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

Korean Journal of Neurotrauma 2014³â 10±Ç 2È£ p.155 ~ p.158

±èµÎ¼ö(Kim Doo-Soo) - Seoul Medical Center Department of Neurosurgery
Àå¼¼¿¬(Jang Se-Youn) - Seoul Medical Center Department of Neurosurgery
°ø¹ÎÈ£(Kong Min-Ho) - Seoul Medical Center Department of Neurosurgery
¼Û°ü¿µ(Song Kwan-Young) - Seoul Medical Center Department of Neurosurgery
°­µ¿¼ö(Kang Dong-Soo) - Seoul Medical Center Department of Neurosurgery

Abstract

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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Bone cements, Fractures compression, Osteoporosis, Radiculopathy, Vertebroplasty
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