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Amelioration of chronic neuropathic pain and motor deficit following removal of lumbar vertebroplasty intradural cement

2012; Elsevier BV; Volume: 115; Issue: 6 Linguagem: Inglês

10.1016/j.clineuro.2012.08.004

1872-6968

José D. Carrillo‐Ruiz, Julio C. Soto-Barraza, Aníbal Fuentes-Manzo, Alicia Kassian, Guillermo Becerra-Escobedo, Francisco Velasco, Alejandro Frade Garcia,

Pelvic and Acetabular Injuries

Percutaneous vertebroplasty (PVP) is a procedure employed to epair vertebral fractures of different etiologies (related to trauma, umors, osteoporotic bones, etc.) caused by a partial or total colapse of the vertebrae, which in most cases produces intense omatic pain [1]. The purpose of this procedure is to reduce pine instability by injecting polimethyl-methacrylate (PMMA) nto the vertebrae for re-expansion in order to ameliorate the pain. lthough this surgical procedure is minimally invasive, inherent omplications may occur when PMMA is injected into the intradual space, particularly in the case of compression of the spinal cord nd nerves [2–4]. The objective of this paper is discuss the case of a patient reportng PMMA intradural leakage, which caused radiculopathy in the umbar zone, accompanied by chronic neuropathic pain, sensoial disturbances and paresis in the right leg. Surgical removal of he intradural cement resulted in a marked improvement of the atient’s motor and sensory symptoms.