Pham Alex V, Price Morgan R
VA Puget Sound Health Care System, Seattle, WA.
J Can Chiropr Assoc. 2024 Apr;68(1):49-57.
Spinal epidural lipomatosis (SEL) is a rare contributor of low back pain (LBP) that can present with or without radicular symptoms.
A 51-year-old and 65-year-old male presented with chronic LBP to the Veterans Affairs chiropractic clinic for a trial of care. One had a moderate degree of lumbar spinal stenosis with known SEL and the other had severe. The patient with moderate grade stenosis responded favorably with weeks of transient benefit after visits and the patient with severe grade did not find benefit with care.
SEL is a condition that conservative care providers should be aware of as a potential cause of central canal stenosis or neuroforaminal narrowing. Chiropractic management of SEL has been scarcely reflected in the published literature, but may be a viable option for transient symptom management.
脊髓硬膜外脂肪增多症（SEL）是导致腰痛（LBP）的罕见原因，可伴有或不伴有神经根症状。
一名51岁和一名65岁男性因慢性腰痛到退伍军人事务部脊椎按摩诊所接受治疗试验。其中一人患有中度腰椎管狭窄症且已知患有SEL，另一人患有重度腰椎管狭窄症。中度狭窄的患者在就诊后数周内有短暂改善，反应良好，而重度狭窄的患者未从治疗中获益。
SEL是一种保守治疗提供者应意识到的可能导致中央管狭窄或神经孔狭窄的疾病。SEL的脊椎按摩治疗在已发表的文献中很少有体现，但可能是缓解短暂症状的一个可行选择。
