Abstract A 79-year-old woman with osteoporosis and prior multilevel kyphoplasty presented with recurrent severe back pain. MRI demonstrated acute-on-chronic fractures from T11 to L1, with prior kyphoplasty changes at these levels. CT demonstrated poor cement filling of the L1 vertebral body with an intraosseous vacuum phenomenon. She underwent redo vertebroplasty at L1. Post-procedural imaging confirmed adequate cement filling without complications. Post-procedurally, her pain improved from 10/10 to 4/10, allowing cessation of scheduled acetaminophen. This case highlights the technical feasibility of redo vertebroplasty in patients with prior augmentation, emphasizing the need for careful navigation around existing cement and the role of interventional radiology in longitudinal management.
Schutt et al. (Thu,) studied this question.