Bone Cement Dislodgement: One of Complications Following Bone Cement Augmentation Procedures for Osteoporotic Spinal Fracture.
10.3340/jkns.2015.57.5.367
- Author:
Kee Yong HA
1
;
Young Hoon KIM
;
Sung Rim YOO
;
Jan Noel MOLON
Author Information
1. Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. boscoa@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Osteoporotic fracture;
Compression fracture;
Bone cements;
Vertebroplasty;
Kyphoplasty;
Complications
- MeSH:
Aged;
Bone Cements;
Buttocks;
Female;
Fractures, Compression;
Humans;
Kyphoplasty;
Medical Records;
Osteoporotic Fractures;
Recurrence;
Spinal Fractures*;
Spine;
Vertebroplasty
- From:Journal of Korean Neurosurgical Society
2015;57(5):367-370
- CountryRepublic of Korea
- Language:English
-
Abstract:
Bone cement augmentation procedures have been getting more position as a minimally invasive surgical option for osteoporotic spinal fractures. However, complications related to these procedures have been increasingly reported. We describe a case of bone cement dislodgement following cement augmentation procedure for osteoporotic spinal fracture by reviewing the patient's medical records, imaging results and related literatures. A 73-year-old woman suffering back and buttock pain following a fall from level ground was diagnosed as an osteoporotic fracture of the 11th thoracic spine. Percutaneous kyphoplasty was performed for this lesion. Six weeks later, the patient complained of a recurrence of back and buttock pain. Radiologic images revealed superior dislodgement of bone cement through the 11th thoracic superior endplate with destruction of the lower part of the 10th thoracic spine. Staged anterior and posterior fusion was performed. Two years postoperatively, the patient carries on with her daily living without any significant disability. Delayed bone cement dislodgement can occur as one of complications following bone cement augmentation procedure for osteoporotic spinal fracture. It might be related to the presence of intravertebral cleft, lack of interdigitation of bone cement with the surrounding trabeculae, and possible damage of endplate during ballooning procedure.
