Journal of Korean Neurosurgical Society

  • 제49권2호
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  • Pages.131-133
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  • 2011
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Segmental Artery Injury Following Percutaneous Vertebroplasty Using Extrapedicular Approach

  • Heo, Dong-Hwa (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Cho, Yong-Jun (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University)
  • 투고 : 2010.03.19
  • 심사 : 2011.01.13
  • 발행 : 2011.02.28
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초록

We performed a percutaneous vertebroplasty at the compressed L2 vertebral body of a 73-year-old female using a left-sided unilateral extrapedicular approach. She complained severe radiating pain and a tingling sensation in her left leg two hours after the vertebroplasty. Spinal computed tomographic scan showed a large retroperitoneal hematoma, and a subsequent spinal angiography revealed a left L2 segmental artery injury. Bleeding was successfully controlled by endovascular embolization. Recently, extrapedicular approaches have been attempted, allowing for the avoidance of facet and pedicle injury with only a unilateral approach. With this approach, however, the needle punctures the vertebral body directly. Therefore, this procedure carries the potential risk of a spinal segmental artery.

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참고문헌

  1. Ahn Y, Kim JU, Lee BH, Lee SH, Park JD, Hong DH, et al. : Postoperative retroperitoneal hematoma following transforaminal percutaneous endoscopic lumbar discectomy. J Neurosurg Spine 10 : 595-602, 2009 https://doi.org/10.3171/2009.2.SPINE08227
  2. Biafora SJ, Mardjetko SM, Bulter JP, McCarthy PL, Gleason TF : Arterial injury following percutaneous vertebral augmentation : a case report. Spine 31 : E84-E87, 2006 https://doi.org/10.1097/01.brs.0000197596.88416.02
  3. Cho YJ, Choi JH, Cho SM : Vertebroplasty utilizing percutaneous vertebral body access (PVBA) technique for osteoporotic vertebral compression fractures in the middle thoracic vertebrae. J Korean Neurosurg Soc 41 : 161-165, 2007 https://doi.org/10.3340/jkns.2007.41.3.161
  4. Han KR, Kim C, Eun JS, Chung YS : Extrapedicular approach of percutaneous vertebroplasty in the treatment of upper and mid-thoracic verte-bral compression fracture. Acta Radiol 46 : 280-287, 2005 https://doi.org/10.1080/02841850510021058
  5. Ryu KS, Park CK, Kim MK, Kim DH : Single balloon kyphoplasty using far-lateral extrapedicular approach : technical note and preliminary results. J Spinal Disord Tech 20 : 392-398, 2007 https://doi.org/10.1097/BSD.0b013e31802da846

피인용 문헌

  1. The Comparison of the Application of Percutaneous Transpedicular and Extrapedicular Vertebroplasty: Which Approach has Better Results? vol.26, pp.2, 2011, https://doi.org/10.1097/wnq.0000000000000140
  2. An anatomical study on lumbar arteries related to the extrapedicular approach applied during lumbar PVP (PKP) vol.14, pp.3, 2011, https://doi.org/10.1371/journal.pone.0213164
  3. Simple Fluoroscopy-Guided Transforaminal Lumbar Puncture: Safety and Effectiveness of a Coaxial Curved-Needle Technique in Patients with Spinal Muscular Atrophy and Complex Spines vol.41, pp.1, 2020, https://doi.org/10.3174/ajnr.a6351
  4. A Modified Transverse Process-Pedicle Approach Applied to Unilateral Extrapedicular Percutaneous Vertebroplasty vol.2021, pp.None, 2011, https://doi.org/10.1155/2021/6493712