title: A rare presentation of subacute progressive ascending myelopathy secondary to cement leakage in percutaneous vertebroplasty.
abstract: Percutaneous vertebroplasty is used to manage osteoporotic vertebral body compression fractures. Although it is relatively safe, complications after vertebroplasty ranging from minor to devastatingly major ones have been described. Cement leakage into the spinal canal is one such complication. Subacute progressive ascending myelopathy is an infrequent neurologic complication after spinal cord injury, typically presenting as ascending neurologic deficit within weeks after the initial insult. The precise cause of subacute progressive ascending myelopathy still remains an enigma, considering the rarity of this disorder. The authors present the case of a 62-yr-old woman with osteoporotic vertebral fracture who underwent percutaneous vertebroplasty and developed T6 complete paraplegia because of cement leakage. A few weeks later, the neurologic level ascended to higher cervical level (C3). To date, no case of subacute progressive ascending myelopathy secondary to cement leakage after percutaneous vertebroplasty has been reported. Literature is reviewed regarding subacute progressive ascending myelopathy, and the rehabilitation challenges in the management of this patient are discussed.
authors: From the Department of Physical Medicine & Rehabilitation (RPB, AB, SMV, AC, JG, RT) and Department of Radio-diagnosis (SM), Christian Medical College, Vellore, Tamil Nadu, India.
authors: Rohit Prakash
authors: RP
authors: Bhide
authors: Apurba
authors: A
authors: Barman
authors: Shiela Mary
authors: SM
authors: Varghese
authors: Ahana
authors: A
authors: Chatterjee
authors: Suraj
authors: S
authors: Mammen
authors: Jacob
authors: J
authors: George
authors: Raji
authors: R
authors: Thomas
mesh_terms: D000058:Accidental Falls; D001843:Bone Cements / Q000009:adverse effects*; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D050815:Fractures, Compression / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007796:Laminectomy / Q000379:methods / Q000534:rehabilitation*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008875:Middle Aged; D058866:Osteoporotic Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D010264:Paraplegia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D035583:Rare Diseases; D018570:Risk Assessment; D013118:Spinal Cord Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000628:therapy; D013904:Thoracic Vertebrae / Q000293:injuries; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000009:adverse effects* / Q000379:methods
chemical_list: D001843:Bone Cements