Segmental Artery Injury Following Percutaneous Vertebroplasty Using Extrapedicular Approach.
10.3340/jkns.2011.49.2.131
- Author:
Dong Hwa HEO
1
;
Yong Jun CHO
Author Information
1. Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Korea. youmans@empal.com
- Publication Type:Case Report
- Keywords:
Compression fractures;
Vascular injury;
Vertebroplasty
- MeSH:
Aged;
Angiography;
Arteries;
Female;
Fractures, Compression;
Hematoma;
Hemorrhage;
Humans;
Leg;
Needles;
Punctures;
Sensation;
Vascular System Injuries;
Vertebroplasty
- From:Journal of Korean Neurosurgical Society
2011;49(2):131-133
- CountryRepublic of Korea
- Language:English
-
Abstract:
We performed a percutaneous vertebroplasty at the compressed L2 vertebral body of a 73-year-old female using a left-sided unilateral extrapedicular approach. She complained severe radiating pain and a tingling sensation in her left leg two hours after the vertebroplasty. Spinal computed tomographic scan showed a large retroperitoneal hematoma, and a subsequent spinal angiography revealed a left L2 segmental artery injury. Bleeding was successfully controlled by endovascular embolization. Recently, extrapedicular approaches have been attempted, allowing for the avoidance of facet and pedicle injury with only a unilateral approach. With this approach, however, the needle punctures the vertebral body directly. Therefore, this procedure carries the potential risk of a spinal segmental artery.
