Effectiveness of conus lipoma surgery—a case series

Our results confirm the difficulty of achieving a safe and radical excision in transitional and chaotic (NCSL types 2 and 3) lipomas. These lipomas were significantly related to a higher postoperative amount of residual fat and to the occurrence of complications. For these lesions, the concept of radical resection should be shifted towards a concept of untethering by means of partial resection with maximal preservation of neurological function.