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Therapy of thermal injury due to bone cement leakage by cooled normal saline irrigation through epidural catheterization - A case report -
Anesth Pain Med 2018;13(1):93-7
Published online January 31, 2018
© 2018 Korean Society of Anesthesiologists.

Seong Wook Hong1, Hoon Jung2, Kyung Hwa Kwak2, Jaemin Yang1, Hyun Jeong Kim1, and Jun-Mo Park2
1Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, 2Department of Anesthesiology and Pain Medicine, Kyungpook National University Chilgok Hospital, Daegu, Korea
Correspondence to: Jun-Mo Park, M.D., Ph.D.
Department of Anesthesiology and Pain Medicine, Kyungpook National University Chilgok Hospital, 807 Hoguk-ro, Buk-gu, Daegu 41404, Korea
Tel: 82-53-420-5863
Fax: 82-53-426-2760
E-mail: pjm4013@naver.com
ORCID
http://orcid.org/0000-0001-9234-5177
Received July 10, 2017; Revised September 2, 2017; Accepted September 3, 2017.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
A 72-year-old woman was diagnosed with Kümmell’s disease of the T12 and L3 vertebrae. During bone cement injection under continuous fluoroscopic guidance, bone cement spread beyond the posterior border of the T12 vertebral body. We halted the injection immediately. A few minutes later, the patient complained of increasing right lower quadrant abdominal pain. This was diagnosed as a preceding sign of neurological complication due to thermal injury. Consequently, we administered an epidural steroid injection, followed by cooled normal saline irrigation through an epidural catheter to minimize and treat the thermal injury. The pain gradually decreased after saline irrigation and completely disappeared after approximately 10 minutes. After completing the percutaneous vertebroplasty, the patient’s lower back pain improved without neurological complications. In conclusion, immediate epidural steroid injection followed by cooled normal saline irrigation through epidural catheterization can be used to treat thermal injury due to bone cement leakage.
Key Words : Bone cement, Epidural, Injury, Polymethyl methacrylate, Vertebroplasty.


January 2018, 13 (1)
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