Transforaminal Endoscopic Solution to a Kyphoplasty Complication: Technical Note

Ralf Wagner, Albert E. Telfeian, Menno Iprenburg, Guntram Krzok, Ziya Gokaslan, David B. Choi, Francesco G. Pucci, Adetkumbo Oyelese

Research output: Contribution to journalArticle

Abstract

Kyphoplasty is a minimally invasive spine surgical procedure performed to stabilize and treat the pain caused by a spine compression fracture. Complications are rare with kyphoplasty and include cement extrusion into the vertebral canal leading to spinal cord or nerve root compression. Herein, the authors present a case of a 72-year-old woman who presented with symptoms of a right L2 radiculopathy after a kyphoplasty procedure. Computed tomography imaging showed leakage of the kyphoplasty cement into the neural foramen above and medial to the right L2 pedicle. A transforaminal endoscopic surgical approach was used to remove the cement and decompress the L2 nerve. The patient's postoperative clinical course was uneventful. Clinicians should be aware that for the treatment of complications to vertebroplasty and kyphoplasty procedures, minimally invasive transforaminal endoscopic surgery is one option to avoid the destabilizing effects of laminectomy and facetectomy.

Original languageEnglish (US)
Pages (from-to)195-198
Number of pages4
JournalWorld Neurosurgery
Volume91
DOIs
StatePublished - Jul 1 2016
Externally publishedYes

Keywords

  • Endoscopic spine surgery
  • Key words Elastoplasty
  • Kyphoplasty
  • Minimally invasive
  • Transforaminal
  • Vertebroplasty

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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