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lntroduction : The shape and structures surrounding lumbesacral spinal lipoma have a variety of morphologies, including neural tissues and the dural sac. In cletermining how best to manage lumbosacral spinal lipomas, it is necessary to compare the natural course of the disease and the outcomes associated with surgery (e. g., incomplete untethering, the risk of surgical complications and the remaining risk of retethering) . In this studM we compared the rnorphological implications assoeiated with the natural course and operative results in patients with lipoma. Methods : Thirty-four consecutive patients with spinal lipomas (20 cases of conus lipomas and 14 cases of filum lipomas) , aged O months to 13 years, were stuclied retrospectively We analyzed the association of 3 morphological features-protrusion of the spinal cord from the spinal canal, widespread adhesion between the spinal cord ancl lipoma, and abnormal exit of the nerve root from the dural sac-with preoperative symptoms and surgical outcomes.

Morphological Features of the Lumbosacral Spinal Lipomas with Special Reference to Clinical Symptoms and Surgical Outcome in Children