Delayed Spinal Cord Compression after Vertebroplasty in Osteoporotic Compression Fracture: A Case Report

Search: Korean J Spine Search

CLOSE

Case Report

Korean J Spine 2006;3(2): 111-116.

Delayed Spinal Cord Compression after Vertebroplasty in Osteoporotic Compression Fracture: A Case Report

Jae Keun Oh, M.D., Jun Hyung Cho, M.D., Jun Jae Shin, M.D., Dong Kyu Chin, M.D., and Yong Eun Cho, M.D.

Department of Neurosurgery, Yongdong Severance Spine Hospital, The Spine and Spinal Cord Institute^*,Yonsei University College of Medicine, Seoul, Korea

골다공증성 압박골절에서 척추체 성형술 후 발생한 지연성 척수압박증 - 증례 보고 -

오재근^,조준형^,신준재^,진동규^*^,조용은^*

연세대학교 의과대학교 척추신경연구소^*, 영동세브란스병원 신경외과학교실

Abstract

Percutaneous vertebroplasty is a popular and minimally invasive procedure with injection of polymethyl methacrylate(PMMA) into a collapsed vertebral body under fluoroscopic guidance. Several complications have been reported including leakage into the spinal canal, intravascular leakage, pulmonary embolism, subcutaneous hematoma and infection. But most of these compli- cations are happened in the early period after operation. We report a rare case of delayed spinal cord compression after vertebroplsty with polymethyl methacrylate cement and it's treatment. A 55-year-old female presented with progressive low back pain and radiating pain on both legs for 1 month and suddenly developed paraparesis for 1 day. She was already performed percutaneous vertebroplasty 6 months ago due to osteoporotic compression fracture at the first lumbar vertebra(L1). During 5 months after vertebropalsty she didn't have any neurologic deterioration or pain, but on the serial radiologic examinations after vertebroplasty, progressive compression fracture of the previously operated site was seen. Magnetic resonance imaging showed a dislodgement of solid PMMA mass compressing spinal cord severely. So she was performed the operation, that is total laminectomy L1 and pedicle screw fixation T11-T12-L2-L3 and posterolateral fusion. After the surgery, her symptoms were improved and neurologic deficit was recovered.

Keywords: Polymethyl methacrylate bone cement․Percutaneous vertebroplasty․Complication․Spinal cord compression

TOOLS

PDF Links
Full text via DOI
Download Citation

Share :

METRICS

2,931 View
26 Download

Journal Impact Factor 3.6

SURGERY: Q1
CLINICAL NEUROLOGY: Q1

Related articles in NS

Development and Validation of a Nomogram for Predicting Adjacent Vertebral Fracture After Osteoporotic Vertebral Compression Fracture Surgery: A Multicenter Retrospective Cohort Study2025 June;22(2)

Risk of Revision After Vertebral Augmentation for Osteoporotic Vertebral Fracture: A Narrative Review2023 September;20(3)

Difference in the Cobb Angle Between Standing and Supine Position as a Prognostic Factor After Vertebral Augmentation in Osteoporotic Vertebral Compression Fractures2022 June;19(2)

Clinical Analysis of Newly Developed Vertebral Fractures after Percutaneous Vertebroplasty in Osteoporotic Thoracolumbar Vertebral Compression Fractures2007 September;4(3)

Vertebroplasty for Osteoporotic Compression Fracture: Biomechanics and Clinical Applications2004 September;1(3)

WHO emergency and essential surgical care website

ABOUT

ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES

AUTHOR INFORMATION

Editorial Office
Department of Neurosurgery, CHA Bundang Medical Center,
CHA University School of Medicine,
59 Yatap-ro, Bundang-gu, Seongnam 13496, Korea
Tel: +82-31-780-1924 Fax: +82-31-780-5269 E-mail: support@e-neurospine.org

The Korean Spinal Neurosurgery Society
#407, Dong-A Villate 2 Town, 350 Seocho-daero, Seocho-gu, Seoul 06631, Korea
Tel: +82-2-585-5455 Fax: +82-2-2-523-6812 E-mail: ksns1987@neurospine.or.kr
Business License No.: 209-82-62443