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Korean J Spine 2006;3(2): 107-110.
13
Surgical Removal of Epidural Leakage of Polymethylmethacrylate(PMMA) causing Refractory Radicular Pain after Percutaneous Vertebroplasty - A Case Report -
Byoung-Wook Shin, M.D., Hyun-Chul Choi, M.D., Jae-Geun Ahn, M.D., Seung-Jin Choi, M.D., and Cheol Ji, M.D.
Department of Neurosurgery, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Surgical Removal of Epidural Leakage of Polymethylmethacrylate(PMMA) causing Refractory Radicular Pain after Percutaneous Vertebroplasty - A Case Report -
Byoung-Wook Shin, M.D., Hyun-Chul Choi, M.D., Jae-Geun Ahn, M.D., Seung-Jin Choi, M.D., and Cheol Ji, M.D.
Abstract
A 68-year-old woman, suffered from severe lower back pain after slipping down injury, was diagnosed as L3 and L4 osteo- porotic compression fracture. To relieve her lower back pain, we performed percutaneous vertebroplasty. After injection of PMMA, her lower back pain was relieved, but severe radicular pain and weakness on the right leg were newly developed. Three dimensional computed tomography showed the extrusion of PMMA into the right side of neural foramen at the L4 level. The radicular pain was refractory to conservative care. After surgical removal of the PMMA leakage, her radiculopathy was completely subsided.
Keywords: Polymethylmethacrylate․Vertebroplasty․Leakage․Radiculopathy․Surgical removal
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