{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:05Z","timestamp":1787755445079,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 58-year-old man presented with lumbar spinal stenosis due to epidural lipomatosis. He underwent transsacral canal plasty (TSCP), in a manner similar to epidural adhesiolysis, which can be performed under local anesthesia. His leg pain improved dramatically in the year after surgery. Furthermore, magnetic resonance images during this time show neural decompression by reduction of the amount of epidural fat.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>TSCP was found not only to relieve pain but also to achieve neural decompression in this patient with spinal canal stenosis caused by lumbar epidural lipomatosis. This is the first report to demonstrate the usefulness of TSCP for spinal epidural lipomatosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00494","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T11:00:08Z","timestamp":1674126008000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Transsacral Canal Plasty for Decompression of Lumbar Spinal Stenosis in a Patient With Epidural Lipomatosis"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2582-165X","authenticated-orcid":false,"given":"Daigo","family":"Arimura","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2825-1819","authenticated-orcid":false,"given":"Akira","family":"Shinohara","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1682-2749","authenticated-orcid":false,"given":"Shunsuke","family":"Katsumi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3957-8323","authenticated-orcid":false,"given":"Shintaro","family":"Obata","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5309-6737","authenticated-orcid":false,"given":"Taku","family":"Ikegami","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1653-4309","authenticated-orcid":false,"given":"Mitsuru","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10]]},"reference":[{"issue":"2","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"25571","DOI":"10.52965\/001c.25571","article-title":"Spinal epidural lipomatosis: a comprehensive review","volume":"13","author":"Walker","year":"2021","journal-title":"Orthop Rev."},{"issue":"6","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1177\/2192568218793617","article-title":"Spinal epidural lipomatosis: a review of pathogenesis, characteristics, clinical presentation, and management","volume":"9","author":"Kim","year":"2019","journal-title":"Glob Spine J."},{"issue":"4","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1007\/s00381-017-3706-5","article-title":"Management of idiopathic spinal epidural lipomatosis: a case report and review of the literature","volume":"34","author":"Papastefan","year":"2018","journal-title":"Childs Nerv Syst."},{"issue":"12","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1016\/j.jocn.2008.03.001","article-title":"Spinal epidural lipomatosis\u2014a brief review","volume":"15","author":"Al-Khawaja","year":"2008","journal-title":"J Clin Neurosci."},{"key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijscr.2020.06.083","article-title":"Rapid progression of spinal epidural lipomatosis after percutaneous endoscopic spine surgery mimicking disc herniation","volume":"73","author":"Youn","year":"2020","journal-title":"Int J Surg Case Rep."},{"issue":"2","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"e226985","DOI":"10.1136\/bcr-2018-226985","article-title":"Spinal epidural lipomatosis following bilateral spinal decompression surgery","volume":"12","author":"Greenish","year":"2019","journal-title":"BMJ Case Rep."},{"issue":"suppl 4","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1007\/s00586-011-1855-x","article-title":"Rapid progression of spinal epidural lipomatosis","volume":"21","author":"Choi","year":"2012","journal-title":"Eur Spine J."},{"issue":"2","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"251","DOI":"10.3390\/medicina58020251","article-title":"Efficacy of minimally invasive trans-sacral canal plasty between patients with and without failed back surgery syndrome","volume":"58","author":"Funao","year":"2022","journal-title":"Medicina (Kaunas)."},{"issue":"4","key":"bib9-20240805","first-page":"1","article-title":"Spinal epidural lipomatosis: a review of its causes and recommendations for treatment","volume":"16","author":"Fassett","year":"2004","journal-title":"Neurosurg Focus."},{"issue":"6","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/j.spinee.2009.03.003","article-title":"Influence of lumbar epidural injection volume on pain relief for radicular leg pain and\/or low back pain","volume":"9","author":"Rabinovitch","year":"2009","journal-title":"Spine J."},{"issue":"4","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1227\/00006123-199604000-00053","article-title":"Association between peridural scar and recurrent radicular pain after lumbar discectomy: magnetic resonance evaluation","volume":"38","author":"Ross","year":"1996","journal-title":"Neurosurgery."},{"issue":"23","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"E1402","DOI":"10.1097\/BRS.0000000000001646","article-title":"Potential involvement of obesity-associated chronic inflammation in the pathogenesis of idiopathic spinal epidural lipomatosis","volume":"41","author":"Fujita","year":"2016","journal-title":"Spine (Phila Pa 1976)."},{"issue":"1","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/1471-2253-14-70","article-title":"Multiple epidural steroid injections and body mass index linked with occurrence of epidural lipomatosis: a case series","volume":"14","author":"Jaimes","year":"2014","journal-title":"BMC Anesthesiol."},{"key":"bib14-20240805","first-page":"100101","article-title":"Is there an association between lumbosacral epidural lipomatosis and lumbosacral epidural steroid injections? A comprehensive narrative literature review","volume":"9","author":"Holder","year":"2022","journal-title":"N Am Spine Soc J."},{"issue":"6","key":"bib15-20240805","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1097\/AAP.0b013e318232e843","article-title":"Lumbar transforaminal epidural dexamethasone: a prospective, randomized, double-blind, dose-response trial","volume":"36","author":"Ahadian","year":"2011","journal-title":"Reg Anesth Pain Med."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00494","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:43:03Z","timestamp":1787751783000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00494"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":15,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00494","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"2022-07-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}