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골다공증성 압박골절에서 척추체 성형술 후 발생한 지연성 척수압박증 : 증례 보고

Other Titles
 Delayed Spinal Cord Compression after Vertebroplasty in Osteopporotic Compression Fracture: A Case Report 
Authors
 오재근  ;  조준형  ;  신준재  ;  진동규  ;  조용은 
Citation
 Korean Journal of Spine (대한척추신경외과학회지), Vol.3(2) : 111-116, 2006 
Journal Title
 Korean Journal of Spine  (대한척추신경외과학회지) 
ISSN
 1738-2262 
Issue Date
2006
Abstract
Percutaneous vertebroplasty is a popular and minimally invasive procedure with injection of polymethyl methacrylate(PMMA) into a collapsed vertebral body under fluoroscopic guidance. Several complications have been reported including leakage into the spinal canal, intravascular leakage, pulmonary embolism, subcutaneous hematoma and infection. But most of these compli- cations are happened in the early period after operation. We report a rare case of delayed spinal cord compression after vertebroplsty with polymethyl methacrylate cement and it's treatment. A 55-year-old female presented with progressive low back pain and radiating pain on both legs for 1 month and suddenly developed paraparesis for 1 day. She was already performed percutaneous vertebroplasty 6 months ago due to osteoporotic compression fracture at the first lumbar vertebra(L1). During 5 months after vertebropalsty she didn't have any neurologic deterioration or pain, but on the serial radiologic examinations after vertebroplasty, progressive compression fracture of the previously operated site was seen. Magnetic resonance imaging showed a dislodgement of solid PMMA mass compressing spinal cord severely. So she was performed the operation, that is total laminectomy L1 and pedicle screw fixation T11-T12-L2-L3 and posterolateral fusion. After the surgery, her symptoms were improved and neurologic deficit was recovered.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Cho, Yong Eun(조용은) ORCID logo https://orcid.org/0000-0001-9815-2720
Chin, Dong Kyu(진동규) ORCID logo https://orcid.org/0000-0002-9835-9294
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110138
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