SPINA-BIFIDA AND INTRASPINAL LIPOMAS

Experience with nine consecutive cases of intraspinal lipomas revealed some unreported observations. The results of surgery are discussed wi th regard to pathology, timing of surgery and a modified surgical tech nique. Earlier compared to later operative intervention produces less bleeding, shorter operation time, easier removal of softer lipoma and easier reconstruction of conus and cord after removal of mass. Adequat e dural cover can always be obtained by stripping off the dura from th e fibrofatty stalk of lumbosacral lipoma. Watertight closure of dura p revents cerebrospinal fluid (CSF) leak and is ensured by the use of co ntinuous monofilament suture material such as prolene.