COMPLICATION OF PERCUTANEOUS VERTEBROPLASTY IN OSTEOPOROTIC VERTEBRAL BODY FRACTURES AND CEMENT LEAKAGE

Ma Mingling, Wang Yongxiang, Sun Hao and Mohamed Suleiman Mohamed*

ABSTRACT

Percutaneous vertebroplasty (PV) is one of the alternative method treatments for vertebral fractures, that reported significant complications such as, pain, radiculopathy, spinal cord compression, pulmonary embolism, infection and rib fractures. Vertebroplasty is a Prestigious procedure that participate in vertebral compression fractures and usually performed by patient’s who are suffering from back pain, are more eligible to this surgery. Most these procedures must have complications that caused by needle insertion and normally cement leakage that occurs in paravertebral soft tissue and veins that may affect epidural space but the local complications are 60% of leakage around soft tissues. The most common complication of bone cement leakage appears, including veins, paravertebral soft tissue in the intervertebral disk and infections. There are also small systemic complications that may cause serious disease such as: fat embolism, PMMA (Methyl methacrylate) pulmonary embolism, cardiac problems and these may lead to irreversible paralysis.

Keywords: Vertebral augmentation, Percutaneous vertebroplasty, multiple myeloma, vertebral body compression, cement pulmonary embolism, vertebral hemangioma, polymethylmethacrylates and spinal osteoporosis, benign compression fractures.