Underreporting of spinal epidural lipomatosis: A retrospective analysis of lumbosacral MRI examinations from different radiological settings

Spinnato, Paolo; D'Agostino, Valerio; Fiorenzo, Donato; Barakat, Massimo; Vara, Giulio; Ponti, Federico; Filonzi, Giacomo; Crombé, Amandine; Tetta, Cecilia; Miceli, Marco

doi:10.1016/j.diii.2022.01.001

Cited by 6 publications

(5 citation statements)

References 26 publications

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“…Malone et al conducted a retrospective analysis of MRI images from 831 patients diagnosed with spinal stenosis, revealing SEL in 6.26% of cases (11). In another large series of lumbosacral MRI with 450 patients, a prevalence of 16.7% was observed; however, there is only an 8% reporting rate (12). On one hand, the rise in obesity rates worldwide over the decades may contribute to the gradual increase in the prevalence of SEL.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Technical description and clinical evaluation of three cases of unilateral biportal endoscopic decompression for symptomatic spinal epidural lipomatosis

Liu,

Cai,

Zhao

et al. 2024

Front. Surg.

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ObjectiveTo investigate the clinical characteristics and outcomes of three patients with symptomatic Spinal epidural lipomatosis (SEL) treated using Unilateral Biportal Endoscopic (UBE) surgery.MethodsThis report retrospectively analyzed the clinical data of three patients with SEL admitted to our hospital. The analysis covers onset characteristics, clinical manifestations, and the most recent radiologic grading system of neural compression (Manjila classification). Furthermore, it details the decompression accomplished through the application of a minimally invasive UBE surgical technique, specifically targeting the removal of proliferated fat responsible for nerve and spinal cord compression.ResultsThis technique was performed successfully in 3 patients with SEL. Radiating pain was reduced, and the functional disability and radiologic compression were improved in all three patients. Postoperative spinal instability and surgical complications related to the procedure were not observed.ConclusionsFor SEL, timely diagnosis and appropriate intervention can prevent the progression of neurological disability. UBE is a minimally invasive muscle-preserving technique that achieves neural decompression directly by the removal of excessive intraspinal adipose tissue buildup.

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Section: Discussionmentioning

confidence: 99%

Case Report: Technical description and clinical evaluation of three cases of unilateral biportal endoscopic decompression for symptomatic spinal epidural lipomatosis

Liu,

Cai,

Zhao

et al. 2024

Front. Surg.

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“…Including epidural lipomatosis among the main causes of stenosis with disc pathology and arthritis is an important and unique feature of this grading system. Recent literature has recognized that hypertrophy of epidural fat is one of the key elements in the development of symptoms and lumbar stenosis [50][51][52]. MRI is considered the most sensitive and comprehensive imaging tool available for the study of the lumbar spine, providing information in regard to all the structures involved in the pathogenesis of low back pain, including bone, disc, neural roots, facet joints, ligaments, paravertebral muscles, spinal canal, neural foramina, and epidural fat.…”

Section: Patient Preparation and Managementmentioning

confidence: 99%

Section: Image-guided Minimally Invasive Treatmentsmentioning

confidence: 99%

Image-Guided Minimally Invasive Treatment Options for Degenerative Lumbar Spine Disease: A Practical Overview of Current Possibilities

Taninokuchi Tomassoni,

Braccischi,

Russo

et al. 2024

Diagnostics

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Lumbar back pain is one of the main causes of disability around the world. Most patients will complain of back pain at least once in their lifetime. The degenerative spine is considered the main cause and is extremely common in the elderly population. Consequently, treatment-related costs are a major burden to the healthcare system in developed and undeveloped countries. After the failure of conservative treatments or to avoid daily chronic drug intake, invasive treatments should be suggested. In a world where many patients reject surgery and prefer minimally invasive procedures, interventional radiology is pivotal in pain management and could represent a bridge between medical therapy and surgical treatment. We herein report the different image-guided procedures that can be used to manage degenerative spine-related low back pain. Particularly, we will focus on indications, different techniques, and treatment outcomes reported in the literature. This literature review focuses on the different minimally invasive percutaneous treatments currently available, underlining the central role of radiologists having the capability to use high-end imaging technology for diagnosis and subsequent treatment, allowing a global approach, reducing unnecessary surgeries and prolonged pain-reliever drug intake with their consequent related complications, improving patients’ quality of life, and reducing the economic burden.

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“…Magnetic resonance imaging (MRI) is primarily used for disease diagnosis, lesion assessment, monitoring the effectiveness of treatment, and conducting neuroscience research. Its advantage lies in the high-resolution imaging of soft tissues, which is especially suitable for examining the brain, spinal cord, joints, muscles, and other body parts [ 83 , 84 , 85 , 86 ]. From neurosurgery to percutaneous puncture, MRI-guided robot-assisted techniques have been widely studied and applied.…”

Section: Current Status Of Research On the Application Of Medical Ima...mentioning

confidence: 99%

Application of Medical Image Navigation Technology in Minimally Invasive Puncture Robot

Lü

Zhu

et al. 2023

Sensors

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Microneedle puncture is a standard minimally invasive treatment and surgical method, which is widely used in extracting blood, tissues, and their secretions for pathological examination, needle-puncture-directed drug therapy, local anaesthesia, microwave ablation needle therapy, radiotherapy, and other procedures. The use of robots for microneedle puncture has become a worldwide research hotspot, and medical imaging navigation technology plays an essential role in preoperative robotic puncture path planning, intraoperative assisted puncture, and surgical efficacy detection. This paper introduces medical imaging technology and minimally invasive puncture robots, reviews the current status of research on the application of medical imaging navigation technology in minimally invasive puncture robots, and points out its future development trends and challenges.

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Underreporting of spinal epidural lipomatosis: A retrospective analysis of lumbosacral MRI examinations from different radiological settings

Cited by 6 publications

References 26 publications

Case Report: Technical description and clinical evaluation of three cases of unilateral biportal endoscopic decompression for symptomatic spinal epidural lipomatosis

Case Report: Technical description and clinical evaluation of three cases of unilateral biportal endoscopic decompression for symptomatic spinal epidural lipomatosis

Image-Guided Minimally Invasive Treatment Options for Degenerative Lumbar Spine Disease: A Practical Overview of Current Possibilities

Application of Medical Image Navigation Technology in Minimally Invasive Puncture Robot

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