Lumbar Nerve Root Compression due to Leakage of Bone Cement after Vertebroplasty

We experienced a 73-year-old male with lumbar nerve root compression due to leakage of bone cement after vertebroplasty. He was underwent vertebroplasty for acute osteoporotic L4 compression fracture at our hospital. After vertebroplasty, his back pain was improved but right leg pain was newly devel...

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Detalles Bibliográficos
Autores principales: Kim, Doo Soo, Jang, Se Youn, Kong, Min Ho, Song, Kwan Young, Kang, Dong Soo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurotraumatology Society 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4852610/
https://www.ncbi.nlm.nih.gov/pubmed/27169056
http://dx.doi.org/10.13004/kjnt.2014.10.2.155
Descripción
Sumario:We experienced a 73-year-old male with lumbar nerve root compression due to leakage of bone cement after vertebroplasty. He was underwent vertebroplasty for acute osteoporotic L4 compression fracture at our hospital. After vertebroplasty, his back pain was improved but right leg pain was newly developed. Lumbar computed tomography scanning showed that bone cements were leaked along the L4 nerve root. The leaked cements around L4 nerve root were removed carefully via paraspinal muscle-splitting approach. After operation, severe right leg radiating pain was improved. We recommend proper entry point, high viscosity of polymethylmethacrylate and constant monitoring can reduce complication.

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