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Vertebral Body Lipoma: An Unusual Pathology Treated With Kyphoplasty
Fikret Sahinturk1, Umit Akin Dere1, Erkin Sonmez1
1Department of Neurosurgery, Baskent University School of Medicine, Ankara, Turkey.
Spine
|September 19, 2018
Summary
This case report details the first vertebral lipoma treated solely with kyphoplasty. Surgical removal is recommended for intraosseous lipoma diagnosis and pain relief.
Area of Science:
- Spine surgery
- Neurosurgery
- Orthopedic oncology
Background:
- Vertebral lipoma is an exceptionally rare spinal tumor, with only 20 cases documented in the English literature.
- Intraosseous lipomas are benign tumors composed of mature fat tissue within the bone marrow.
Observation:
- A 32-year-old female presented with chronic low back pain, initially suspected as hemangioma via lumbar MRI.
- The patient underwent surgery for the suspected lesion.
Findings:
- Microscopic examination revealed a vertebral lesion with a widely infiltrating appearance of mature fat tissue between bone trabeculae.
- The final diagnosis was intraosseous lipoma.
Implications:
- This case represents the first instance of vertebral lipoma treated exclusively with kyphoplasty.
- Surgical total removal is advised for intraosseous lipomas to ensure accurate histologic diagnosis and achieve pain relief, even for incidentally discovered lesions.
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