Mao Z, Xiong ZH, Li JF. Thoracic spinal cord injury and paraplegia caused by intradural cement leakage after percutaneous kyphoplasty: A case report. World J Clin Cases 2024; 12(10): 1837-1843 [PMID: 38660080 DOI: 10.12998/wjcc.v12.i10.1837]
Corresponding Author of This Article
Zi Mao, MMed, Doctor, Department of Pain Management, Affiliated Hospital of Yunnan University, No. 176 Qingnian Road, Wuhua District, Kunming 650000, Yunnan Province, China. maozi0314@sina.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 6, 2024; 12(10): 1837-1843 Published online Apr 6, 2024. doi: 10.12998/wjcc.v12.i10.1837
Thoracic spinal cord injury and paraplegia caused by intradural cement leakage after percutaneous kyphoplasty: A case report
Zi Mao, Zhi-Hong Xiong, Jun-Feng Li
Zi Mao, Zhi-Hong Xiong, Department of Pain Management, The Affiliated Hospital of Yunnan University, Kunming 650000, Yunnan Province, China
Jun-Feng Li, Department of Medical Administration, The Affiliated Hospital of Yunnan University, Kunming 650000, Yunnan Province, China
Author contributions: Xiong ZH and Li JF contributed equally to this work; Xiong ZH and Li JF performed the research and analysis; Mao Z analyzed the data and wrote the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors have nothing to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zi Mao, MMed, Doctor, Department of Pain Management, Affiliated Hospital of Yunnan University, No. 176 Qingnian Road, Wuhua District, Kunming 650000, Yunnan Province, China. maozi0314@sina.com
Received: January 2, 2024 Peer-review started: January 2, 2024 First decision: February 9, 2024 Revised: January 28, 2024 Accepted: March 18, 2024 Article in press: March 18, 2024 Published online: April 6, 2024 Processing time: 91 Days and 5.5 Hours
Abstract
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 post-procedure, 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.
Core Tip: The report describes the first documented case of a patient experiencing spinal cord injury, paraplegia, and cerebrospinal fluid leakage after percutaneous kyphoplasty, with subsequent remission achieved through emergency decompression surgery at our hospital.
