title: Transforaminal epidural steroid injection for the treatment of severe back pain caused by cement leakage during kyphoplasty procedure.
abstract: Kyphoplasty is a minimally invasive procedure that is increasingly used to treat pain caused by compression fractures of vertebral bodies. A 56-year-old woman who had a compression fracture on the vertebral body of L5 vertebra was admitted to the Algology Department with a severe low back and leg pain. Kyphoplasty was planned for pain relief. She suffered severe pain in her back and left leg immediately after the procedure because of a leakage of injected cement through the fracture line. After injection of triamcinolone and bupivacaine transforaminally into the L5-S1 anterior epidural space, her pain complaints ended. If radicular pain symptoms caused by cement leakage are secondary to a chemically mediated non-cellular inflammatory reaction, transforaminal epidural steroid injection should be useful.
authors.affiliation: Department of Anesthesiology and Reanimation, GATA Medical Faculty, Etlik 06018, Ankara, Turkey. Tel. +90 (312) 3045924. Fax. +90 (312) 3045900. Email: aergin@gata.edu.tr.
authors.forename: Atilla
authors.initials: A
authors.lastname: Ergin
authors.forename: Oguz
authors.initials: O
authors.lastname: Kilickaya
authors.forename: Ercan
authors.initials: E
authors.lastname: Kurt
authors.forename: Ali
authors.initials: A
authors.lastname: Sehirlioglu