Spinal cord injury as a complication of vertebroplasty and kyphoplasty

Authors

  • Rubén Mora Boga Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), La Coruña, España. https://orcid.org/0000-0002-6052-4434
  • Eva Canosa-Hermida Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), La Coruña, España. Servicio de Medicina Física y Rehabilitación, Complexo Hospitalario Universitario de Ferrol (CHUF), Ferrol, España. https://orcid.org/0000-0002-0678-5959
  • Iris Toral-Guisasola Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), La Coruña, España. Servicio de Medicina Física y Rehabilitación, Complexo Hospitalario Universitario de Pontevedra (CHUP), Pontevedra, España. https://orcid.org/0000-0002-0429-9084
  • Sebastián J. Salvador-De la Barrera Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), La Coruña, España. https://orcid.org/0000-0002-9810-7548
  • Antonio Montoto-Marqués Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), La Coruña, España. Departamento de Medicina, Universidade da Coruña (UDC), La Coruña, España.
  • María Elena Ferreiro-Velasco Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), La Coruña, España. https://orcid.org/0000-0001-5079-146X
  • Antonio Rodríguez-Sotillo Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), La Coruña, España. https://orcid.org/0000-0003-2449-8280

DOI:

https://doi.org/10.28957/rcmfr.v31n1a2

Keywords:

Vertebroplasty, kyphoplasty, spinal cord injuries, osteoporosis, spine, blood clot.
Abstract References How to Cite

Abstract

Vertebroplasty and kyphoplasty are minimally invasive percutaneous procedures indicated in the treatment of back pain associated to osteoporotic and cancer-related spine fractures. Although that procedures have proven to be safe, complications can occur, especially those derived from bone cement leakage. Two female patients, 37 and 62 years old, booth with multiple thoracolumbar spinal fractures, traumatic and osteoporotic etiology, with posterior wall involvement. After the performance of the techniques both developed spinal cord injuries due to bone cement leakage into the spinal canal; the second case suffered also pulmonary embolism. To solve it, laminectomy was performed in both cases, along with the extraction of the material. The patients were admitted for rehabilitation treatment. Anticoagulation was indicated in the patient with pulmonary embolism. At discharge, both women presented functional improvement and were able to walk with the help of foot orthosis. We conclude that vertebroplasty and kyphoplasty are relatively safe procedures, although not without risks, as cement leakage into the venous plexuses has been reported. Correct selection of patients is important, checking the integrity of posterior wall. Also, patients must be carefully evaluated from a respirator y point of view.

References

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How to Cite

1.
Mora Boga R, Canosa-Hermida E, Toral-Guisasola I, Salvador-De la Barrera SJ, Montoto-Marqués A, Ferreiro-Velasco ME, et al. Spinal cord injury as a complication of vertebroplasty and kyphoplasty. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2021 Aug. 3 [cited 2024 May 16];31(1):73-8. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/273

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Published

2021-08-03

Issue

Vol. 31 No. 1: January - June 2021

Section

Clinical cases
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