Is there an association between lumbosacral epidural lipomatosis and lumbosacral epidural steroid injections? A comprehensive narrative literature review

Holder, Eric K.; Raju, Robin; Dundas, Mark A.; Husu, Emanuel N.; McCormick, Zachary L

doi:10.1016/j.xnsj.2022.100101

Cited by 3 publications

(1 citation statement)

References 71 publications

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“…However, several reports suggest that epidural injections of steroids may be a risk for increased epidural lipomatosis 7,13,14 . Ahadian et al reported that lumbar percutaneous epidural steroid injections are effective even at 4 mg, with no difference in efficacy compared with 8 mg or 12 mg 15 , and we used a dose of 3.3 mg to minimize risk.…”

Section: Discussionmentioning

confidence: 99%

Transsacral Canal Plasty for Decompression of Lumbar Spinal Stenosis in a Patient With Epidural Lipomatosis

Arimura

Shinohara

Katsumi

et al. 2022

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Case: A 58-year-old man presented with lumbar spinal stenosis due to epidural lipomatosis. He underwent transsacral canal plasty (TSCP), in a manner similar to epidural adhesiolysis, which can be performed under local anesthesia. His leg pain improved dramatically in the year after surgery. Furthermore, magnetic resonance images during this time show neural decompression by reduction of the amount of epidural fat.Conclusion: TSCP was found not only to relieve pain but also to achieve neural decompression in this patient with spinal canal stenosis caused by lumbar epidural lipomatosis. This is the first report to demonstrate the usefulness of TSCP for spinal epidural lipomatosis.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/ B975).

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