Neuraxial anesthesia after local anesthesia for management of percutaneous vertebroplasty complication during vertebroplasty

Abstract

Percutaneous vertebroplasty is a relatively safe, simple and commonly performed interventional procedure for the management of vertebral compression fractures. However, serious complications are rarely reported in the procedure. Those are pulmonary embolism, severe infection, paraplegia and an occurrence of a new fracture in an adjacent vertebra after vertebroplasty. Acute complications are generally associated with the procedure. We present the case of neuraxial anesthesia, developed after local anesthesia with 8mL of 2% prilocaine, in a 68-year-old woman who underwent percutaneous vertebroplasty after an osteoporotic collapsed fracture in the L₁ vertebra due to trauma. To our knowledge, this is the first case in the literature.

Keywords: Bloqueio neuraxial; Fracture; Fratura; Neuraxial anesthesia; Percutaneous vertebroplasty; Vertebra; Vertebroplastia percutânea; Vértebra.