There was a good fill to the vertebral body edges, up towards the superior endplate, and across the midline. This was done carefully and sequentially to make sure there were no cement extrusions, which, after inspection, there were none. The balloons were then deflated and removed, and the cement (when it was in the doughy state) was injected into the two sides in the usual fashion. In a similar fashion, the same thing was done on the other side. The drill was placed into the vertebral body followed by the Kyphon bone tamp. A Kyphon trocar was passed down to the superior lateral edge of the pedicle, through the pedicle, and into the vertebral body in the usual fashion. 0.5% Marcaine with epinephrine was injected. Using biplane image intensifiers, the skin incision sites were marked. She was then placed prone on the Jackson table and her back was prepped and draped in the usual sterile fashion. PROCEDURE : The patient was taken to the operating room and placed under general endotracheal anaesthesia in a supine position. Most of the softness was in the back part of the vertebral body. At surgery, L2 had some scalloping of the superior endplate. After some preoperative discussions and patience to see if she would get better, she was admitted to the hospital for L2 kyphoplasty when she did not improve. The repeat MRI two weeks later showed that she had fresh high-intensity signal changes in the body of L2 and some scalloping of the superior endplate, consistent with a compression fracture at L2. She initially had very good results but then developed back pain once again. FINDINGS PREOPERATIVELY : She had compression fractures at T11 and L1 for which she previously underwent kyphoplasty. POSTOPERATIVE DIAGNOSIS : Painful L2 vertebral non-traumatic compression fracture. PREOPERATIVE DIAGNOSIS : Painful L2 vertebral non-traumatic compression fracture.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |