J Korean Soc Spine Surg.  2001 Jun;8(2):181-185. 10.4184/jkss.2001.8.2.181.

Root Injury after Percutaneous Vertebroplasty in Compression Fracture: Case Report

Affiliations
  • 1Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University, Seoul, Korea. ktkim@khmc.or.kr
  • 2Department of Orthopaedic Surgery, Andong General Hospital, Andong, Korea.

Abstract

The first image-guided percutaneous vertebroplasty was performed in France in 1984. Percutaneous vertebroplasty recently has been introduced as a therapeutic alternative for the treatment of pain associated with compression fracture. Several European reports have described excellent results for treatment of compression fracture, and complications were minor and infrequent. We experienced a case of root injury after percutaneous vertebroplasty in compression fracture, which was treated by posterior decompression and removal of the cement.

Keyword

Compression fracture; Vertebroplasty; Root injury

MeSH Terms

Decompression
Fractures, Compression*
France
Vertebroplasty*

Figure

  • Fig. 1-A. The lateral radiography demonstrated compression fracture at the L2 level. Fig. 1-B. The bone scan showed hot uptake at the L2 vertebra.

  • Fig. 2-A. The latetal radiography demonstrated cement leakage into the spinal canal. Fig. 2-B. CT scan after vertebroplasty, spinal cord and both L2 nerve root are compressed by cement are shown.

  • Fig. 3-A. Followup lateral radiography after cement removal. Fig. 3-B. Followup CT scan after cement removal. Fig. 3-C. Clinical photography shows removed cement debris from spinal canal and around nerve root.


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