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.

Article Outline

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

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Jensen ME , Evans AJ , Mathis JM , Kallmes DF , Cloft HJ , Dion JE . Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects . AJNR Am J Neuroradiol . 1997;18:1897–1904
  2. Peh WC , Gelbart MS , Gilula LA , Peck DD . Percutaneous vertebroplasty: treatment of painful vertebral compression fractures with intraosseous vacuum phenomena . AJR Am J Roentgenol . 2003;180:1411–1417
  3. Hoffman RT , Jakobs TF , Trumm C , Weber C , Glaser C , Reiser MF . Vertebroplasty in the treatment of osteoporotic vertebral body fracture . Eur Radiol . 2007;17:2656–2662
  4. Banerjee S , Baerlocher MO , Asch MR . Back stab: percutaneous vertebroplasty for severe back pain . Can Fam Physician . 2007;53:1169–1175
  5. Jakobs TF , Trumm C , Reiser M , Hoffmann RT . Percutaneous vertebroplasty in tumoral osteolysis . Eur Radiol . 2007;17:2166–2175
  6. Grados F , Depriester C , Cayrolle G , Hardy N , Deramond H , Fardellone P . Long-term observation of vertebral osteoporosis fractures treated by percutaneous vertebroplasty . Rheumatology (Oxford) . 2000;39:1410–1414
  7. Laredo JD , Hamze B . Complications of percutaneous vertebroplasty and their prevention . Semin Ultrasound CT MR . 2005;26:65–80
  8. Laredo JD , Hamze B . Complications of percutaneous vertebroplasty and their prevention . Skeletal Radiol . 2004;33:493–505
  9. Mousavi P , Roth S , Finkelstein J , Cheung G , Whyne C . Volumetric quantification of cement leakage following percutaneous vertebroplasty in metastatic and osteoporotic vertebrae . J Neurosurg . 2003;99:56–59
  10. Ryu KS , Park CK , Kim MC , Kang JK . Dose-dependent epidural leakage of polymethylmethacrylate after percutaneous vertebroplasty in patients with osteoporotic vertebral compression fractures . J Neurosurg . 2002;96:56–61
  11. Nakano M , Hirano N , Ishihara H , Kawaguchi Y , Matsuura K . Calcium phosphate cement leakage after percutaneous vertebroplasty for osteoporotic vertebral fractures: risk factor analysis for cement leakage . J Neurosurg Spine . 2005;2:27–33
  12. Schmidt R , Cakir B , Mattes T , Wegener M , Puhl W , Richter M . Cement leakage during vertebroplasty: an underestimated problem? . Eur Spine J . 2005;14:466–473
  13. Ratliff J , Nguyen T , Heiss J . Root and spinal cord compression from polymethylmethacrylate vertebroplasty . Spine . 2001;26:300–302

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

Article Tools