Neuraxial anesthesia after local anesthesia for management of percutaneous vertebroplasty complication during vertebroplasty

Percutaneous vertebroplasty is a relatively safe, simple and commonly performed interventional procedure for the management of vertebral compression fractures. However, serious complications are rarely reported in the procedure. Those are pulmonary embolism, severe infection, paraplegia and an occur...

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Main Authors: Hüseyin Balkarlı, Mesut Kılıç, İbrahim Öztürk
Format: Article
Language:English
Published: Elsevier 2017-03-01
Series:Brazilian Journal of Anesthesiology
Online Access:http://www.sciencedirect.com/science/article/pii/S0104001414001791
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author Hüseyin Balkarlı
Mesut Kılıç
İbrahim Öztürk
author_facet Hüseyin Balkarlı
Mesut Kılıç
İbrahim Öztürk
author_sort Hüseyin Balkarlı
collection DOAJ
description Percutaneous vertebroplasty is a relatively safe, simple and commonly performed interventional procedure for the management of vertebral compression fractures. However, serious complications are rarely reported in the procedure. Those are pulmonary embolism, severe infection, paraplegia and an occurrence of a new fracture in an adjacent vertebra after vertebroplasty. Acute complications are generally associated with the procedure. We present the case of neuraxial anesthesia, developed after local anesthesia with 8 mL of 2% prilocaine, in a 68-year-old woman who underwent percutaneous vertebroplasty after an osteoporotic collapsed fracture in the L1 vertebra due to trauma. To our knowledge, this is the first case in the literature. Resumo: Vertebroplastia percutânea é um procedimento intervencionista relativamente seguro, simples e comumente realizado para tratar fraturas por compressão vertebral. No entanto, as complicações graves relacionadas ao procedimento são raramente relatadas, incluindo embolia pulmonar, infecção grave, paraplegia e a ocorrência de uma nova fratura em vértebra adjacente após a vertebroplastia. Complicações agudas são geralmente associadas ao procedimento. Apresentamos o caso de bloqueio neuroaxial, realizado após anestesia local com 8 mL de prilocaína a 2%, em uma mulher de 68 anos de idade, submetida à vertebroplastia percutânea após fratura osteoporótica na vértebra L1 devido a trauma. De acordo com nossa pesquisa, este é o primeiro caso na literatura. Keywords: Neuraxial anesthesia, Percutaneous vertebroplasty, Vertebra, Fracture, Palavras-chave: Bloqueio neuraxial, Vertebroplastia percutânea, Vértebra, Fratura
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spelling doaj.art-63ccfbb0f7b247118e77e26f28f962302022-12-22T03:33:30ZengElsevierBrazilian Journal of Anesthesiology0104-00142017-03-01672205209Neuraxial anesthesia after local anesthesia for management of percutaneous vertebroplasty complication during vertebroplastyHüseyin Balkarlı0Mesut Kılıç1İbrahim Öztürk2Akdeniz University Faculty of Medicine, Orthopaedics and Traumatology, Antalya, TurkeyOndokuzmayıs University Faculty of Medicine, Orthopaedics and Traumatology, Samsun, TurkeyDışkapı Yıldırım Beyazıt Education and Research Hospital, Anesthesiology and Reanimation, Ankara, Turkey; Corresponding author.Percutaneous vertebroplasty is a relatively safe, simple and commonly performed interventional procedure for the management of vertebral compression fractures. However, serious complications are rarely reported in the procedure. Those are pulmonary embolism, severe infection, paraplegia and an occurrence of a new fracture in an adjacent vertebra after vertebroplasty. Acute complications are generally associated with the procedure. We present the case of neuraxial anesthesia, developed after local anesthesia with 8 mL of 2% prilocaine, in a 68-year-old woman who underwent percutaneous vertebroplasty after an osteoporotic collapsed fracture in the L1 vertebra due to trauma. To our knowledge, this is the first case in the literature. Resumo: Vertebroplastia percutânea é um procedimento intervencionista relativamente seguro, simples e comumente realizado para tratar fraturas por compressão vertebral. No entanto, as complicações graves relacionadas ao procedimento são raramente relatadas, incluindo embolia pulmonar, infecção grave, paraplegia e a ocorrência de uma nova fratura em vértebra adjacente após a vertebroplastia. Complicações agudas são geralmente associadas ao procedimento. Apresentamos o caso de bloqueio neuroaxial, realizado após anestesia local com 8 mL de prilocaína a 2%, em uma mulher de 68 anos de idade, submetida à vertebroplastia percutânea após fratura osteoporótica na vértebra L1 devido a trauma. De acordo com nossa pesquisa, este é o primeiro caso na literatura. Keywords: Neuraxial anesthesia, Percutaneous vertebroplasty, Vertebra, Fracture, Palavras-chave: Bloqueio neuraxial, Vertebroplastia percutânea, Vértebra, Fraturahttp://www.sciencedirect.com/science/article/pii/S0104001414001791
spellingShingle Hüseyin Balkarlı
Mesut Kılıç
İbrahim Öztürk
Neuraxial anesthesia after local anesthesia for management of percutaneous vertebroplasty complication during vertebroplasty
Brazilian Journal of Anesthesiology
title Neuraxial anesthesia after local anesthesia for management of percutaneous vertebroplasty complication during vertebroplasty
title_full Neuraxial anesthesia after local anesthesia for management of percutaneous vertebroplasty complication during vertebroplasty
title_fullStr Neuraxial anesthesia after local anesthesia for management of percutaneous vertebroplasty complication during vertebroplasty
title_full_unstemmed Neuraxial anesthesia after local anesthesia for management of percutaneous vertebroplasty complication during vertebroplasty
title_short Neuraxial anesthesia after local anesthesia for management of percutaneous vertebroplasty complication during vertebroplasty
title_sort neuraxial anesthesia after local anesthesia for management of percutaneous vertebroplasty complication during vertebroplasty
url http://www.sciencedirect.com/science/article/pii/S0104001414001791
work_keys_str_mv AT huseyinbalkarlı neuraxialanesthesiaafterlocalanesthesiaformanagementofpercutaneousvertebroplastycomplicationduringvertebroplasty
AT mesutkılıc neuraxialanesthesiaafterlocalanesthesiaformanagementofpercutaneousvertebroplastycomplicationduringvertebroplasty
AT ibrahimozturk neuraxialanesthesiaafterlocalanesthesiaformanagementofpercutaneousvertebroplastycomplicationduringvertebroplasty