case_images: PMC9852322_01
case_images: MRI showing fresh compression fracture of L1 vertebrae.
case_images: fsurg-09-1048107-g001.jpg
case_images: PMC9852322_01_fsurg-09-1048107-g001.jpg
case_images: F1
case_images: Preoperative MRI of the thoracic and lumbar vertebrae confirmed the diagnosis of fresh compression fracture of the L1 vertebrae (Figure 1).
case_images: Intraoperative C-arm fluoroscopy showed bone cement penetrating the anterior wall and leaking into the surrounding area.
case_images: fsurg-09-1048107-g002.jpg
case_images: PMC9852322_01_fsurg-09-1048107-g002.jpg
case_images: F2
case_images: 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).
case_images: Abdominal CT showing obvious peripancreatic effusion with fuzzy edges, and high density bone cement shadow was seen in the right anterior of L1 vertebra.
case_images: fsurg-09-1048107-g003.jpg
case_images: PMC9852322_01_fsurg-09-1048107-g003.jpg
case_images: F3
case_images: 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).
case_images: Postoperative 3D reconstruction showing that the cement was located in the right anterior of L1 vertebra, adjacent to the pancreas.
case_images: fsurg-09-1048107-g004.jpg
case_images: PMC9852322_01_fsurg-09-1048107-g004.jpg
case_images: F4
case_images: 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).
case_images: Abdominal CT showed no signs of pancreatitis and bone cement remained inside the diaphragm at 6 months of follow-up.
case_images: fsurg-09-1048107-g005.jpg
case_images: PMC9852322_01_fsurg-09-1048107-g005.jpg
case_images: F5
case_images: 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).