Life-threatening retroperitoneal hematoma after percutaneous vertebroplasty for lumbar fracture

Catarina Aleixo; Jose Marinhas; Filipe Santos; Rolando Freitas; Ricardo Santos Pereira

doi:10.18203/issn.2455-4510.IntJResOrthop20202695

Authors

Catarina Aleixo Department of Orthopaedics, Centro Hospitalar Vila Nova de Gaia, Espinho, Vila Nova de Gaia, Portugal
Jose Marinhas Department of Orthopaedics, Centro Hospitalar Vila Nova de Gaia, Espinho, Vila Nova de Gaia, Portugal
Filipe Santos Department of Orthopaedics, Centro Hospitalar Vila Nova de Gaia, Espinho, Vila Nova de Gaia, Portugal
Rolando Freitas Department of Orthopaedics, Unidade Local de Saude do Alto Minho, Viana do Castelo, Portugal
Ricardo Santos Pereira Department of Orthopaedics, Centro Hospitalar Vila Nova de Gaia, Espinho, Vila Nova de Gaia, Portugal

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20202695

Keywords:

Hematoma, Vertebroplasty, Lumbar fracture

Abstract

Percutaneous vertebroplasty is a safe and effective minimally invasive procedure with specific potential complications. Among these, vascular injuries have seldomly been reported. We present a rare case of retroperitoneal hematoma, presumably from injury to one of the lumbar arteries following percutaneous vertebroplasty in a patient treated for lumbar fracture. Even though the situation was life-threatening, conservative treatment and support measures sufficed in controlling the bleeding and the patient recovered fully. Spine surgeons should be especially aware of this specific and often late-presenting complication, as early recognition and prompt treatment are fundamental to decrease its morbidity and mortality.

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