Mehmet Yigit Akgun, Ozkan Ates, Caner Gunerbuyuk, Oguz Baran, Ali Fahir Ozer
{"title":"Can neurological recovery occur after late decompression of an intradural cement leakage?","authors":"Mehmet Yigit Akgun, Ozkan Ates, Caner Gunerbuyuk, Oguz Baran, Ali Fahir Ozer","doi":"10.25259/JNRP_105_2023","DOIUrl":null,"url":null,"abstract":"<p><p>Percutaneous vertebroplasty (PV) can be applied widely from osteoporotic to metastatic fractures. Pain, radiculopathy, spinal cord compression, pulmonary embolism, and infection are common complications of this procedure. However, rare complications such as intradural cement leakage have also been reported. There is little or no data on the results obtained after the late intervention. In addition, the midline total laminectomy method, which is the classical method, was predominantly used in intradural cement leaks after PV. We would like to report a 69-year-old female patient who underwent vertebroplasty for her L1 osteoporotic fracture about 3 months ago in an external center and subsequently developed paresis. The patient's surgery was successfully performed without the need for stabilization by hemilaminectomy. The improvement in the clinical findings of our case despite the late decompression shows that surgery is the most satisfactory option in such patients. As a surgical method, total excision can be achieved with the posterior hemilaminectomy approach.</p>","PeriodicalId":48451,"journal":{"name":"American Political Science Review","volume":"71 1","pages":"744-746"},"PeriodicalIF":5.9000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696329/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Political Science Review","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/JNRP_105_2023","RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/8/1 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"POLITICAL SCIENCE","Score":null,"Total":0}
引用次数: 0
Abstract
Percutaneous vertebroplasty (PV) can be applied widely from osteoporotic to metastatic fractures. Pain, radiculopathy, spinal cord compression, pulmonary embolism, and infection are common complications of this procedure. However, rare complications such as intradural cement leakage have also been reported. There is little or no data on the results obtained after the late intervention. In addition, the midline total laminectomy method, which is the classical method, was predominantly used in intradural cement leaks after PV. We would like to report a 69-year-old female patient who underwent vertebroplasty for her L1 osteoporotic fracture about 3 months ago in an external center and subsequently developed paresis. The patient's surgery was successfully performed without the need for stabilization by hemilaminectomy. The improvement in the clinical findings of our case despite the late decompression shows that surgery is the most satisfactory option in such patients. As a surgical method, total excision can be achieved with the posterior hemilaminectomy approach.
期刊介绍:
American Political Science Review is political science''s premier scholarly research journal, providing peer-reviewed articles and review essays from subfields throughout the discipline. Areas covered include political theory, American politics, public policy, public administration, comparative politics, and international relations. APSR has published continuously since 1906. American Political Science Review is sold ONLY as part of a joint subscription with Perspectives on Politics and PS: Political Science & Politics.