McLone D G, Naidich T P
Neurosurgery. 1986 May;18(5):611-5. doi: 10.1227/00006123-198605000-00016.
The value of laser resection was assessed in the last 50 of 128 consecutive cases of pediatric spinal lipoma. In this series, there was no mortality. No patient suffered increase in neurological or urological deficit. Postoperatively, 8 of 20 patients with prior motor deficit (40%) had substantially improved motor function. Two of 17 previously incontinent patients became continent of urine (12%). Use of the CO2 laser reduced the length of operation, the intraoperative blood loss, and the degree of manipulation of the spinal cord and nerve roots. Most of the fat could be removed successfully from the liponeural junction, permitting more nearly anatomical removal of the intramedullary component of the lesion and greater ease in replacing the cord into a reconstructed arachnoid-dural canal. In the authors' opinions, proper management of the patient with spinal lipoma now requires early prophylactic resection of the lipoma and untethering of the spinal cord.
在连续128例小儿脊髓脂肪瘤病例中的最后50例中评估了激光切除术的价值。在该系列中，无死亡病例。无患者出现神经或泌尿系统功能缺损加重。术后，20例术前有运动功能缺损的患者中有8例（40%）运动功能有显著改善。17例先前大小便失禁的患者中有2例恢复了控尿功能（12%）。使用二氧化碳激光缩短了手术时间、减少了术中出血量以及对脊髓和神经根的操作程度。大部分脂肪能够从脂神经交界处成功清除，从而更接近解剖学上切除病变的髓内成分，并更易于将脊髓放回重建的蛛网膜 - 硬脊膜管。作者认为，目前对脊髓脂肪瘤患者的恰当处理需要早期预防性切除脂肪瘤并松解脊髓。
