Imran Y, Halim Y
Department of Orthopaedics, School of Medical Science, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
Singapore Med J. 2005 Jan;46(1):25-7.
A 63-year-old man developed acute cauda equina syndrome due to fat graft compression. Following decompressive laminectomy and posterior instrumented fusion with pedicle screw fixation for spinal stenosis of L5 and S1 vertebral levels, free fat grafting was performed to cover the exposed dura. The patient developed gradual neurological deficit three days postoperatively. This started with sensory loss and weakness of the affected dermatomes and myotomes, followed by bowel incontinence on the 12th postoperative day. Intraoperatively, significant dural compression by the fat graft was confirmed. Immediate removal of the fat graft resulted in recovery from cauda equina syndrome.
一名63岁男性因脂肪移植压迫而发生急性马尾综合征。在对L5和S1椎体水平的椎管狭窄进行减压性椎板切除术及后路椎弓根螺钉固定器械融合术后，进行了游离脂肪移植以覆盖暴露的硬脑膜。患者术后三天出现逐渐加重的神经功能缺损。起初是受累皮节和肌节的感觉丧失和无力，随后在术后第12天出现大便失禁。术中证实脂肪移植对硬脑膜有明显压迫。立即取出脂肪移植后，马尾综合征得以恢复。
