PMC9852322_01
MRI showing fresh compression fracture of L1 vertebrae.
fsurg-09-1048107-g001.jpg
PMC9852322_01_fsurg-09-1048107-g001.jpg
F1
Preoperative MRI of the thoracic and lumbar vertebrae confirmed the diagnosis of fresh compression fracture of the L1 vertebrae (Figure 1).
Intraoperative C-arm fluoroscopy showed bone cement penetrating the anterior wall and leaking into the surrounding area.
fsurg-09-1048107-g002.jpg
PMC9852322_01_fsurg-09-1048107-g002.jpg
F2
C-arm examination was performed again, and it was found that there was partial leakage of bone cement at the anterior edge of the vertebral body (Figure 2).
Abdominal CT showing obvious peripancreatic effusion with fuzzy edges, and high density bone cement shadow was seen in the right anterior of L1 vertebra.
fsurg-09-1048107-g003.jpg
PMC9852322_01_fsurg-09-1048107-g003.jpg
F3
Abdominal Doppler ultrasonography revealed peripancreatic effusion. Abdominal CT showed obvious peripancreatic effusion, increased pancreatic volume with fuzzy edges, and a high-density bone cement shadow in the right anterior L1 vertebra (Figure 3).
Postoperative 3D reconstruction showing that the cement was located in the right anterior of L1 vertebra, adjacent to the pancreas.
fsurg-09-1048107-g004.jpg
PMC9852322_01_fsurg-09-1048107-g004.jpg
F4
Three-dimensional reconstruction showed that the cement was located in the diaphragm, thickened and adjacent to the inferior vena cava and abdominal aorta (Figure 4).
Abdominal CT showed no signs of pancreatitis and bone cement remained inside the diaphragm at 6 months of follow-up.
fsurg-09-1048107-g005.jpg
PMC9852322_01_fsurg-09-1048107-g005.jpg
F5
At 6 months of follow-up, abdominal CT showed that the pancreas was normal in shape, and the bone cement in the diaphragmatic crura still existed, but the thickening of the diaphragm was significantly reduced (Figure 5).