Intradural Bone Cement Leakage Following Percutaneous Vertebroplasty.

Lee,  Yong Gun; Cha,  Jae Hun; Kim,  Eun Sang

Case Report

Korean J Spine 2008;5(1): 33-35.

Intradural Bone Cement Leakage Following Percutaneous Vertebroplasty.

Yong Gun Lee, Jae Hun Cha, Eun Sang Kim

¹Department of Neurosurgery, Maryknoll Medical Center, Busan Catholic Health System, Busan, Korea. cha7128@hanmail.net
²Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Bone cement extravasation is a frequent occurrence after percutaneous vertebroplasty(PVP) using polymethylmetacrylate(PMMA) for the treatment of osteoporotic vertebral compression fracture. Fortunately, major neurological complication is rare in spite of potential occurrence. The authors reported a case of in a 67-year-old woman whom a intradural cement leakage provoked left leg weakness with hypesthesia and paresthesia below the area of the left L1 dermatome. Emergency laminectomy with removal of intradural bone cement for decompression was performed. After operation, her pain resolved, but left leg weakness was persistent. PVP using PMMA are now being used wide spreadly for osteoporotic vertebral compression fracture as minimally invasive and safe procedure, but the potential risks of major complication exist always. We experienced a rare case of intradural bone cement leakage after PVP using PMMA,

Keywords: Percutaneous vertebroplasty;Complication;Bone cement leakage