Root Injury after Percutaneous Vertebroplasty in Compression Fracture

Kyung-Soo Suk; Jin-Moon Kim; Kyung-Chan Park

doi:10.4184/jkss.2001.8.2.181

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Suk, Kim, and Park: Root Injury after Percutaneous Vertebroplasty in Compression Fracture

Case Report

Journal of Korean Spine Surg 2001;8(2):181-185.

Published online: 21 February 2001

DOI: https://doi.org/10.4184/jkss.2001.8.2.181

Root Injury after Percutaneous Vertebroplasty in Compression Fracture

Kyung-Soo Suk, M.D., Jin-Moon Kim, M.D., Kyung-Chan Park, M.D.^∗

Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University, Seoul, Korea

^∗Department of Orthopaedic Surgery, Andong General Hospital, Andong, Korea

Address reprint requests to Ki-Tack Kim, M.D. Department of Orthopaedic Surgery, Kyung Hee University Hospita #1 Hoegi-dong, Dongdaemoon-Ku, Seoul, Korea Tel : 82-2-958-8371, Fax : 82-2-964-3865, E-mail : ktkim@khmc.or.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The first image- guided percutaneous vertebroplasty was performed in France in 1984. Percutaneous vertebroplasty recently has been introduced as a therapeutic alternative for the treatment of pain associated with compression fracture. Several European reports have described excellent results for treatment of compression fracture, and complications were minor and infrequent. We experienced a case of root injury after percutaneous vertebroplasty in compression fracture, which was treated by posterior decompression and removal of the cement

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Keywords: Compression fracture, Vertebroplasty, Root injury

REFERENCES

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Fig. 1-A.

The lateral radiography demonstrated compression fracture at the L2 level. Fig. 1-B. The bone scan showed hot uptake at the L2 vertebra.

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Fig. 2-A.

The latetal radiography demonstrated cement leakage into the spinal canal. Fig. 2-B. CT scan after vertebroplasty, spinal cord and both L2 nerve root are compressed by cement are shown.

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Fig. 3-A.

Followup lateral radiography after cement removal. Fig. 3-B. Followup CT scan after cement removal. Fig. 3-C. Clinical photography shows removed cement debris from spinal canal and around nerve root.

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