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February 19, 20260 citations

Surgical treatment of a combined split cord malformation and spinal cord lipoma: illustrative case.

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MBMichael E BaumgartnerTWThomas A. WoznyNANima Alan

Key Points

  • The aim is to explore effective surgical interventions for combined split cord malformation and spinal cord lipoma.
  • Removal of bony or fibrous septum and intradural lipoma.
  • Sectioning of the fatty filum terminale for detethering.
  • Application of CO2 laser for lipoma debulking while minimizing tension.
  • Effective detethering achieved through careful surgical intervention.
  • Lipoma debulking aided by CO2 laser improved precision.
  • Surgical planes were developed to minimize complications.

Abstract

Removal of the bony or fibrous septum and intradural lipoma and sectioning of the fatty filum terminale are required for effective detethering. Careful lipoma debulking, which can be facilitated with a CO2 laser, must be performed while developing surgical planes and minimizing tension on the tethered cord. https://thejns.org/doi/10.3171/CASE25691.

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Cite This Study

Baumgartner et al. (2026) studied this question.

synapsesocial.com/papers/6996a84cecb39a600b3eed30https://doi.org/10.3171/case25691
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