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

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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Publication Details

Journal
Journal of Neurosurgery Case Lessons
Published
2026-02-16
DOI
https://doi.org/10.3171/case25691
Primary Topic
Spinal Dysraphism and Malformations
Type
article
Field-Weighted Citation Impact
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article

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

Thomas A. Wozny, N. Gupta, Nima Alan, Michael E Baumgartner
Journal of Neurosurgery Case Lessons
Spinal Dysraphism and Malformations
article

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

Thomas A. Wozny, N. Gupta, Nima Alan, Michael E Baumgartner
article en

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.

Journal of Neurosurgery Case LessonsVol. 11(7)
University of Miami (US), University of California, San Francisco (US), Neurological Surgery (US)
Openalex Percentile: Top 56%
Spinal Dysraphism and Malformations
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Surgical treatment of a combined split cord malformation and spinal cord lipoma: illustrative case — Thomas A. Wozny, N. Gupta, et al. · Journal of Neurosurgery Case Lessons (2026) | TGRS Research Map | TGRS