Life-threatening retroperitoneal hematoma after percutaneous vertebroplasty for lumbar fracture

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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Published

2020-06-23

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Section

Case Reports