Evidence map›Paper›PMID 42830778›Full record

ArticleJournal of surgical case reports2026

Long-term neurological stability after decompression with duraplasty without resection of a non-dysraphic thoracic spinal lipoma: a 30-year follow-up case report.

Takeru Ueno, Shizumasa Murata, Hiroshi Iwasaki, Kazunori Nomura, Munehito Yoshida, Hiroshi Yamada

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 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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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Takeru UenoDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, Wakayama 641-8509, Japan.
Shizumasa MurataDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, Wakayama 641-8509, Japan.ORCID https://orcid.org/0000-0002-0574-029X
Hiroshi IwasakiDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, Wakayama 641-8509, Japan.
Kazunori NomuraDepartment of Orthopedic Surgery, Sumiya Orthopedic Hospital, 337 Yoshida, Wakayama, Wakayama 640-8343, Japan.
Munehito YoshidaDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, Wakayama 641-8509, Japan.
Hiroshi YamadaDepartment of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, Wakayama 641-8509, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intradural spinal lipomas without associated dysraphism are rare, and the optimal surgical strategy remains controversial, particularly for thoracic lesions strongly adhered to neural structures. A 17-year-old female presented with progressive spastic gait and sensory disturbances in the lower extremities that developed during pregnancy. Magnetic resonance imaging showed an intradural lesion at the T5-T8 level consistent with a spinal lipoma. Because of the absence of a clear dissection plane and strong adhesion to neural elements, tumor resection was not attempted. Instead, decompression and duraplasty were performed. The patient showed gradual neurological improvement and was discharged 5 weeks postoperatively. At the 30-year follow-up, the patient remained neurologically stable with no evidence of tumor progression. Decompression without tumor resection may provide favorable long-term outcomes in selected cases of non-dysraphic intradural spinal lipomas with strong adhesion to neural structures.

Indexed as

decompression surgeryduraplastyintradural spinal lipomalong-term follow-upthoracic spine

Identifiers

PMID42830778
PMCPMC13633883

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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.