Intraspinal Leakage of Cement During Vertebroplasty for an Elderly Woman with Osteoporotic Burst Fracture: A Case Report and Short Review of Prevention and Management: 為患有骨質疏鬆性爆裂性骨折的老太太，進行椎體成形術卻出現骨水泥在椎管內滲漏：病例報告和回顧其預防和處理

Osteoporotic spine fracture is very common nowadays due to the aging population. It may result in prolonged immobilization due to significant back pain. Cement vertebroplasty helps to relieve pain, provides immediate stability and allows early mobilization. Intraspinal leakage of cement is a rare complication but it may lead to catastrophic neurological injuries. Evidence-based management guidelines for this complication are lacking. This is a case report about intraspinal leakage of cement during vertebroplasty for an 85-year-old woman with osteoporotic burst fractures over the lumbar spine. Urgent exploration and decompression was performed. No neurological injury was found after the operation and the patient recovered from osteoporotic back pain uneventfully.

中 文 摘 要由於人口老化，骨質疏鬆性脊柱骨折是很常見。當中的背部疼痛可以導致患者活動受限制。骨水泥椎體成形術有助於緩解疼痛，提供即時的穩定性，並允許提早活動。椎管內滲漏的骨水泥是一種罕見的併發症，但它可能會導致災難性的神經損傷。處理這一併發症的循證管理指引很缺乏。本報告是關於一個85歲老太太，患有腰椎骨質疏鬆性爆裂性骨折，在進行椎體成形術時出現骨水泥椎管內滲漏。醫生立時進行緊急勘探和減壓手術。術後病人沒有神經損傷，也從骨質疏鬆性腰痛順利康復。