSPECIFIED UNSPECIFIED UNSPECIFIED Vajkoczy, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-139942
DOI:	10.1007/s00586-018-5771-1
Journal or Publication Title:	Eur. Spine J.
Volume:	28
Number:	1
Page Range:	S. 69 - 78
Date:	2019
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-0932
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SPINAL-CORD COMPRESSION; DECOMPRESSION Multiple languages Clinical Neurology; Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13994