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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
[Accidental spinal block during vertebral artroplasty: case report.].
Michelle Nacur Lorentz1, Virgínia Gomes Martins, Raquel Reis Soares
1Biocor Instituto.
Revista Brasileira De Anestesiologia
|May 27, 2009
Summary
Vertebral augmentation using bone cement can lead to complications. A case report highlights paralysis after vertebroplasty, emphasizing the need for careful diagnosis of spinal procedures.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Anesthesiology
Context:
- Vertebral augmentation with bone cement is a common procedure for spinal fractures.
- Anesthesia techniques, including local, sedation, or spinal blocks, are employed during vertebroplasty.
- Potential complications associated with vertebroplasty require thorough understanding.
Purpose:
- To discuss potential complications of vertebroplasty.
- To present a case of lower limb paralysis following vertebroplasty.
- To highlight diagnostic challenges when spinal anesthesia is used concurrently.
Summary:
- A 76-year-old male underwent vertebroplasty for a T12 pathologic fracture.
- The procedure involved sedation, local anesthesia, bone biopsy, and cement injection.
- Post-operatively, the patient developed paralysis of the lower limbs.
Impact:
- This case underscores that spinal surgeries are not without risks.
- Delayed diagnosis of surgical complications can occur when spinal anesthesia is involved.
- Anesthesia may be erroneously implicated for issues arising from the surgical procedure itself.
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