Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.8998
Peer-review started: March 13, 2022
First decision: April 8, 2022
Revised: April 13, 2022
Accepted: July 21, 2022
Article in press: July 21, 2022
Published online: September 6, 2022
Processing time: 166 Days and 3.4 Hours
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.
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.
Guideline adherence is essential to prevent cement from leaking into the spinal canal or even the dura. Once leakage occurs, urgent evaluation and decom
Core Tip: Intradural cement leakage following percutaneous vertebroplasty is a rare complication. Usually, it causes acute neurological deficit and require emergent decompression. Here presents a case who did not suffer acute neurologic impairment when cement leaked into intradural space, but gradually developed neurological symptom 5 years after the first vertebroplasty. This case highlights the ultimate importance of adherence to operation specification to avoid such complications.