Korean J Spine.  2008 Mar;5(1):33-35.

Intradural Bone Cement Leakage Following Percutaneous Vertebroplasty

Affiliations
  • 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,

Keyword

Percutaneous vertebroplasty; Complication; Bone cement leakage

MeSH Terms

Aged
Decompression
Emergencies
Female
Fractures, Compression
Humans
Hypesthesia
Laminectomy
Leg
Paresthesia
Polymethyl Methacrylate
Vertebroplasty
Polymethyl Methacrylate
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