| Title | Polymethylmethacrylate cement dislodgment following percutaneous vertebroplasty: a case report. | | Author(s) | Tsai TT, Chen WJ, Lai PL, Chen LH, Niu CC, Fu TS, Wong CB | | Institution | Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China. | | Source | Spine 2003 Nov 15; 28(22):E457-60. | | MeSH | Aged
Back Pain
Bone Cements
Humans
Male
Polymethyl Methacrylate
Skin
Spinal Fractures
Surgical Procedures, Minimally Invasive
| | Abstract | STUDY DESIGN: A case report is presented.
OBJECTIVES: To report a rare complication of delayed cement displacement following percutaneous vertebroplasty.
SUMMARY OF BACKGROUND DATA: Although percutaneous vertebroplasty is considered a minimally invasive procedure, it may result in several complications. To our knowledge, this is the first report of delayed cement displacement after percutaneous vertebroplasty.
METHODS: A 69-year-old man with T12 osteoporotic compression fracture received percutaneous vertebroplasty. One month after surgery, the patient complained of progressive severe back pain, and roentgenographic image revealed a breakdown of the anterior cortex of the T12 vertebral body with anterior displacement of the bone cement.
RESULTS: The complication was solved by one stage anterior and posterior operation: thoracoabdominal approach with removal of the displaced cement and posterior instrumentation from T11 to L1. The severe back pain with associated weakness improved after surgery.
CONCLUSIONS: This complication is rare and likely to occur in treatment of osteoporotic vertebral fracture with avascular necrosis and anterior cortical defect. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 14624094 |
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