Anatomical features of lumbosacral lipomas of various types

Sufianov A.A.; Dydykin S.S.; Gizatullin M.R.; Shelyagin I.S.; Sufianov R.A.

doi:https://doi.org/10.17116/operhirurg2021502139

Sufianov A.A.

Federal Centre of Neurosurgery;
I.M. Sechenov First Moscow State Medical University

Dydykin S.S.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

ORCID: 0000-0002-1273-0356

Gizatullin M.R.

Federal Centre of Neurosurgery

Shelyagin I.S.

I.M. Sechenov First Moscow State Medical University

Sufianov R.A.

I.M. Sechenov First Moscow State Medical University

ORCID: 0000-0003-4031-0540

Anatomical features of lumbosacral lipomas of various types

Authors:

Sufianov A.A., Dydykin S.S., Gizatullin M.R., Shelyagin I.S., Sufianov R.A.

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Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2021;5(2): 39‑49

DOI: 10.17116/operhirurg2021502139

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To cite this article:

Sufianov AA, Dydykin SS, Gizatullin MR, Shelyagin IS, Sufianov RA. Anatomical features of lumbosacral lipomas of various types. Russian Journal of Operative Surgery and Clinical Anatomy. 2021;5(2):39‑49. (In Russ.)
https://doi.org/10.17116/operhirurg2021502139

Подписка 2026 Оперативная хирургия и клиническая анатомия (Пироговский научный журнал) (Russian Journal of Operative Surgery and Clinical Anatomy)

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Abstract:

OBJECTIVE

To describe the anatomical features of various types of lumbosacral lipomas (LSL).

MATERIAL AND METHODS

Professor Sufianov A.A., MD, Ph.D. analyzed the experience of surgical treatment of 145 patients operated for the purpose of resection of various types of LSL in the pediatric department of the Federal Center for Neurosurgery of the Ministry of Health of the Russian Federation (Tyumen).

RESULTS

In ultra-sonographic examination LSL is an irregularly shaped, closely related to spinal cord (SC), hyperechoic (comparable to subcutaneous fatty tissue) formation with various types of growth. The most characteristic feature of lipomatous tissue is the alternation of hypoechoic and hyperechoic areas in the form of «sea ripples». Depending on the type, lipomatous tissue may be found on the dorsal surface of the SC cone; in the area of the cauda equina; grab SC and cauda equina; to be in the thickness of the terminal thread, or to enter the subcutaneous fatty tissue through the abnormally formed bone structures of the lumbar region (spina bifida).

CONCLUSION

Knowledge of the anatomy of different types of LSL plays a primary role in the successful, radical and safe surgical treatment of this pathology due to significant anatomical differences between each type of LSL. Anatomical features lead to a differentiated approach to the surgical treatment of each type of LSL.

Keywords:

lumbosacral lipoma

spina bifida

intraoperative ultrasonography

Authors:

Sufianov A.A.

Federal Centre of Neurosurgery;
I.M. Sechenov First Moscow State Medical University

Dydykin S.S.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

ORCID: 0000-0002-1273-0356

Gizatullin M.R.

Federal Centre of Neurosurgery

Shelyagin I.S.

I.M. Sechenov First Moscow State Medical University

Sufianov R.A.

I.M. Sechenov First Moscow State Medical University

ORCID: 0000-0003-4031-0540

Received:

24.11.2020

Accepted:

25.02.2021

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References:

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