Case Reports   |    
Acute Paraplegia After Vertebroplasty Caused by Epidural HemorrhageA Case Report
Christof Birkenmaier, MD1; Sebastian Seitz, MD1; Bernd Wegener, MD1; Christian Glaser, MD1; Maximilian I. Ruge, MD1; Alessandro von Liebe, MD1; Christoph von Schulze Pellengahr, MD1
1 Departments of Orthopedic Surgery (C.B., S.S., B.W., A.v.L., and C.v.S.P.), Clinical Radiology (C.G.), and Neurosurgery (M.I.R.), Grosshadern Medical Center, University of Munich, Marchioninistrasse 15, 81377 Munich, Germany. E-mail address for S. Seitz: stardustseeker@web.de
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at the Departments of Orthopedic Surgery, Clinical Radiology, and Neurosurgery, Grosshadern Medical Center, University of Munich, Munich, Germany

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Aug 01;89(8):1827-1831. doi: 10.2106/JBJS.F.01612
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Vertebroplasty is widely used for the palliative stabilization of osteoporotic fractures and vertebral metastases. Serious complications with this procedure are rare and, as a result, vertebroplasty is being performed increasingly in hospitals without a spinal surgery unit or even in radiology practices where such complications may not be managed adequately when they arise. The leakage of cement into draining veins is the most frequent complication1,2, followed by cement penetration into the spinal canal. Fatal pulmonary embolism has been reported, and small cement emboli are not uncommon1,3. When cement penetration into the spinal canal causes a neurological deficit, decompression and often removal of the cement are required. The case of a patient who had an epidural hematoma after kyphoplasty associated with the postoperative administration of an intravenous heparin bolus has been described4. We report the case of a patient who had an acute epidural hemorrhage causing paraplegia as a complication from vertebroplasty. To the best of our knowledge, this is the first such report. The patient was informed that data concerning the case would be submitted for publication.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    Oklahoma - The University of Oklahoma
    Louisiana - Ochsner Health System
    Pennsylvania - Penn State Milton S. Hershey Medical Center
    California - UCLA/OH Department of Orthopaedic Surgery