期刊
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY
卷 49, 期 2, 页码 131-133出版社
KOREAN NEUROSURGICAL SOC
DOI: 10.3340/jkns.2011.49.2.131
关键词
Compression fractures; Vascular injury; Vertebroplasty
资金
- Rural Development Administration [200810FTH010103002, 200810FTH010102001]
We performed a percutaneous vertebroplasty at the compressed L2 vertebral body of a 73-year-old female using a left-sided unilateral extrapedicular approach. She complained severe radiating pain and a tingling sensation in her left leg two hours after the vertebroplasty. Spinal computed tomographic scan showed a large retroperitoneal hematoma, and a subsequent spinal angiography revealed a left L2 segmental artery injury. Bleeding was successfully controlled by endovascular embolization. Recently, extrapedicular approaches have been attempted, allowing for the avoidance of facet and pedicle injury with only a unilateral approach. With this approach, however, the needle punctures the vertebral body directly. Therefore, this procedure carries the potential risk of a spinal segmental artery.
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