Ma QH, Liu GP, Sun Q, Li JG. Delayed complications of intradural cement leakage after percutaneous vertebroplasty: A case report . World J Clin Cases 2022; 10(25): 8998-9003 [PMID: 36157648 DOI: 10.12998/wjcc.v10.i25.8998]
Corresponding Author of This Article
Ji-Gang Li, MD, PhD, Chief Doctor, Department of Orthopedics, Zibo Central Hospital, No. 54 Gongqingtuan Road, Zibo 255000, Shandong Province, China. maomao102784@126.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 6, 2022; 10(25): 8998-9003 Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.8998
Delayed complications of intradural cement leakage after percutaneous vertebroplasty: A case report
Qiu-Hong Ma, Guang-Ping Liu, Qi Sun, Ji-Gang Li
Qiu-Hong Ma, Department of Laboratory, Zibo Central Hospital, Zibo 255000, Shandong Province, China
Guang-Ping Liu, Ji-Gang Li, Department of Orthopedics, Zibo Central Hospital, Zibo 255000, Shandong Province, China
Qi Sun, Department of Translational Medical Center, Zibo Central Hospital, Zibo 255000, Shandong Province, China
Author contributions: Liu GP and Li JG were the patient’s spine surgeons, reviewed the literature and contributed to manuscript drafting; Ma QH and Sun Q performed the microbiological analyses and interpretation and contributed to manuscript drafting; Sun Q analyzed and interpreted the imaging findings; Li JG was responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ji-Gang Li, MD, PhD, Chief Doctor, Department of Orthopedics, Zibo Central Hospital, No. 54 Gongqingtuan Road, Zibo 255000, Shandong Province, China. maomao102784@126.com
Received: March 13, 2022 Peer-review started: March 13, 2022 First decision: April 8, 2022 Revised: April 13, 2022 Accepted: July 21, 2022 Article in press: July 21, 2022 Published online: September 6, 2022 Processing time: 166 Days and 3.4 Hours
Abstract
BACKGROUND
Intradural cement leakage following percutaneous vertebroplasty is a rare but acute and devastating complication that usually requires emergent treatment. Here, we report a delayed complication of intradural leakage after percutaneous vertebroplasty.
CASE SUMMARY
A 71-year-old female patient with an L1 osteoporotic compression fracture underwent percutaneous vertebroplasty in 2014. She was referred to our hospital 5 years later due to complaints of progressive weakness and numbness in both legs combined with urinary incontinence and constipation. Initially, she was suspected to have a spinal meningioma at the level of L1 according to imaging examinations. Postoperative pathological tests confirmed that cement had leaked into the dura during the first percutaneous vertebroplasty.
CONCLUSION
Guideline adherence is essential to prevent cement from leaking into the spinal canal or even the dura. Once leakage occurs, urgent evaluation and decompression surgery are necessary to prevent further neurological damage.
Core Tip: Intradural cement leakage following percutaneous vertebroplasty is a rare complication. Usually, it causes acute neurological deficit and require emergent decompression. Here presents a case who did not suffer acute neurologic impairment when cement leaked into intradural space, but gradually developed neurological symptom 5 years after the first vertebroplasty. This case highlights the ultimate importance of adherence to operation specification to avoid such complications.
