Case ReportsThoracic Spinal Epidural Lipomatosis Associated With Adolescent ScoliosisSabharwal, Sanjeev MD; Mahmood, Faisal MDAuthor Information Department of Orthopaedics, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ Reprints: Dr S. Sabharwal, Department of Orthopaedics, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 90 Bergen St., Suite 7300, Newark, NJ 07103 (e-mail: firstname.lastname@example.org). Received for publication June 17, 2005; accepted July 19, 2005 Journal of Spinal Disorders & Techniques: May 2006 - Volume 19 - Issue 3 - p 217-221 doi: 10.1097/01.bsd.0000179672.80229.0d Buy Metrics Abstract Although a variety of neural axis abnormalities in association with idiopathic scoliosis have been reported, there are no documented cases of spinal epidural lipomatosis (SEL) in a child with scoliosis. An otherwise healthy, neurologically intact 14-year-old girl presented with spinal deformity. Radiographs confirmed a left thoracic, right lumbar Lenke class 5CN scoliosis. Preoperative magnetic resonance imaging (MRI) demonstrated extensive SEL in the thoracic spine. She underwent posterior spinal fusion with segmental instrumentation using bony anchors that did not violate the spinal canal. Intraoperative spinal cord monitoring and postoperative clinical course were uneventful. SEL should be added to the list of potential abnormalities to be looked for in children with spinal deformities undergoing preoperative MRI of the neural axis. © 2006 Lippincott Williams & Wilkins, Inc.