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Epidural Cement Leak in Kyphoplasty

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Challenging Cases and Complication Management in Pain Medicine

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Abstract

Vertebral compression fracture, a condition that predominantly affects women over the age of 50, is often debilitating because of severe unrelenting pain. Conservative methods are the first line of treatment; however, when intense pain is associated with significant and rapid decline of functional status, vertebral augmentation procedures are used. Of several complications that have been associated with these interventions, cement extravasation is the most feared one; epidural cement leak has been reported with potential devastating neurologic compromise. We suggest several ways to prevent cement extravasation in vertebral augmentation procedures.

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Author information

Authors and Affiliations

  1. Expert Pain Physicians, Pain and Wellness Center, Orland Park, IL, USA

    Neil Malhotra M.D. & Nitin Malhotra M.D.

  2. Department of Anesthesia and Critical Care University of Chicago, Chicago, IL, USA

    Magdalena Anitescu M.D., Ph.D.

Authors
  1. Neil Malhotra M.D.
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  2. Nitin Malhotra M.D.
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  3. Magdalena Anitescu M.D., Ph.D.
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Corresponding author

Correspondence to Magdalena Anitescu M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Anesthesia and Critical Care, University of Chicago Medicine, Chicago, Illinois, USA

    Magdalena Anitescu

  2. Department of Anesthesiology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA

    Honorio T. Benzon

  3. Division of Pain Medicine, Department of Anesthesiology, University of California San Diego School of Medicine, La Jolla, California, USA

    Mark S. Wallace

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© 2018 Springer International Publishing AG

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Malhotra, N., Malhotra, N., Anitescu, M. (2018). Epidural Cement Leak in Kyphoplasty. In: Anitescu, M., Benzon, H., Wallace, M. (eds) Challenging Cases and Complication Management in Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-60072-7_41

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  • DOI: https://doi.org/10.1007/978-3-319-60072-7_41

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60070-3

  • Online ISBN: 978-3-319-60072-7

  • eBook Packages: MedicineMedicine (R0)

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