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.
Similar content being viewed by others
References
Kallmes DF, Schweickert PA, Marx WF, et al. (2002) Vertebroplasty in the mid- and upper thoracic spine. AJNR Am J Neuroradiol 23:1117–1120
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
Yu SW, Chen WJ, Lin WC, et al. (2004) Serious pyogenic spondylitis following vertebroplasty: A case report. Spine 29:E209–211
Walker DH, Mummaneni P, Rodts GE Jr (2004) Infected vertebroplasty. Report of two cases and review of the literature. Neurosurg Focus 17:E6
Vats HS, McKiernan FE (2006) Infected vertebroplasty: Case report and review of literature. Spine 31:E859–862
Schmid KE, Boszczyk BM, Bierschneider M, et al. (2005) Spondylitis following vertebroplasty: A case report. Eur Spine J 14:895–899
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
Lee BJ, Lee SR, Yoo TY (2002) Paraplegia as a complication of percutaneous vertebroplasty with polymethylmethacrylate: A case report. Spine 27:E419–422
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
Wagner AL, Baskurt E (2006) Refracture with cement extrusion following percutaneous vertebroplasty of a large interbody cleft. AJNR Am J Neuroradiol 27:230–231
Tsai TT, Chen WJ, Lai PL, et al. (2003) Polymethylmethacrylate cement dislodgment following percutaneous vertebroplasty: A case report. Spine 28:E457–460
Larsen HS, Mahon CR (2000) Staphylococci. In: Mahon CR, Manuselis G (eds) Textbook of diagnostic microbiology. WB Saunders, Philadelphia, pp 330–343
Lewis G (1997) Properties of acrylic bone cement: State of the art review. J Biomed Mater Res 38:155–182
Lim TH, Brebach GT, Renner SM, et al. (2002) Biomechanical evaluation of an injectable calcium phosphate cement for vertebroplasty. Spine 27:1297–1302
Joly-Guillou ML (2005) Clinical impact and pathogenicity of Acinetobacter. Clin Microbiol Infect 11:868–873
Lidwell OM (1986) Clean air at operation and subsequent sepsis in the joint. Clin Orthop:91–102
Buchholz HW, Elson RA, Heinert K (1984) Antibiotic-loaded acrylic cement: Current concepts. Clin Orthop:96–108
Author information
Authors and Affiliations
Corresponding author
Rights 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
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-007-9234-z