Cauda equina syndrome caused by a free fat graft after decompressive surgery of the lumbar spine: Report of two cases

K. Ohmori*, M. Kanamori, H. Ishihara, Y. Kawaguchi, T. Yasuda, T. Kimura

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Cauda equina syndrome as a complication of free epidural fat grafting after decompressive surgery of the lumbar spine is rare; 9 cases have been reported. We treated 2 cases: a 26-year-old man treated who underwent bilateral laminotomy and discectomy at L3-4 and L4-5 levels for lumbar disc herniations, and a 64-year-old man who underwent laminectomy and discectomy at the LA-5 level for herniation accompanied by degenerative spinal canal stenosis. In both cases, reoperation was done within 2 days after the first surgery, and the symptom was improved after removal of the grafted fat. It was proposed that postoperative cauda equina syndrome occurs, when an overly thick fat graft is forced into the spinal canal where decompression had been inadequately performed.

Original languageEnglish
Pages (from-to)1-5
Number of pages5
JournalNeuro-Orthopedics
Volume27
Issue number1-2
StatePublished - 2000

Keywords

  • Cauda equina syndrome
  • Free fat graft
  • Lumbar spine surgery

ASJC Scopus subject areas

  • Surgery
  • General Neuroscience

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