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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 27:230-231, January 2006
© 2006 American Society of Neuroradiology

CASE REPORT
SPINE

Refracture with Cement Extrusion Following Percutaneous Vertebroplasty of a Large Interbody Cleft

A.L. Wagner^a and E. Baskurt^b

^a Department of Radiology, Rockingham Memorial Hospital, Harrisonburg, Va
^b Department of Radiology, University of Virginia Health Systems, Charlottesville, Va

Address correspondence to: Andrew L. Wagner MD, Director of Neuroradiology, Department of Radiology, Rockingham Memorial Hospital, 235 Cantrell Avenue, Harrisonburg, VA 22801

SUMMARY: We present a case report of a patient on long-term dialysis who underwent percutaneous vertebroplasty to treat a painful intrabody vertebral cleft and who subsequently experienced a refracture of the posterior portion of the same vertebral body, resulting in anterior displacement of the cement through the anterior cortex. The case raises the question whether, in some patients, the marrow space should be filled with cement in addition to the cleft.

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