Anterior Protrusion of Hydroxyapatite Blocks During Vertebroplasty for Thoracic Burst Fractures: A Case Report

被引:0
作者
Yagi, Yuko [1 ,2 ]
Horii, Chiaki [1 ]
Koyama, Shimpei [1 ]
Onishi, Yuki [1 ]
Kawamura, Naohiro [1 ]
机构
[1] Japanese Red Cross Med Ctr, Dept Spine & Orthoped Surg, Tokyo, Japan
[2] Tokyo Metropolitan Hiroo Gen Hosp, Dept Orthoped, Tokyo, Japan
关键词
complication; percutaneous stabilization; burst fracture; vertebroplasty; hydroxyapatite block; PEDICLE SCREW FIXATION; PERCUTANEOUS VERTEBROPLASTY; THORACOLUMBAR;
D O I
10.7759/cureus.58784
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Research on complications necessitating reoperation following vertebroplasty related to hydroxyapatite (HA) blocks is limited. We present the case of a 25-year-old woman who underwent posterior fixation and vertebroplasty using HA blocks for a T12 burst fracture. Postoperative computed tomography revealed anterior protrusion of some blocks, with consequent compression of the descending aorta. We removed the protruded blocks via a transthoracic approach and observed no aortic injuries. Although HA blocks are considered safe for vertebroplasty, surgeons should be aware of the risk of anterior protrusion and potential aortic injury.
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页数:5
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共 13 条
[1]   Temporary short-segment pedicle screw fixation for thoracolumbar burst fractures: comparative study with or without vertebroplasty [J].
Aono, Hiroyuki ;
Ishii, Keisuke ;
Tobimatsu, Hidekazu ;
Nagamoto, Yukitaka ;
Takenaka, Shota ;
Furuya, Masayuki ;
Chiaki, Horii ;
Iwasaki, Motoki .
SPINE JOURNAL, 2017, 17 (08) :1113-1119
[2]   Treatment of thoracolumbar burst fractures with polymethyl methacrylate vertebroplasty and short-segment pedicle screw fixation [J].
Cho, DY ;
Lee, WY ;
Sheu, PC .
NEUROSURGERY, 2003, 53 (06) :1354-1360
[3]   Fusion May Not Be a Necessary Procedure for Surgically Treated Burst Fractures of the Thoracolumbar and Lumbar Spines [J].
Chou, Po-Hsin ;
Ma, Hsiao-Li ;
Wang, Shih-Tien ;
Liu, Chien-Lin ;
Chang, Ming-Chau ;
Yu, Wing-Kwong .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2014, 96A (20) :1724-1731
[4]   Complications of percutaneous vertebroplasty and their prevention [J].
Laredo, JD ;
Hamze, B .
SKELETAL RADIOLOGY, 2004, 33 (09) :493-505
[5]  
Matsuki K, 2013, Bessatsu Seikeigeka, V32, P160
[6]  
Matsuki K, 2008, J Japanese Soc Spine Surg Relat Res, V19, P639
[7]  
Matsuzaki H, 2002, Kotsu Kansetsu Jintai, V15, P247
[8]   Percutaneous Vertebroplasty Using Hydroxyapatite Blocks for the Treatment of Vertebral Body Fracture [J].
Nishioka, Kazuya ;
Imae, Shinji ;
Kitayama, Mari ;
Miki, Jun-ichiro ;
Okawa, Toshika ;
Itakura, Toru .
NEUROLOGIA MEDICO-CHIRURGICA, 2009, 49 (11) :501-506
[9]   Adjacent Vertebral Body Fracture Following Vertebroplasty With Polymethylmethacrylate or Calcium Phosphate Cement Biomechanical Evaluation of the Cadaveric Spine [J].
Nouda, Shinya ;
Tomita, Seiji ;
Kin, Akihiro ;
Kawahara, Kunihiko ;
Kinoshita, Mitsuo .
SPINE, 2009, 34 (24) :2613-2618
[10]  
Satake Kotaro, 2013, JBJS Case Connect, V3, pe132, DOI 10.2106/JBJS.CC.M.00159