Ewha Med J.  2021 Jul;44(3):80-83. 10.12771/emj.2021.44.3.80.

More Effective Way to Perform Complete Percutaneous Vertebroplasty for Patients in Kummell’s Disease: A Case Report

• Yoo SH
• Chae JS
• Lee M
• Kang BK
• Park HS
• Kim WJ

• KMID: 2518770
• DOI: http://doi.org/10.12771/emj.2021.44.3.80

Abstract

An 84-year-old woman visited our pain clinic with complaints of low back pain and severe radiating pain in the right lower extremity during walking. The patient demonstrated subacute compression fracture of L3 with vacuum change in lumbar spine plain radiographs and MRI which suggest Kummell’s disease. Despite our conservative treatments, she had little back pain relief. Therefore, we planned a percutaneous vertebroplasty. Manual compression could help perform percutaneous vertebroplasty more effectively by expanding the vertebral body. In addition, the spontaneous recovery of vacuum cleft width using negative pressure could help perform the technique more effectively. We successfully performed percutaneous vertebroplasty using these combination therapies for our patient.

Keyword

Fractures; compression; Osteonecrosis; Osteoporosis; Vertebroplasty

Figure

• 

  Fig. 1 Antero-posterior (A) and lateral (B) images of L spine plain radiography. They show severe vertebral collapse with vertebral vacuum cleft (arrow) at L3. T1-weighted lumbar MR image (C) shows low signal area in collapsed L3 vertebra. Informed consent for publication of the clinical images was obtained from the patient.

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  Fig. 2 The lateral image of C-arm fluoroscopy. There is the phenomenon of spontaneous recovery of the collapsed vertebral body. The height of the vertebral column increases from 9 to 11 mm centrally and from 21 to 23 mm anteriorly (A, B). Informed consent for publication of the clinical images was obtained from the patient.

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  Fig. 3 Antero-posterior (A) and lateral (B) images of C-arm fluoroscopy after completion of bone cement injection. Informed consent for publication of the clinical images was obtained from the patient.

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