Case Report: Spinal epidural lipomatosis with incomplete cauda equina syndrome treated with unilateral biportal endoscopic technique.

Zaiyin Deng, Yujin Wang, Mohammed Saud Shaik, Duanyang Li, Rongjing Di, Zhourui Wu, Bin Ma

Abstract readCase Reports

In one paragraph

Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Zaiyin DengDivision of Spine, Department of Orthopedics, Tongji Hospital affiliated to Tongji University, School of Medicine, Tongji University, Shanghai, China.

Yujin WangDivision of Spine, Department of Orthopedics, Tongji Hospital affiliated to Tongji University, School of Medicine, Tongji University, Shanghai, China.

Mohammed Saud ShaikDivision of Spine, Department of Orthopedics, Tongji Hospital affiliated to Tongji University, School of Medicine, Tongji University, Shanghai, China.

Duanyang LiDivision of Spine, Department of Orthopedics, Tongji Hospital affiliated to Tongji University, School of Medicine, Tongji University, Shanghai, China.

Rongjing DiDivision of Spine, Department of Orthopedics, Tongji Hospital affiliated to Tongji University, School of Medicine, Tongji University, Shanghai, China.

Zhourui WuDivision of Spine, Department of Orthopedics, Tongji Hospital affiliated to Tongji University, School of Medicine, Tongji University, Shanghai, China.

Bin MaDivision of Spine, Department of Orthopedics, Tongji Hospital affiliated to Tongji University, School of Medicine, Tongji University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal epidural lipomatosis (SEL) involves the aberrant growth of normal adipose tissue in the spinal canal. It lacks of distinctive clinical manifestations. However, it can infrequently present as incomplete cauda equina syndrome (CES), a condition necessitating urgent surgical intervention. We present a case of SEL primarily manifesting as acute incomplete CES. The patient underwent unilateral biportal endoscopic (UBE) spinal canal decompression and adipose tissue excision. This procedure led to satisfactory postoperative neurological improvement. This case underscores the efficacy of unilateral biportal endoscopy as a viable minimally invasive surgical approach for SEL when accompanied by incomplete CES.

Indexed as

cauda equina syndromeepidural fatminimally invasive spine surgeryspinal epidural lipomatosisspinal stenosisunilateral biportal endoscopy

Identifiers

PMID41884564

DOI10.3389/fsurg.2026.1762865

PMCPMC13011848

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.