Intradural cement leakage after percutaneous vertebroplasty

Abstract

Intradural cement leakage after percutaneous vertebroplasty (PV) is a rare clinical picture. We report a 64-year-old woman with osteoporotic compression fracture of the L2 vertebral body developing monoparesis and monoparesthesia after PV. The diagnosis of intradural cement collection with spinal cord damage was evidenced by clinical and neuroradiographic investigation. After decompressive surgery, the patient showed gradual improvement. This report highlights the postulated mechanism of intradural cement collection after PV and advocates some intraoperative skills to avoid this complication. In order to get a satisfactory clinical outcome, we suggest early decompressive surgery for those patients having symptomatic intradural cement leakage after PV.