Lateral tethering intraspinal lipoma with scoliosis

Abstract

The authors present an unusual case of an intradural lipoma at the thoracolumbar level causing lateral tethering of the spine, with complicated scoliosis. A 6-year-old girl was admitted with progressive change in posture detected by her parents. Thoracolumbar scoliosis was detected by physical examination and X-ray studies. Spinal magnetic resonance imaging revealed an intradural lipoma and right lateral tethering of the spine at the upper lumbar level. After surgical release of lateral tethering and resection of the lipoma, fusion was performed by the orthopedic surgery team. Radiological and intraoperative findings of this extremely rare case are discussed.

Safety and Efficacy of Single-Stage Surgical Treatment for Congenital Scoliosis Associated with Intraspinal Mass

“…In patients with CS associated with intraspinal mass, whether single- or 2-stage surgery is preferable remains controversial. In 2011, Abuzayed reported a patient with CS and intraspinal lipoma who underwent single-stage mass resection and scoliosis correction and achieved a good result11.…”

“…Severe scoliosis will disturb the growth of infants and adolescents, and may affect the heart, lungs, and spinal cord, causing paralysis. It is rare for CS to be associated with intraspinal mass3456789101112. The classic advocated approach in such patients is 2-stage surgery: first, for treatment of the intraspinal pathology, and, second, for correction and stabilisation of the deformity 3 to 6 months later4.…”

“…The classic advocated approach in such patients is 2-stage surgery: first, for treatment of the intraspinal pathology, and, second, for correction and stabilisation of the deformity 3 to 6 months later4. Only one study has reported a patient who underwent simultaneous surgical treatment for congenital deformity and intraspinal mass and achieved a good outcome11. The present retrospective study was designed to evaluate the safety and efficacy of single-stage intraspinal mass resection and scoliosis correction with a minimum 2-year follow-up at a single centre.…”