骨水泥椎旁渗漏物取出术:1例报告和综述△

Removal of paravertebral bone cement leakage secondary to percutaneous kyphoplasty: a case report and literature review

摘要:

经皮穿刺椎体后凸成形术(percutaneous kyphoplasty, PKP)越来越多的应用于疼痛性骨质疏松性压缩骨折(osteopo- rotic vertebral compression fracture, OVCF)的治疗。骨水泥渗漏是其常见的并发症之一，临床中大多数的骨水泥渗漏患者没有症状，但也有少数症状严重的患者需要再手术将渗漏的骨水泥取出。本文报告 1 例 OVCF 行 PKP 后骨水泥椎旁渗漏并出现右下腹钝痛，再手术将骨水泥椎旁渗漏物取出的病例，总结其病例资料及治疗效果并进行文献综述。

Abstract:

Percutaneous kyphoplasty (PKP) has been increasingly used for painful osteoporotic vertebral compression fracture (OVCF) , while bone cement leakage is one of its common complications. In clinical practice, the most patients with bone cement leakage have no symptoms, but a few patients with severe symptoms need be re-operated to remove the leaked bone cement. We reported a case of paraverte- bral leakage of bone cement secondary to PKP for OVCF who underwent revision surgery to remove the paravertebral bone cement leakage block due to dull pain in the right lower abdomen. In addition, the related literatures were reviewed in this article.