Lumbar Nerve Root Compression due to Leakage of Bone Cement after Vertebroplasty.
10.13004/kjnt.2014.10.2.155
- Author:
Doo Soo KIM
1
;
Se Youn JANG
;
Min Ho KONG
;
Kwan Young SONG
;
Dong Soo KANG
Author Information
1. Department of Neurosurgery, Seoul Medical Center, Seoul, Korea. kdsyjyw@hotmail.com
- Publication Type:Case Report
- Keywords:
Bone cements;
Fractures compression;
Osteoporosis;
Radiculopathy;
Vertebroplasty
- MeSH:
Aged;
Back Pain;
Bone Cements;
Fractures, Compression;
Humans;
Leg;
Male;
Osteoporosis;
Polymethyl Methacrylate;
Radiculopathy*;
Vertebroplasty*;
Viscosity
- From:Korean Journal of Neurotrauma
2014;10(2):155-158
- CountryRepublic of Korea
- Language:English
-
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.