Turkish Neurosurgery
2015 , Vol 25 , Num 6
Intradural Cement Leakage After Percutaneous Vertebroplasty
Tri-Service General Hospital, National Defense Medical Center, Department of Neurologic Surgery, Taipei, Taiwan, R.O.C.
DOI :
10.5137/1019-5149.JTN.11079-14.1
Intradural cement leakage after percutaneous vertebroplasty (PV) is a rare clinical picture. We report a 64-year-old woman with osteoporotic
compression fracture of the L2 vertebral body developing monoparesis and monoparesthesia after PV. The diagnosis of intradural cement
collection with spinal cord damage was evidenced by clinical and neuroradiographic investigation. After decompressive surgery, the patient
showed gradual improvement.This report highlights the postulated mechanism of intradural cement collection after PV and advocates some intraoperative skills to avoid this complication. In order to get a satisfactory clinical outcome, we suggest early decompressive surgery for those patients having symptomatic intradural cement leakage after PV.
Keywords : Intradural, Cement leakage, Vertebroplasty