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Foot-Drop Following Vertebroplasty: Case Report

Year 2006, Volume: 11 Issue: 3, 185 - 186, 01.06.2006

Burak Orhan Boran

Abstract

Objectives: Percutaneous vertebroplasty is a common and effective procedure in the treatment of compression fractures. In this paper, a patient presenting with foot-drop following vertebroplasty is presented. Case: A 71-year-old male patient was admitted with the complaints of radicular pain in the left leg and left foot-drop. His past medical history reveled that he had undergone vertebroplasty 3 months ago, due to L4 compression fracture. Computed tomography demonstrated polymethylmethacrylate leak and left L5 root compression. The patient was operated and the material was removed via left L5 hemilaminectomy and 1/3 medial facetectomy. Conclusion: Percutaneous vertebroplasty is a highly effective procedure in the treatment of compression fractures. On the other hand, polymethylmethacrylate leak is a common occurrence during the procedure. Because of the fact that, it rarely manifests any clinical signs, the condition is generally ignored. This case also indicates that, appropriate imaging should be performed, if radicular pain develops following vertebroplasty and surgery should be performed as indicated.©2006, Fırat Üniversitesi, Tıp Fakültesi

Keywords

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References

  • Amar AP, Larsen DW, Esnaashari N, Albuquerque FC, Lavine SD, Teitelbaum GP. Percutaneous transpedicular polymethylmethacrylate vertebroplasty for the treatment of spinal compression fractures. Neurosurgery 2001; 49: 1105-1115.
  • Mckiernan F, Faciszewski T, Jensen R. Quality of life following vertebroplasty. J Bone Joint Surg Am 2004; 86: 2600-2606.
  • Galibert P, Deramond H, Rosat P, LeGars D. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 1987; 233:166-168.
  • Weill A, Chiras J, Simon JM, Rose M, Sola-Martinez T, Enkaoua E. Spinal metastases: Indications for and results of percutaneous injection of acrylic surgical cement. Radiology 1996; 199: 241- 247.
  • Peters KR, Guiot BH, Martin PA, Fesler RG. Vertebroplasty for osteoporotic compression fractures: current practice and evolving techniques. Neurosurgery 2002; 51: 96-103.
  • Burton AW, Rhines LD, Mendel E. Vertebroplasty and kyphoplasty: a comprehensive review. Neurosurg Focus 2005; 18: E1
  • McGraw JK, Lippert JA, Minkus KD, et al. Prospective evaluation of pain relief in 100 patients undergoing percutaneous vertebroplasty: results and follow-up. J Vasc Interv Radiol 2002; 13: 883-886.
  • Perez-Higueras A, Alvarez, L, Rossi RE, et al. Percutaneous vertebroplasty: long-term clinical and radiological outcome. Neuroradiology 2002; 44: 950-954.
  • Fourney DR, Schomer DF, Nader R. Percutaneous vertebroplasty and kyphoplasty for painful vertebral body fractures in cancer patients. J Neurosurgery Spine 2003; 98: 21-30.
  • Chen HL, Wong CS, Ho ST, et al. A lethal pulmonary embolism during percutaneous vertebroplasty. Anesth Analg 2002; 95: 1060-1062.
  • Walker DH, Mummaneni P, Rodts GE Jr. Infected vertebroplasty. Report of two cases and review of the literature. Neurosurg Focus 2004; 17: E6.
  • Kabul Tarihi: 26.01.2006

Vertebroplasti Sonrası Gelişen Düşük Ayak: Olgu Sunumu

Year 2006, Volume: 11 Issue: 3, 185 - 186, 01.06.2006

Burak Orhan Boran

Abstract

Amaç: Perkütan vertebroplasti, çökme kırıklarının tedavisinde yaygın olarak kullanılan son derece etkin bir yöntemdir Bu çalışmada, vertebroplasti sonrası kök basısı ve düşük ayak gelişen bir olgu sunulmuştur. Olgu: Yetmiş bir yaşında erkek hasta kliniğimize siyatalji tipinde ağrı ve sol ayakta kuvvetsizlik nedeniyle başvurdu. Yapılan nörolojik muayenesinde solda düşük ayak tespit edildi. Hastanın özgeçmişinden, 3 ay önce L4 çökme kırığı nedeniyle vertebroplasti yapıldığı öğrenildi. Bilgisayarlı tomografi tetkikinde, işlem esnasında polimetilmetakrilat sızıntısı olduğu ve bu nedenle sol L5 kök basısı geliştiği görüldü. Hasta bu nedenle operasyona alınarak, sol L5 hemilaminektomi ve 1/3 medyal fasetektomi yapıldı ve materyal ön epidural boşluktan çıkartıldı. Sonuç: Perkütan vertebroplasti çökme kırıklarının tedavisinde son derece etkili bir yöntemdir. Öte yandan, işlem esnasında, polimetilmetakrilat sızıntısı sık olarak görülmekte olup, nadiren klinik bulguya yol açtığı için yeterince önemsenmemektedir. Bu olgu da göstermektedir ki, vertebroplasti sonrası gelişen radiküler ağrılarda mutlaka uygun görüntüleme tetkikleri yapılmalı ve gerekli durumlarda, hasta ameliyat edilmelidir. ©2006, Fırat Üniversitesi, Tıp Fakültesi

Keywords

Çökme kırığı düşük ayak vertebroplasti

References

  • Amar AP, Larsen DW, Esnaashari N, Albuquerque FC, Lavine SD, Teitelbaum GP. Percutaneous transpedicular polymethylmethacrylate vertebroplasty for the treatment of spinal compression fractures. Neurosurgery 2001; 49: 1105-1115.
  • Mckiernan F, Faciszewski T, Jensen R. Quality of life following vertebroplasty. J Bone Joint Surg Am 2004; 86: 2600-2606.
  • Galibert P, Deramond H, Rosat P, LeGars D. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 1987; 233:166-168.
  • Weill A, Chiras J, Simon JM, Rose M, Sola-Martinez T, Enkaoua E. Spinal metastases: Indications for and results of percutaneous injection of acrylic surgical cement. Radiology 1996; 199: 241- 247.
  • Peters KR, Guiot BH, Martin PA, Fesler RG. Vertebroplasty for osteoporotic compression fractures: current practice and evolving techniques. Neurosurgery 2002; 51: 96-103.
  • Burton AW, Rhines LD, Mendel E. Vertebroplasty and kyphoplasty: a comprehensive review. Neurosurg Focus 2005; 18: E1
  • McGraw JK, Lippert JA, Minkus KD, et al. Prospective evaluation of pain relief in 100 patients undergoing percutaneous vertebroplasty: results and follow-up. J Vasc Interv Radiol 2002; 13: 883-886.
  • Perez-Higueras A, Alvarez, L, Rossi RE, et al. Percutaneous vertebroplasty: long-term clinical and radiological outcome. Neuroradiology 2002; 44: 950-954.
  • Fourney DR, Schomer DF, Nader R. Percutaneous vertebroplasty and kyphoplasty for painful vertebral body fractures in cancer patients. J Neurosurgery Spine 2003; 98: 21-30.
  • Chen HL, Wong CS, Ho ST, et al. A lethal pulmonary embolism during percutaneous vertebroplasty. Anesth Analg 2002; 95: 1060-1062.
  • Walker DH, Mummaneni P, Rodts GE Jr. Infected vertebroplasty. Report of two cases and review of the literature. Neurosurg Focus 2004; 17: E6.
  • Kabul Tarihi: 26.01.2006
There are 12 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Burak Orhan Boran This is me

Publication Date June 1, 2006
Published in Issue Year 2006 Volume: 11 Issue: 3

Cite

APA Boran, B. O. (2006). Vertebroplasti Sonrası Gelişen Düşük Ayak: Olgu Sunumu. Fırat Tıp Dergisi, 11(3), 185-186.
AMA Boran BO. Vertebroplasti Sonrası Gelişen Düşük Ayak: Olgu Sunumu. Fırat Tıp Dergisi. June 2006;11(3):185-186.
Chicago Boran, Burak Orhan. “Vertebroplasti Sonrası Gelişen Düşük Ayak: Olgu Sunumu”. Fırat Tıp Dergisi 11, no. 3 (June 2006): 185-86.
EndNote Boran BO (June 1, 2006) Vertebroplasti Sonrası Gelişen Düşük Ayak: Olgu Sunumu. Fırat Tıp Dergisi 11 3 185–186.
IEEE B. O. Boran, “Vertebroplasti Sonrası Gelişen Düşük Ayak: Olgu Sunumu”, Fırat Tıp Dergisi, vol. 11, no. 3, pp. 185–186, 2006.
ISNAD Boran, Burak Orhan. “Vertebroplasti Sonrası Gelişen Düşük Ayak: Olgu Sunumu”. Fırat Tıp Dergisi 11/3 (June 2006), 185-186.
JAMA Boran BO. Vertebroplasti Sonrası Gelişen Düşük Ayak: Olgu Sunumu. Fırat Tıp Dergisi. 2006;11:185–186.
MLA Boran, Burak Orhan. “Vertebroplasti Sonrası Gelişen Düşük Ayak: Olgu Sunumu”. Fırat Tıp Dergisi, vol. 11, no. 3, 2006, pp. 185-6.
Vancouver Boran BO. Vertebroplasti Sonrası Gelişen Düşük Ayak: Olgu Sunumu. Fırat Tıp Dergisi. 2006;11(3):185-6.