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Updated: Jul 13, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
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Neurologic deficit following percutaneous vertebral stabilization.

Alpesh A Patel1, Alexander R Vaccaro, Gregg G Martyak

  • 1Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT 84108, USA. alpesh2@gmail.com

Spine
|July 17, 2007
PubMed
Summary

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Neurologic deficits can occur after percutaneous vertebral stabilization procedures like vertebroplasty and kyphoplasty. Awareness and prompt surgical intervention are crucial for managing these rare but serious complications.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Radiology

Background:

  • Percutaneous vertebral stabilization (vertebroplasty, kyphoplasty) is common for vertebral fractures and tumors.
  • Adverse events, particularly neurologic complications, are infrequently reported and often considered minor.
  • Previous reports of neurologic issues are primarily case studies.

Purpose of the Study:

  • Document cases of neurologic deficit after percutaneous vertebral stabilization.
  • Identify patterns of neurologic injury following these procedures.
  • Describe methods to prevent or manage these injuries.

Main Methods:

  • Retrospective review of 14 patients with neurologic deficit post-percutaneous vertebral cement augmentation.
  • Analysis of clinical courses, including timing and severity of deficits.

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Last Updated: Jul 13, 2026

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Main Results:

  • Average patient age 74.9 years; 11 female, 3 male.
  • Neurologic deficits occurred acutely (<24 hrs) in 6 patients and delayed (avg. 37.1 days) in 8 patients.
  • 85.7% of patients required revision surgery for neurologic injury.

Conclusions:

  • While generally safe, percutaneous vertebroplasty and kyphoplasty carry a risk of severe neurologic injury.
  • Physicians must recognize potential complications and be prepared for emergent surgical management.
  • Increased awareness of these risks is essential for patient safety.