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作 者:Qiu-Hong Ma Guang-Ping Liu Qi Sun Ji-Gang Li
机构地区:[1]Department of Laboratory,Zibo Central Hospital,Zibo 255000,Shandong Province,China [2]Department of Orthopedics,Zibo Central Hospital,Zibo 255000,Shandong Province,China [3]Department of Translational Medical Center,Zibo Central Hospital,Zibo 255000,Shandong Province,China
出 处:《World Journal of Clinical Cases》2022年第25期8998-9003,共6页世界临床病例杂志
摘 要: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.
关 键 词:VERTEBROPLASTY KYPHOPLASTY Cement leakage COMPLICATION Case report
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