Evidence map›Paper›PMID 41820991›Full record

ArticleBMC surgery2026

Bone cement displacement after percutaneous vertebroplasty for a three-column fracture: a case report.

Yuhang Qin, Shuai Zhang

Abstract readCase Reports
In one paragraph

Article in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Yuhang QinSouthwest Medical University, Luzhou, Sichuan, 646000, China.
Shuai ZhangDepartment of Orthopedics, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, 646000, China. zsspine199208@163.com.

Funding

Natural Science Foundation of Sichuan Province NO.2023NSFSC0333Postdoctoral Research Start-up Fund of Southwest Medical University NO. 25034Sichuan Provincial Science and Technology Support Program NO.2022-YFS0628
6 · The paper itself

Abstract

backgroundSince the first case report by Tsung-Ting Tsai, bone cement displacement (BCD) has emerged as a catastrophic complication. Factors contributing to this complication include high body mass index (BMI), intravertebral clefts, vertebral wall fractures, excessive Cobb angle correction, and bone cement leakage, among others. However, it remains unclear whether performing percutaneous vertebroplasty (PVP) surgery alone for preoperatively easily missed unstable spinal fractures is a potential risk factor for the occurrence of BCD. This case presents a rare case in which a three-column fracture was misdiagnosed as a simple compression fracture, leading to bone cement displacement after PVP surgery. We analyzed the causes of misdiagnosis and proposed feasible treatment strategies and preventive suggestions. CASE PRESENTATION: An early 70s male underwent PVP for a three-column fracture was misdiagnosed as a L1 simple compression vertebral fracture. About 45 days after the surgery, he developed lower back pain along with pain in both sides of the groin areas and the front area of his thighs. X-ray imaging revealed a forward movement (anterior displacement) of the bone cement from the L1 vertebral body. The patient underwent surgery involving posterior pedicle screw fixation and bone graft fusion, covering T11–L2 vertebra. Following this surgery, the patient reported significant improvement in his symptoms.

conclusionPVP for three-column spinal fractures carries a risk of BCD. Accurate identification of three-column fractures before surgery is the key to preventing displacement of BCD. For BCD patients with poor overall condition, selecting pure pedicle screw internal fixation to reconstruct spinal stability may be a potentially feasible alternative to alleviate the patients’ clinical symptoms.

Indexed as

Bone CementsForeign-Body MigrationFractures, CompressionPostoperative ComplicationsSpinal FracturesVertebroplastyAgedDiagnostic ErrorsHumansLumbar VertebraeMaleThoracic VertebraeBone CementsBone cement displacementBone graft fusionPedicle screw internal fixationPercutaneous vertebroplastyThree-column spinal fractures

Identifiers

PMID41820991
PMCPMC13097861

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.