Marques Gubern A, Boix-Ochoa J, Martinez Ibanez V, Eizaguirre I
Chir Pediatr. 1980;21(1):61-6.
In a revision of 473 spina Bifida cystica, 19 lumbosacral lipomas during the last 13 years is presented. It corresponds to a 4,01% of total cases. The results are commented pointing out the embryology, symptomatology and diagnostic. The treatment is surgical before symptomatology appear. It is very important early surgery for the risk is very low if we compare it with the serious neurologic symptoms that can be established. Tumor must be exirpated as much as possible, liberalizing the medullar adherences that avoid its free ascend. All surgical cases presented an intramedullar communication and compresion. Only three of them, under 3 months of life, are not operated. Postsurgery evolution is satisfactory.
本文报告了过去13年中473例囊性脊柱裂翻修手术中的19例腰骶部脂肪瘤。这占总病例数的4.01%。对结果进行了评论，指出了胚胎学、症状学和诊断方法。在症状出现之前进行手术治疗。早期手术非常重要，因为与可能出现的严重神经症状相比，手术风险非常低。必须尽可能切除肿瘤，松解脊髓粘连以避免其自由上升。所有手术病例均存在髓内交通和压迫。其中只有3例在3个月以下未进行手术。术后恢复情况令人满意。
