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European Spine Journal

27-09-2024 | Magnetic Resonance Imaging | Case Report

Isolated vertebral bone infarction following lumbar artery embolization- a case report

Authors: Jakob Steiner, Michael Janisch, Marton Magyar, Michael Fuchsjäger, Gabriel Adelsmayr

Published in: European Spine Journal

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Abstract

Purpose

To report a rare case of isolated lumbar vertebral body infarction following lumbar artery embolization for suspected retroperitoneal haemorrhage.

Methods

We present the case of a 75-year-old male who underwent lumbar artery embolization due to a suspected retroperitoneal haemorrhage post-surgery. Magnetic resonance imaging (MRI) was performed to monitor post-embolization severe lumbar pain.

Results

Initial MRI two days post-embolization showed no osseous signal changes or epidural abscess. A subsequent MRI 26 days post-embolization was performed because of increasing lumbar back pain and it revealed a new bone infarction at the L3 vertebral body. CT showed embolization deposits within the vertebral body, not present before the procedure.

Conclusion

This unique case underscores the importance of considering vertebral body infarction as a potential complication following lumbar artery embolization. MRI was critical in early detection of the bone infarction, while CT confirmed the presence of embolization material. Awareness of this rare complication is crucial for prompt diagnosis and management.
Literature
1.
2.
Tasu JP, Vesselle G, Herpe G, Ferrie JC, Chan P, Boucebci S, Velasco S (2015) Postoperative abdominal bleeding. Diagn Interv Imaging 96(7–8):823–831CrossRefPubMed
3.
Grigoriadis S, Georgiadi E, Sidiropoulos TA, Efthimiou E, Spiliopoulos S (2024) Spinal cord ischemia after lumbar artery embolization for retroperitoneal hemorrhage. J Vasc Interv Radiol 35(2):329–330CrossRefPubMed
4.
Cheng MY, Lyu RK, Chang YJ, Chen CM, Chen ST, Wai YY, Ro LS (2009) Concomitant spinal cord and vertebral body infarction is highly associated with aortic pathology: a clinical and magnetic resonance imaging study. J Neurol 256(9):1418–1426CrossRefPubMed
5.
Elizabeth Pérez H, Eulalio Elizalde M, Juan Manuel Torres F (2017) Vertebral Osteonecrosis. In: Osteonecrosis. edn. Edited by Alessandro RZ, Joao Batista de M. Rijeka: IntechOpen; : Ch. 3
6.
Barakat E, Guischer N, Houssiau F, Lecouvet FE (2019) The birth of death: MRI step-by-step reveals the early appearance of a bone marrow infarct. Acta Radiol Open 8(3):2058460119834691PubMedPubMedCentral
7.
Fiore G, Bertani GA, Tariciotti L, Borsa S, Paolucci A, Taramasso L, Locatelli M, Pluderi M (2023) Vertebral body infarction after Transarterial Preoperative Embolization of a vertebral hemangioma. J Neurol Surg Cent Eur Neurosurg 84(6):588–592CrossRef
Metadata
Title
Isolated vertebral bone infarction following lumbar artery embolization- a case report
Authors
Jakob Steiner
Michael Janisch
Marton Magyar
Michael Fuchsjäger
Gabriel Adelsmayr
Publication date
27-09-2024
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-024-08507-z