Case ReportsTranssacral Canal Plasty for Decompression of Lumbar Spinal Stenosis in a Patient With Epidural Lipomatosis A Case ReportArimura, Daigo MD, PhD1,a; Shinohara, Akira MD, PhD1; Katsumi, Shunsuke MD1; Obata, Shintaro MD1; Ikegami, Taku MD1; Saito, Mitsuru MD, PhD1 Author Information 1Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan aE-mail address for D. Arimura: [email protected] Investigation performed at Department of Orthopaedic Surgery, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/B975). JBJS Case Connector 12(4):e22.00494, October-December 2022. | DOI: 10.2106/JBJS.CC.22.00494 Buy Metrics Abstract Case: A 58-year-old man presented with lumbar spinal stenosis due to epidural lipomatosis. He underwent transsacral canal plasty (TSCP), in a manner similar to epidural adhesiolysis, which can be performed under local anesthesia. His leg pain improved dramatically in the year after surgery. Furthermore, magnetic resonance images during this time show neural decompression by reduction of the amount of epidural fat. Conclusion: TSCP was found not only to relieve pain but also to achieve neural decompression in this patient with spinal canal stenosis caused by lumbar epidural lipomatosis. This is the first report to demonstrate the usefulness of TSCP for spinal epidural lipomatosis. Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated
