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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C. y de la Sociedad Iberolatinoamericana de Columna. SILACO.

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2026, Number 3

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Cir Columna 2026; 4 (3)

Neurologic complication after cement leakage in vertebroplasty: a case report

Ross N, Ibarreta G, De BAJ, Fachinetti D

Language: Spanish
References: 17
Page: 235-239
PDF size: 879.64 Kb.


ABSTRACT

Introduction: vertebroplasty is a proven safe and effective procedure for managing vertebral compression fractures, significantly improving patients' pain and quality of life. However, it is not without complications; the literature reports cement leakage rates ranging from 32 to 72%, with most cases being asymptomatic. Here, we present the case of a patient with cement leakage into the spinal canal and neuroforamen. Clinical case: a 76-year-old female patient sustained a fracture at T12 and underwent vertebroplasty without immediate complications. She was readmitted 72 hours later due to low back pain and right-sided cruralgia. A computed tomography scan showed extravasation of cement into the spinal canal and the right T12/L1 foramen. After poor evolution with conservative management via selective foraminal infiltration, posterior decompression and T10-L2 arthrodesis were performed. Results: the patient showed progressive improvement in both her low back pain and cruralgia during outpatient follow-up, with a marked decrease in analgesic requirements, avoiding further invasive procedures. Conclusion: early decompression is essential to prevent persistent neurological symptoms and should be considered when conservative management fails.


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