Surgical Treatment of Lumbosacral Lipomas: Our Clinical Experience

Öz

Spinal cord lipomas are among the most challenging lesions in the field of pediatric neurosurgery. The natural course and treatment of spinal lipomas are controversial. In this study, we aimed to evaluate the clinical, demographic data and treatment results of patients who were operated on in our clinic for spinal cord lipoma. The data of 59 patients were evaluated retrospectively. The mean age of the patients was 10±5.8 (1-25) months, and the most common complaint was swelling in the lumbar region. While 36 of our patients had neurological deficit at the time of admission, 23 had no neurological deficit. No neurological deterioration was observed in the postoperative period. The patients were followed up for a mean of 39.9± 32.9 (1-132) months. Thirteen (22%) cases were re-operated due to neurological deterioration in the follow-up. Even if they are asymptomatic, surgical intervention at the appropriate time can prevent neurological deterioration that may develop in children with these lesions. Multicenter prospective studies will enable us to reach more rational information on this subject.

Anahtar Kelimeler

• spinal lipoma
• spinal dysraphism
• tethered cord

Lumbosakral Lipomların Cerrahi Tedavisi- Klinik Deneyimimiz

Öz

Spinal kord lipomları, pediatrik beyin cerrahisi alanının en zorlayıcı lezyonları arasındadır. Spinal lipomların doğal seyirleri ve tedavileri tartışmalıdır. Bu çalışmada spinal kord lipomu nedeni ile kliniğimizde opere edilen hastaların klinik, demografik verileri ve tedavi sonuçlarının değerlendirilmesi amaçlanmıştır. Elli dokuz hastanın verileri retrospektif olarak değerlendirilmiştir. Hastaların yaş ortalaması 10±5,8 (1-25) ay, en sık başvuru şikayeti bel bölgesindeki şişlik idi. Hastalarımızın başvuru anında 36’sında nörolojik defisit varken 23’ünde nörolojik defisit yoktu. Olgularda postopertif dönemde nörolojik kötüleşme izlenmedi. Hastalar ortalama 39,9± 32,9 (1-132) ay takip edildi. 13 (%22) olgu takiplerinde nörolojik kötüleşme olması nedeni ile yeniden opere edildi. Asemptomatik olsalar dahi uygun zamanda uygulanan cerrahi müdahale, bu lezyonlara sahip çocuklarda gelişebilecek nörolojik bozulmayı önleyebilir. Çok merkezli prospektif çalışmalar bu konu hakkında daha rasyonel bilgilere ulaşmamızı sağlayacaktır.

Anahtar Kelimeler

• Spinal lipom
• spinal disrafizm
• gergin omurilik

Kaynakça

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