Epidural Combined with Intradural Cement Leakage after the Balloon Kyphoplasty: A Case Report

經皮氣球椎體矯正術後併發硬脊膜內、外骨泥滲漏：病例報告

郭汶顯(Wen-Hsien Kuo) ； 林建和(Jiann-Her Lin) ； 陳毓堃(Yue-Quen Chen) ； 奚聖川(Sheng-Chuan His) ； 龍威任(Wei-Jen Lung)

《南臺灣醫學雜誌》 7卷1期 (2011/06) Pp. 39-44

https://doi.org/10.6726/MJST.201106_7(1).0005

摘要

在這一個世紀，骨質疏鬆續發脊椎壓迫性骨折是一種常見的疾病。脊椎壓迫性骨折的治療方式在過去幾年亦有所改變。經皮脊椎成型術及經皮氣球椎體矯正術已廣泛地被應用於臺灣及世界各地。這種技術是非常有效的，但並非毫無併發症。硬脊膜內骨水泥滲漏是一種相當罕見、但嚴重的併發症。我們報導一個經皮氣球椎體矯正術後併發硬脊膜內、外骨水泥滲漏合併脊髓病變及神經根疼痛的病例。此病患接受椎板切除併移除滲漏之骨水泥的手術，並在術後接受一系列的門診追蹤及復健治療。此一病患在6個月後逐漸的恢復正常。依據此一案例，早期手術治療是可以改善此併發症的癒後。

關鍵字

硬脊膜外骨水泥滲漏 ； 硬脊膜內骨水泥滲漏 ； 經皮氣球椎體矯正術

並列摘要

Vertebral compression fracture secondary to osteoporosis is the epidemic of this century in the western and Asian countries. The treatment of vertebral compression fractures has been changed during the past years. Vertebroplasty and kyphoplasty are now extensively used in Taiwan and universally. They are efficient treatment, but no free of complications. Intrathecal cement leakage is a rare, but devastating complication. We report a case of kyphoplasty with epidural and intradural leakage of bone cement complicated with myelopathy and radicular pain. The operation of laminectomy with removal of leaked cement was performed. The patient received regular out patient department follow-up and rehabilitation. And the symptoms were gradually resolved six months later. In our case, early surgical intervention could improve the result.

並列關鍵字

epidural cement leakage ； intradural cement leakage ； balloon kyphoplasty