Symptomatic root compression by a free fat transplant after hemilaminectomy

Case report

Jose M. CabezudoService of Neurosurgery, Complejo Sanitario “Virgen de Lluch,” Palma de Mallorca, Baleares, Spain

Search for other papers by Jose M. Cabezudo in
Current site
Google Scholar
PubMed
Close
 M.D., Ph.D.
,
Alfredo LopezService of Neurosurgery, Complejo Sanitario “Virgen de Lluch,” Palma de Mallorca, Baleares, Spain

Search for other papers by Alfredo Lopez in
Current site
Google Scholar
PubMed
Close
 M.D.
, and
Fernando BacciService of Neurosurgery, Complejo Sanitario “Virgen de Lluch,” Palma de Mallorca, Baleares, Spain

Search for other papers by Fernando Bacci in
Current site
Google Scholar
PubMed
Close
 M.D., Ph.D.
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $525.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $624.00
USD  $45.00
USD  $525.00
USD  $624.00
Print or Print + Online Sign in

✓ The authors report a case in which a free fat graft, placed at the operative site after hemilaminectomy for lumbar disc herniation, was forced into the spinal canal by action of the paraspinal muscles and behaved as a symptomatic space-occupying lesion. The patient recovered satisfactorily after the graft was removed. The pathogenetic mechanism is discussed and guidelines to avoid this complication are outlined.

  • Collapse
  • Expand
  • 1.

    Barberá J, , Gonzalez J, & Esquerdo J, et al: Prophylaxis of the laminectomy membrane. An experimental study in dogs. J Neurosurg 49:419424, 1978 Barberá J, Gonzalez J, Esquerdo J, et al: Prophylaxis of the laminectomy membrane. An experimental study in dogs. J Neurosurg 49:419–424, 1978

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2.

    Benoist M, , Ficat C, & Baraf P, et al: Postoperative lumbar epiduro-arachnoiditis. Diagnostic and therapeutic aspects. Spine 5:432436, 1980 Benoist M, Ficat C, Baraf P, et al: Postoperative lumbar epiduro-arachnoiditis. Diagnostic and therapeutic aspects. Spine 5:432–436, 1980

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Brodsky AE: Post-laminectomy and post-fusion stenosis of the lumbar spine. Clin Orthop 115:130139, 1976 Brodsky AE: Post-laminectomy and post-fusion stenosis of the lumbar spine. Clin Orthop 115:130–139, 1976

    • Search Google Scholar
    • Export Citation
  • 4.

    Bryant MS, , Bremer AM, & Nguyen TQ: Autogeneic fat transplants in the epidural space in routine lumbar spine surgery. Neurosurgery 13:367370, 1983 Bryant MS, Bremer AM, Nguyen TQ: Autogeneic fat transplants in the epidural space in routine lumbar spine surgery. Neurosurgery 13:367–370, 1983

    • Search Google Scholar
    • Export Citation
  • 5.

    Burton CV: Full thickness autogenous fat grafts in the prevention of epidural fibrosis. Contemp Neurosurg 5 (25):15, 1984 Burton CV: Full thickness autogenous fat grafts in the prevention of epidural fibrosis. Contemp Neurosurg 5(25):1–5, 1984

    • Search Google Scholar
    • Export Citation
  • 6.

    De Villiers PD, & Booysen EL: Fibrous spinal stenosis. A report on 850 myelograms with a water-soluble contrast medium. Clin Orthop 115:140144, 1976 De Villiers PD, Booysen EL: Fibrous spinal stenosis. A report on 850 myelograms with a water-soluble contrast medium. Clin Orthop 115:140–144, 1976

    • Search Google Scholar
    • Export Citation
  • 7.

    Feild JR, & McHenry H: The lumbar shield: a progress report. Spine 5:264278, 1980 Feild JR, McHenry H: The lumbar shield: a progress report. Spine 5:264–278, 1980

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Gill GG, , Sakovich L, & Thompson E: Pedicle fat grafts for the prevention of scar formation after laminectomy. An experimental study in dogs. Spine 4:176186, 1979 Gill GG, Sakovich L, Thompson E: Pedicle fat grafts for the prevention of scar formation after laminectomy. An experimental study in dogs. Spine 4:176–186, 1979

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9.

    Keller JT, , Dunsker SB, & McWhorter JM, et al: The fate of autogenous grafts to the spinal dura. An experimental study. J Neurosurg 49:412418, 1978 Keller JT, Dunsker SB, McWhorter JM, et al: The fate of autogenous grafts to the spinal dura. An experimental study. J Neurosurg 49:412–418, 1978

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Kiviluoto O: Use of free fat transplants to prevent epidural scar formation. An experimental study. Acta Orthop Scand Suppl 164:175, 1976 Kiviluoto O: Use of free fat transplants to prevent epidural scar formation. An experimental study. Acta Orthop Scand Suppl 164:1–75, 1976

    • Search Google Scholar
    • Export Citation
  • 11.

    Langenskiöld A, & Kiviluoto O: Prevention of epidural scar formation after operations on the lumbar spine by means of free fat transplants. A preliminary report. Clin Orthop 115:9295, 1976 Langenskiöld A, Kiviluoto O: Prevention of epidural scar formation after operations on the lumbar spine by means of free fat transplants. A preliminary report. Clin Orthop 115:92–95, 1976

    • Search Google Scholar
    • Export Citation
  • 12.

    LaRocca H, & Macnab I: The laminectomy membrane. Studies in its evolution, characteristics, effects and prophylaxis in dogs. J Bone Joint Surg (Br) 56:545550, 1974 LaRocca H, Macnab I: The laminectomy membrane. Studies in its evolution, characteristics, effects and prophylaxis in dogs. J Bone Joint Surg (Br) 56:545–550, 1974

    • Search Google Scholar
    • Export Citation
  • 13.

    Mayfield FH: Autologous fat transplants for the protection and repair of the spinal dura. Clin Neurosurg 27:349361, 1980 Mayfield FH: Autologous fat transplants for the protection and repair of the spinal dura. Clin Neurosurg 27:349–361, 1980

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Yong-Hing K, , Reilly J, & de Korompay V, et al: Prevention of nerve root adhesions after laminectomy. Spine 5:5964, 1980 Yong-Hing K, Reilly J, de Korompay V, et al: Prevention of nerve root adhesions after laminectomy. Spine 5:59–64, 1980

    • Crossref
    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 357 100 10
Full Text Views 167 2 0
PDF Downloads 61 4 0
EPUB Downloads 0 0 0