Journal of Korean Society of Spine Surgery  2007;14(2):101-104

doi:10.4184/jkss.2007.14.2.101

Neurologic Complication after Percutaneous Vertebroplasty with Polymethylmethacrylate: A Case Report.

Sang Bum JANG 1 ; Myoung Ho KIM ; Sang Hyuk MIN ; Ho Dong PAIK

Affiliations

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Keywords

Spine fracture; Vertebroplasty; Neurologic complication; L1 nerve root

Country

Republic of Korea

Language

Korean

Abstract

In recent years, percutaneous vertebroplasty has frequently been used to treat osteoporotic compression fractures. This procedure is generally known to be safe because of the rare occurrence of complications. However, it is accompanied by the risk of cement leakage, and the cement can be easily removed using a surgical technique. Most neurological complications occurred due to extravasation of cement into the spinal canal. Comparatively, there were no reports of neurological complications due to the extravasation of cement into the paravertebral area. Here, we report a case of right-exiting L1 spinal root compression after percutaneous vertebroplasty with polymethylmethacrylate (PMMA). We proceeded to cement removal and nerve root decompression by a paraspinal open microsurgical technique in the event of neurological complication.