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Research ArticleComplications

Floating Vertebral Body Cement Ball After High-Viscosity-Cement Vertebroplasty for Lytic Defect: Report of 2 Cases

TARUSH RUSTAGI, ERIC BOUREKAS and EHUD MENDEL
International Journal of Spine Surgery August 2020, 14 (4) 594-598; DOI: https://doi.org/10.14444/7079
TARUSH RUSTAGI
1Ohio State University Wexner Medical Center and Arthur G. James Cancer Hospital, Columbus, Ohio
2Indian Spinal Injuries Centre, New Delhi, India
MD
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ERIC BOUREKAS
1Ohio State University Wexner Medical Center and Arthur G. James Cancer Hospital, Columbus, Ohio
MD, MBA
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EHUD MENDEL
1Ohio State University Wexner Medical Center and Arthur G. James Cancer Hospital, Columbus, Ohio
MD, MBA
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    Figure 1

    (A) Computed tomography (CT) sagittal image showing the cleft in the L1 vertebrae. (B) Magnetic resonance imaging (MRI) showing fluid-filled lytic cleft (thin yellow arrow). (C) Cement mass stuck to the trocar. (D) Thick Yellow arrow showing the cement tail. The cement mass moved dorsally with removal of the trocar.

  • Figure 2
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    Figure 2

    (A) Computed tomography (CT) scan axial images showing cement mass lying in the lytic cleft (bold yellow arrow). (B) CT scan axial images after 3 d showing ventral movement of the cement (dashed yellow arrow). (C) CT scan sagittal and axial images before surgery showing further rotation of the cement mass and fracture of the tail (green arrow).

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    Figure 3

    (A, B) Flexion and extension x-rays in brace showing significant intravertebral instability. (C) Sagittal computed tomography scan image showing posterior fixation with cement-augmented pedicle screws.

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    Figure 4

    (A, B) Sagittal and axial computed tomography images showing large lytic defects involving the T8 vertebra. (C, D) Intraoperative image showing rotation of the cement mass with the trocar (yellow and green arrows).

  • Figure 5
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    Figure 5

    (A, B) Standing antero-posterior and lateral x-rays showing T7–T8 vertebroplasty. (C, D) Sagittal and axial image showing cement in the lytic T8 vertebral body.

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International Journal of Spine Surgery
Vol. 14, Issue 4
1 Aug 2020
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Floating Vertebral Body Cement Ball After High-Viscosity-Cement Vertebroplasty for Lytic Defect: Report of 2 Cases
TARUSH RUSTAGI, ERIC BOUREKAS, EHUD MENDEL
International Journal of Spine Surgery Aug 2020, 14 (4) 594-598; DOI: 10.14444/7079

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Floating Vertebral Body Cement Ball After High-Viscosity-Cement Vertebroplasty for Lytic Defect: Report of 2 Cases
TARUSH RUSTAGI, ERIC BOUREKAS, EHUD MENDEL
International Journal of Spine Surgery Aug 2020, 14 (4) 594-598; DOI: 10.14444/7079
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Keywords

  • vertebroplasty
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