Skip to main content
Log in

Unusual Presentation of Infected Vertebroplasty with Delayed Cement Dislodgment in an Immunocompromised Patient: Case Report and Review of Literature

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Percutaneous vertebroplasty has been established as a safe and effective treatment for compression fractures of osteoporotic vertebrae. Complications of vertebroplasty, such as infection or anterior cement extrusion, are rare. Herein, we report an unusual presentation in an immunocompromised patient with an insidious infection of the disk. This infection resulted in dislodgment of the cement inferiorly and a compression fracture of the adjacent vertebra 6 months after vertebroplasty. We discuss the significance of this case and compare it with 7 others found in the literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Kallmes DF, Schweickert PA, Marx WF, et al. (2002) Vertebroplasty in the mid- and upper thoracic spine. AJNR Am J Neuroradiol 23:1117–1120

    PubMed  Google Scholar 

  2. Jensen ME, Evans AJ, Mathis JM, et al. (1997) Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: Technical aspects. AJNR Am J Neuroradiol 18:1897–1904

    PubMed  CAS  Google Scholar 

  3. Yu SW, Chen WJ, Lin WC, et al. (2004) Serious pyogenic spondylitis following vertebroplasty: A case report. Spine 29:E209–211

    Article  PubMed  Google Scholar 

  4. Walker DH, Mummaneni P, Rodts GE Jr (2004) Infected vertebroplasty. Report of two cases and review of the literature. Neurosurg Focus 17:E6

    Article  PubMed  Google Scholar 

  5. Vats HS, McKiernan FE (2006) Infected vertebroplasty: Case report and review of literature. Spine 31:E859–862

    Article  PubMed  Google Scholar 

  6. Schmid KE, Boszczyk BM, Bierschneider M, et al. (2005) Spondylitis following vertebroplasty: A case report. Eur Spine J 14:895–899

    Article  PubMed  Google Scholar 

  7. Alfonso Olmos M, Silva Gonzalez A, Duart Clemente J, et al. (2006) Infected vertebroplasty due to uncommon bacteria solved surgically: A rare and threatening life complication of a common procedure. Report of a case and a review of the literature. Spine 31:E770–773

    Article  PubMed  Google Scholar 

  8. Lee BJ, Lee SR, Yoo TY (2002) Paraplegia as a complication of percutaneous vertebroplasty with polymethylmethacrylate: A case report. Spine 27:E419–422

    Article  PubMed  Google Scholar 

  9. Francois K, Taeymans Y, Poffyn B, et al. (2003) Successful management of a large pulmonary cement embolus after percutaneous vertebroplasty: A case report. Spine 28:E424–425

    Article  PubMed  Google Scholar 

  10. Wagner AL, Baskurt E (2006) Refracture with cement extrusion following percutaneous vertebroplasty of a large interbody cleft. AJNR Am J Neuroradiol 27:230–231

    PubMed  CAS  Google Scholar 

  11. Tsai TT, Chen WJ, Lai PL, et al. (2003) Polymethylmethacrylate cement dislodgment following percutaneous vertebroplasty: A case report. Spine 28:E457–460

    Article  PubMed  Google Scholar 

  12. Larsen HS, Mahon CR (2000) Staphylococci. In: Mahon CR, Manuselis G (eds) Textbook of diagnostic microbiology. WB Saunders, Philadelphia, pp 330–343

    Google Scholar 

  13. Lewis G (1997) Properties of acrylic bone cement: State of the art review. J Biomed Mater Res 38:155–182

    Article  PubMed  CAS  Google Scholar 

  14. Lim TH, Brebach GT, Renner SM, et al. (2002) Biomechanical evaluation of an injectable calcium phosphate cement for vertebroplasty. Spine 27:1297–1302

    Article  PubMed  Google Scholar 

  15. Joly-Guillou ML (2005) Clinical impact and pathogenicity of Acinetobacter. Clin Microbiol Infect 11:868–873

    Article  PubMed  Google Scholar 

  16. Lidwell OM (1986) Clean air at operation and subsequent sepsis in the joint. Clin Orthop:91–102

  17. Buchholz HW, Elson RA, Heinert K (1984) Antibiotic-loaded acrylic cement: Current concepts. Clin Orthop:96–108

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Chun-Chung Lui.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lin, WC., Lee, CH., Chen, SH. et al. Unusual Presentation of Infected Vertebroplasty with Delayed Cement Dislodgment in an Immunocompromised Patient: Case Report and Review of Literature. Cardiovasc Intervent Radiol 31 (Suppl 2), 231–235 (2008). https://doi.org/10.1007/s00270-007-9234-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-007-9234-z

Keywords

Navigation