A New Technique That Percutaneous Endoscopic Decompression and Vertebroplasty in a Patient with Osteoporotic Vertebral Fracture: A Case Report

Abstract

Study Design.Technique note.Objective.To evaluate the feasibility of endoscopy in various spinal pathologies.Summary of Background Data.Osteoporotic vertebral fractures are a common pathology in the elderly. These fractures are often accompanied by serious complications such as neurological deficits due to the compression of the spinal cord or nerve roots.Methods.A 78-year-old female patient presented to our hospital with a severe pain in her left leg and back. Lumbar magnetic resonance imaging and computed tomography scan revealed an osteoporotic L3 burst fracture compressing the left L3 nerve root. A minimally invasive translaminar endoscopic approach was used to remove the fractured fragment and cement was injected into the L3 vertebra. The patient was mobilized the same evening and was relieved of her pain.Conclusion.Minimally invasive endoscopy is a safe and effective alternative to conventional major decompression with or without posterior stabilization, particularly in elderly patients with serious comorbidities.Level of Evidence: 4.