Zhang Xiaolei, Dong Sheng, Wang Guoqin, Zhang Huifang, Wang James Jin, Wang Guihuai
Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
J Korean Neurosurg Soc. 2022 Jan;65(1):49-56. doi: 10.3340/jkns.2021.0005. Epub 2021 Nov 26.
Angiolipomas are usually found in the subcutaneous tissue of the trunk and limbs. Spinal angiolipomas (SALs) are uncommon and have rarely been reported. We report a series of nine SALs patients who received surgical treatment in our department. To summarize the clinical characteristics of SALs, propose our surgical strategies, and evaluate the effects of the operation.
This was a retrospective review of nine SALs patients who received surgical treatment from August 2015 to March 2020. Total or subtotal resection was determined by the axial localization (dorsal or ventral) and the extent of intervertebral foramen involvement. The outcomes were assessed based on the modified Japanese Orthopaedic Association (mJOA) scoring system utilized before surgery and at various follow-up points.
Among the nine patients, the mean mJOA score before surgery was 6.6±2.3, compared with 10.1±1.1 at the last follow-up time point (33.4±11.8 months). All patients achieved good outcomes, even in cases of subtotal resection.
Early surgical resection of SALs is recommended, and the specific procedures should be determined by the axial localization (dorsal or ventral) and the extent of intervertebral foramen involvement. Most of the patients had a good prognosis, even in cases of subtotal resection.
血管脂肪瘤通常见于躯干和四肢的皮下组织。脊柱血管脂肪瘤（SALs）较为罕见，鲜有报道。我们报告了在我科接受手术治疗的9例SALs患者。总结SALs的临床特征，提出我们的手术策略，并评估手术效果。
对2015年8月至2020年3月接受手术治疗的9例SALs患者进行回顾性研究。根据轴向定位（背侧或腹侧）和椎间孔受累程度决定行全切除或次全切除。根据术前及各随访时间点采用的改良日本骨科学会（mJOA）评分系统评估结果。
9例患者术前mJOA平均评分为6.6±2.3，末次随访时间点（33.4±11.8个月）为10.1±1.1。所有患者均取得良好效果，即使是次全切除的病例。
建议早期手术切除SALs，具体手术方式应根据轴向定位（背侧或腹侧）和椎间孔受累程度确定。大多数患者预后良好，即使是次全切除的病例。
