Spinal epidural lipomatosis (SEL) is a rare condition characterized by an excessive accumulation of fat tissue in the spinal canal that can have a compressive effect, leading to clinical symptoms. SEL has a distinct pathology from spinal stenosis associated with degeneration of the intervertebral discs, ligaments and facet joints. Several different conservative and surgical treatment strategies have been proposed for SEL, but its treatment remains controversial. There is a lack of evidence documenting the success of surgical decompression in SEL and no previous studies have reported the postoperative outcome from the patient's perspective.
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