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Nine-Grid Area Division Method: A New Ideal Bone Puncture Region for Percutaneous Vertebroplasty in Lumbar Spine
Published on: August 9, 2024
Percutaneous vertebroplasty and spinal cord compression: a case report
Ilaria Morghen1, Massimo Borrelli, Andrea Saletti
1Anesthesiology and Critical Care Department, S.Anna University Hospital, Ferrara, Italy.
Journal of Radiology Case Reports
|April 4, 2012
Summary
Percutaneous vertebroplasty for spinal tumors can cause complications. Cement extrusion led to spinal cord compression in one patient, highlighting risks associated with vertebral body destruction.
Area of Science:
- Neurosurgery
- Oncology
- Radiology
Background:
- Metastatic vertebral body collapse causes severe back pain.
- Percutaneous vertebroplasty is a treatment option for such cases.
- Malignant tumors can compromise vertebral body integrity.
Purpose of the Study:
- To report a case of spinal cord compression following percutaneous vertebroplasty.
- To highlight potential complications of vertebroplasty in patients with malignant vertebral tumors.
Main Methods:
- A 60-year-old female patient with metastatic vertebral body collapse underwent percutaneous vertebroplasty.
- Post-procedure, the patient developed metastatic lesion extrusion into the spinal canal.
Main Results:
- The extruded cement caused compression of the left anterolateral spinal cord.
- This complication arose due to increased pressure from cement introduction and vertebral body destruction.
Conclusions:
- Percutaneous vertebroplasty in patients with malignant vertebral tumors carries an increased risk of complications.
- Cement leakage and neoplastic tissue extrusion can lead to severe neurological compromise.

