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Related Experiment Video

Updated: Sep 16, 2025

Novel Mini-open Transforaminal Lumbar Interbody Fusion
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Cerebral Fat Migration After Spine Surgery.

Dries Vanhoegaerden1, Michiel Herteleer2, Philippe Demaerel1

  • 1UZ Leuven, department of Radiology, KU Leuven, Belgium.

Journal of the Belgian Society of Radiology
|July 7, 2025
PubMed
Summary
This summary is machine-generated.

Fat droplets in the brain after sacral fracture surgery can occur. This occurs when fat enters the cerebrospinal fluid through a tear in the thecal sac.

Keywords:
BoneBone MarrowFracturesOrthopedic proceduresSacrumSubarachnoid spaceTomographyX-ray Computed

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Area of Science:

  • Neurosurgery
  • Orthopaedic Surgery
  • Radiology

Background:

  • Complex sacral fractures require surgical stabilization.
  • Postoperative complications can arise from spinal procedures.

Observation:

  • A 73-year-old patient developed a complex sacral fracture and underwent surgery.
  • Postoperative brain computed tomography (CT) revealed fat droplets within the intracranial subarachnoid space and lateral ventricles.

Findings:

  • The observed intracranial fat droplets originated from the sacral thecal sac.
  • A tear in the sacral thecal sac allowed fat to migrate into the cerebrospinal fluid.

Implications:

  • Intracranial fat embolism is a potential, albeit rare, complication following sacral surgery.
  • Radiologists and surgeons should be aware of this phenomenon for accurate diagnosis and patient management.