Case report: Shock after percutaneous vertebroplasty of the 5th thoracic vertebra

Bibliographic Details
Title: Case report: Shock after percutaneous vertebroplasty of the 5th thoracic vertebra
Authors: Shenshen Hao, Xin Yu, Laihao Li, Shuai Liu, Hongke Li, Shengli Dong, Xinhao Cao
Source: Frontiers in Surgery, Vol 10 (2023)
Publisher Information: Frontiers Media S.A., 2023.
Publication Year: 2023
Collection: LCC:Surgery
Subject Terms: percutaneous vertebroplasty, osteoporotic vertebral compression fracture, shock, treatment, case report, Surgery, RD1-811
More Details: BackgroundPercutaneous vertebroplasty (PVP) is a common treatment for osteoporotic vertebral compression fracture (OVCF). Perioperative bleeding is usually rare, so there are few reports of shock. However, we developed shock after treating a case of OVCF of the 5th thoracic vertebra with PVP.Case presentationAn 80 years old female patient received PVP due to OVCF of the 5th thoracic vertebra. The operation was successfully completed and the patient returned to the ward safely after the operation. At 90 min after operation, she developed shock, which was induced by subcutaneous hemorrhage up to 1500 ml at the puncture site. Before using vascular embolization, transfusion and blood transfusion were used to maintain blood pressure, and local ice bag compression was used to reduce swelling and stop bleeding, which achieved successful hemostasis. She recovered and discharged after 15 days, with the hematoma having absorbed. There was no recurrence during the 17-month follow-up.ConclusionAlthough PVP is considered to be a safe and effective method to treat OVCF, the possible hemorrhagic shock still needs to arouse the vigilance of surgeons.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2296-875X
Relation: https://www.frontiersin.org/articles/10.3389/fsurg.2023.1120346/full; https://doaj.org/toc/2296-875X
DOI: 10.3389/fsurg.2023.1120346
Access URL: https://doaj.org/article/80e0e0bac11944e4aaf224678db99f05
Accession Number: edsdoj.80e0e0bac11944e4aaf224678db99f05
Database: Directory of Open Access Journals
More Details
ISSN:2296875X
DOI:10.3389/fsurg.2023.1120346
Published in:Frontiers in Surgery
Language:English