Case Presentation
Lower Limb Monoplegia
Abstract
We report the case of a 68-year-old man with multiple cardiovascular and oncological comorbidities (active lung and prostate cancer) who developed rapidly progressive acute paraplegia following percutaneous bone biopsy, percutaneous fixation, and bipedicular kyphoplasty at L1. Although computed tomography ruled out mechanical causes and cement leakage, magnetic resonance imaging confirmed spinal cord ischemia extending from T9 to L4. This report analyzes the multifactorial etiology of the event, highlighting the interaction between paraneoplastic hypercoagulability and the surgical technique as key factors to be considered during preoperative planning.Downloads
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