Thoracic spinal cord injury and paraplegia caused by intradural cement leakage after percutaneous kyphoplasty: A case report  

作　　者：Zi Mao Zhi-Hong Xiong Jun-Feng Li 

机构地区：[1]Department of Pain Management,The Affiliated Hospital of Yunnan University,Kunming 650000,Yunnan Province,China [2]Department of Medical Administration,The Affiliated Hospital of Yunnan University,Kunming 650000,Yunnan Province,China

出　　处：《World Journal of Clinical Cases》2024年第10期1837-1843,共7页世界临床病例杂志

摘　　要：BACKGROUND Percutaneous kyphoplasty(PKP)is a pivotal intervention for osteoporotic fractures,pathological vertebral compression fractures,and vertebral bone tumors.Despite its efficacy,the procedure presents challenges,notably complications arising from intradural cement leakage.Timely and accurate diagnosis,coupled with emergent intervention is imperative to improve patient prognosis.This case report illuminates the intricacies and potential complications associated with PKP,emphasizing the critical need for vigilant monitoring,prompt diagnosis,and immediate intervention to mitigate adverse outcomes.CASE SUMMARY A 58-year-old male patient,experiencing a T7 osteoporosis-related pathological compression fracture,underwent PKP at a local hospital.Two weeks postprocedure,the patient developed paraplegic and dysuric symptoms,necessitating emergency decompression surgery.Gradual improvement was achieved,marked by the restoration of muscle strength,sensation,and mobility.CONCLUSION PKP Intradural cement leakage following PKP is unusual and potentially fatal.Prompt imaging examinations,urgent evaluation,and the decompression surgery are essential,which help alleviate symptoms associated with spinal damage,markedly improving the overall prognosis.

关 键 词：Percutaneous kyphoplasty Intradural cement leakage COMPLICATION Decompression surgery Case report 

分 类 号：R687.3[医药卫生—骨科学]