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Rehabilitation Practice and Science

Translated Title

經皮椎體成型術合併脊髓損傷及廣泛無症狀肺栓塞：病例報告

Abstract

A 30-year-old woman with a history of 9th to 11th thoracic vertebral compression fracture developed complete thoracic spinal cord injury immediately after percutaneous vertebroplasty. The patient did not have any sign of neurological recovery after two operations for spinal decompression. The postoperative chest X ray and thoracic computed tomography scan revealed diffuse asymptomatic pulmonary embolism, but the patient did not have dyspnea or chest pain.Percutaneous vertebroplasty has been generally considered a minimally invasive and effective procedure for treatment of painful compression fracture. Complications after percutaneous vertebroplasty include infection, spinal cord injury, cardiopulmonary complications and stroke. In previous literature search, there was no casereport describing spinal cord injury combined with pulmonary embolism after percutaneous vertebroplasty. The risk of cardiopulmonary complications may be underestimated because the symptoms may appear several months to years later. Comparing the effect in reducing pain or promoting daily life, vertebroplasty is reported to have same effect with injecting short-duration anesthetic. While vertebroplasty offers better immediate pain reduction, when compared to conservative treatment 3 months after fracture, it has similar effect. Physiatrist should be prudent recommending vertebroplasty for painful spine compression fracture because of the possibility of severe complications.

Language

Traditional Chinese

First Page

255

Last Page

261

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