Tzu Chi Medical Journal
Volume 21, Issue 4 , Pages 339-341, December 2009

Transdiscal Cement Leakage During Vertebroplasty

  • Wen-Chin Hsu
  • ,
  • Ting-Chen Lee

      Affiliations

    • Corresponding Author InformationCorresponding author. Department of Medical Imaging, Buddhist Dalin Tzu Chi General Hospital, 2, Min-Sheng Road, Dalin, Chiayi, Taiwan

Department of Medical Imaging, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan

Received 19 September 2008; received in revised form 27 October 2008; accepted 19 November 2008.

Abstract 

Bone cement leakage is a major cause of surgical complications during percutaneous vertebroplasty. A 78-year-old woman experienced transdiscal cement leakage during vertebroplasty for painful compression fractures of thoracic vertebrae 9 and 10 (T9 and T10). During surgery, bone cement leaked from T9 to T10, passing through the right anterior intervertebral disc space. We have had no prior experience with this complication and, to our knowledge, there are no similar cases in the literature. Nevertheless, the patient's back pain was relieved to a considerable degree. Related imaging findings and possible reasons for leakage are discussed.

Keywords:  Bone cement , Disc , Leakage , Surgical complication , Vertebroplasty

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PII: S1016-3190(09)60067-7

doi:10.1016/S1016-3190(09)60067-7

Tzu Chi Medical Journal
Volume 21, Issue 4 , Pages 339-341, December 2009