Incidence of spinal epidural lipomatosis in patients with spinal stenosis
Abstract Inroduction Spinal Epidural Lipomatosis (SEL) is believed to be a rare disorder. The incidence and prevalence of clinically symptomatic SEL in patients with spinal stenosis has never been reported in the literature. Our study aims to determine the prevalence, incidence, and associated risk...
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| Veröffentlicht in: | Journal of orthopaedics 2018-03, Vol.15 (1), p.36-39 |
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| creator | Malone, Jason Bradley Bevan, Patrick Jon Lewis, Todd Jay Nelson, Andrew David Blaty, Doug Edward Kahan, Michael Eastland |
| description | Abstract Inroduction Spinal Epidural Lipomatosis (SEL) is believed to be a rare disorder. The incidence and prevalence of clinically symptomatic SEL in patients with spinal stenosis has never been reported in the literature. Our study aims to determine the prevalence, incidence, and associated risk factors of SEL in patients with the diagnosis of spinal stenosis. Methods This is a retrospective study. We reviewed the charts of 831 patients with the diagnosis of spinal stenosis over a 30 month period. All patients had spinal MRIs. Grading of SEL was performed using the Borré method. Results 52 patients (21 female and 31 male) had symptomatic moderate and severe SEL. We found a prevalence of 6.26% and an annual incidence of 2.5%. SEL was most commonly seen at L5-S1 level. 27% had received corticosteroids. All SEL patients were overweight and 79% were obese. Conclusions SEL is not uncommon in patients with spinal stenosis. SEL should be considered as a possible diagnosis in those with symptoms of spinal stenosis especially in those with associated risk factors. |
| doi_str_mv | 10.1016/j.jor.2017.11.001 |
| format | Article |
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The incidence and prevalence of clinically symptomatic SEL in patients with spinal stenosis has never been reported in the literature. Our study aims to determine the prevalence, incidence, and associated risk factors of SEL in patients with the diagnosis of spinal stenosis. Methods This is a retrospective study. We reviewed the charts of 831 patients with the diagnosis of spinal stenosis over a 30 month period. All patients had spinal MRIs. Grading of SEL was performed using the Borré method. Results 52 patients (21 female and 31 male) had symptomatic moderate and severe SEL. We found a prevalence of 6.26% and an annual incidence of 2.5%. SEL was most commonly seen at L5-S1 level. 27% had received corticosteroids. All SEL patients were overweight and 79% were obese. Conclusions SEL is not uncommon in patients with spinal stenosis. SEL should be considered as a possible diagnosis in those with symptoms of spinal stenosis especially in those with associated risk factors.</description><identifier>ISSN: 0972-978X</identifier><identifier>EISSN: 0972-978X</identifier><identifier>DOI: 10.1016/j.jor.2017.11.001</identifier><identifier>PMID: 29203971</identifier><language>eng</language><publisher>India: Elsevier India Pvt Ltd</publisher><subject>Benign spinal tumor ; Lumbar epidural lipomatosis ; Orthopedics ; Spinal epidural lipomatosis</subject><ispartof>Journal of orthopaedics, 2018-03, Vol.15 (1), p.36-39</ispartof><rights>Prof. PK Surendran Memorial Education Foundation</rights><rights>2017 Prof. PK Surendran Memorial Education Foundation</rights><rights>2017 Prof. PK Surendran Memorial Education Foundation. Published by Elsevier, a division of RELX India, Pvt. Ltd. All rights reserved. 2017 Prof. PK Surendran Memorial Education Foundation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-6b102c18b0e8addddd4d1730296a1a7af56afdb4acfcc0032add64e7140923303</citedby><cites>FETCH-LOGICAL-c506t-6b102c18b0e8addddd4d1730296a1a7af56afdb4acfcc0032add64e7140923303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709284/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709284/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29203971$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Malone, Jason Bradley</creatorcontrib><creatorcontrib>Bevan, Patrick Jon</creatorcontrib><creatorcontrib>Lewis, Todd Jay</creatorcontrib><creatorcontrib>Nelson, Andrew David</creatorcontrib><creatorcontrib>Blaty, Doug Edward</creatorcontrib><creatorcontrib>Kahan, Michael Eastland</creatorcontrib><title>Incidence of spinal epidural lipomatosis in patients with spinal stenosis</title><title>Journal of orthopaedics</title><addtitle>J Orthop</addtitle><description>Abstract Inroduction Spinal Epidural Lipomatosis (SEL) is believed to be a rare disorder. The incidence and prevalence of clinically symptomatic SEL in patients with spinal stenosis has never been reported in the literature. Our study aims to determine the prevalence, incidence, and associated risk factors of SEL in patients with the diagnosis of spinal stenosis. Methods This is a retrospective study. We reviewed the charts of 831 patients with the diagnosis of spinal stenosis over a 30 month period. All patients had spinal MRIs. Grading of SEL was performed using the Borré method. Results 52 patients (21 female and 31 male) had symptomatic moderate and severe SEL. We found a prevalence of 6.26% and an annual incidence of 2.5%. SEL was most commonly seen at L5-S1 level. 27% had received corticosteroids. All SEL patients were overweight and 79% were obese. Conclusions SEL is not uncommon in patients with spinal stenosis. SEL should be considered as a possible diagnosis in those with symptoms of spinal stenosis especially in those with associated risk factors.</description><subject>Benign spinal tumor</subject><subject>Lumbar epidural lipomatosis</subject><subject>Orthopedics</subject><subject>Spinal epidural lipomatosis</subject><issn>0972-978X</issn><issn>0972-978X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kk9v1DAQxS0EoqXwAbigHLls6nH-OBFSJVQBXakSB0DiNvI6Ezohawc7adVvj8O2VeGAL7bk3zw_zxshXoPMQUJ9OuSDD7mSoHOAXEp4Io5lq9Wm1c33p4_OR-JFjIOUharq4rk4Uq2SRavhWGy3znJHzlLm-yxO7MyY0cTdEtJh5Mnvzewjx4xdNpmZyc0xu-H56h6OM7kVeCme9WaM9OpuPxHfPn74en6xufz8aXv-_nJjK1nPm3oHUllodpIa062r7EAXUrW1AaNNX9Wm73alsb21q-ME1SVpKGWrikIWJ-LsoDstuz11NhlKVnEKvDfhFr1h_PvG8RX-8NdY6aTQlEng7Z1A8L8WijPuOVoaR-PILxGhXe0ANFVC4YDa4GMM1D88AxLXCHDAFAGuESAApghSzZvH_h4q7nuegHcHgFKXrpkCRstrAh0HsjN2nv8rf_ZPtR3ZsTXjT7qlOPglpFTSLzAqlPhlnYF1BP70GGpd_Aao6q6e</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Malone, Jason Bradley</creator><creator>Bevan, Patrick Jon</creator><creator>Lewis, Todd Jay</creator><creator>Nelson, Andrew David</creator><creator>Blaty, Doug Edward</creator><creator>Kahan, Michael Eastland</creator><general>Elsevier India Pvt Ltd</general><general>Elsevier</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180301</creationdate><title>Incidence of spinal epidural lipomatosis in patients with spinal stenosis</title><author>Malone, Jason Bradley ; Bevan, Patrick Jon ; Lewis, Todd Jay ; Nelson, Andrew David ; Blaty, Doug Edward ; Kahan, Michael Eastland</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-6b102c18b0e8addddd4d1730296a1a7af56afdb4acfcc0032add64e7140923303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Benign spinal tumor</topic><topic>Lumbar epidural lipomatosis</topic><topic>Orthopedics</topic><topic>Spinal epidural lipomatosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Malone, Jason Bradley</creatorcontrib><creatorcontrib>Bevan, Patrick Jon</creatorcontrib><creatorcontrib>Lewis, Todd Jay</creatorcontrib><creatorcontrib>Nelson, Andrew David</creatorcontrib><creatorcontrib>Blaty, Doug Edward</creatorcontrib><creatorcontrib>Kahan, Michael Eastland</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Malone, Jason Bradley</au><au>Bevan, Patrick Jon</au><au>Lewis, Todd Jay</au><au>Nelson, Andrew David</au><au>Blaty, Doug Edward</au><au>Kahan, Michael Eastland</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of spinal epidural lipomatosis in patients with spinal stenosis</atitle><jtitle>Journal of orthopaedics</jtitle><addtitle>J Orthop</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>15</volume><issue>1</issue><spage>36</spage><epage>39</epage><pages>36-39</pages><issn>0972-978X</issn><eissn>0972-978X</eissn><abstract>Abstract Inroduction Spinal Epidural Lipomatosis (SEL) is believed to be a rare disorder. The incidence and prevalence of clinically symptomatic SEL in patients with spinal stenosis has never been reported in the literature. Our study aims to determine the prevalence, incidence, and associated risk factors of SEL in patients with the diagnosis of spinal stenosis. Methods This is a retrospective study. We reviewed the charts of 831 patients with the diagnosis of spinal stenosis over a 30 month period. All patients had spinal MRIs. Grading of SEL was performed using the Borré method. Results 52 patients (21 female and 31 male) had symptomatic moderate and severe SEL. We found a prevalence of 6.26% and an annual incidence of 2.5%. SEL was most commonly seen at L5-S1 level. 27% had received corticosteroids. All SEL patients were overweight and 79% were obese. Conclusions SEL is not uncommon in patients with spinal stenosis. SEL should be considered as a possible diagnosis in those with symptoms of spinal stenosis especially in those with associated risk factors.</abstract><cop>India</cop><pub>Elsevier India Pvt Ltd</pub><pmid>29203971</pmid><doi>10.1016/j.jor.2017.11.001</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Benign spinal tumor Lumbar epidural lipomatosis Orthopedics Spinal epidural lipomatosis |
| title | Incidence of spinal epidural lipomatosis in patients with spinal stenosis |
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