Classification, prevention and treatment of bone cement leakage following percutaneous vertebroplasty

    XU Yi, LIU Yingª²Jie, DONG Yan

    Department of Radiology, Wuyi Hospital of TCM, Sixth Affiliated Hospital, Medical College, Jinan University, Jiangmen 529000, China

    ¡¾Abstract¡¿ AIM: To explore the categorization, prevention and treatment of bone cement leakage following percutaneous vertebroplasty (PVP). METHODS: PVP has been performed for vertebral angioma and vertebral body osteoporotic compression fracture in 38 cases (11 men and 27 women) since November, 2002. Followª²up ranged from 8 to 16 months in all cases. The curative effect was evaluated based on the standard of WHO. RESULTS: The symptoms were relieved completely or partially in all the cases. Bone cement leakage following PVP was classified into 4 types as type ¢ñ (vertebral side), type ¢ò (intervertebral disc), type ¢ó (vertebral canal) and type ¢ô (mixed type). Different treatments were planned according to the different types. The experience of preventing bone cement leakage was summed up. CONCLUSION: To prevent the bone cement leakage, we should pay attention to the preª²operative preparation of bone cement, the choice of the anesthesia and the monitoring of the whole operation. The patients of type¢ñ and ¢òneed not be treated, but the patients of type ¢ó and ¢ô who have the symptoms of nerve compression must have an open operation. ......