Kyphoplasty Conundrum: Cement Extravasation after Attempted Compression Fracture Repair

Saturday, November 15, 2025

10:24 AM - 10:32 AM CT

Location: Griffin Hall - Screen 02

Introduction: Cement extravasation is a known complication of percutaneous vertebral augmentation. While kyphoplasty is considered superior to vertebroplasty in minimizing leakage risk, the incidence remains as high as 47% [1,4]. Most leaks occur into perivertebral veins and are asymptomatic. However, cement may migrate into the spinal canal, neural foramina, or vasculature, potentially causing neurological deficits, epidural compression, or even pulmonary embolism [2,3]. These rare but serious outcomes underscore the importance of careful technique and patient selection.

Submitting Author(s)

AW

Aleksandar R. Wood, DO

CA-2
Cook County Health
Chicago, Illinois, United States

Co-Author(s)

DS

Delia Shaher, MA

MS-4
Cook County Health, Illinois, United States
RG

Ramsis Ghaly, MD

Neurosurgery, Anesthesiology, Neurocritical Care, and Pain Management Attending
Cook County Health, Ghaly Neurosurgical Associates
Aurora, Illinois, United States