# Minimally Invasive Robotic Approach to Treating Cement Leakage Into the Psoas: A Case Report

## TL;DR

A 78-year-old woman with cement leakage into the psoas was successfully treated using a robotic system for precise, minimally invasive removal.

## Contribution

This case report presents a novel robotic approach for treating rare symptomatic intrapsoas cement leakage.

## Key findings

- Robotic guidance enabled safe and accurate en bloc cement removal from the psoas.
- Symptoms resolved immediately after the minimally invasive procedure.
- Symptomatic intrapsoas cement leakage causing radiculopathy is a rare clinical scenario.

## Abstract

A 78-year-old woman developed groin and thigh pain, numbness, and hip flexion weakness. Imaging revealed cement leakage from an L4 screw into the psoas, compressing a lumbar plexus branch. Using a spinal robotic system (ExcelsiusGPS, Globus Medical, Inc., Audubon, PA), a minimally invasive approach enabled precise incision planning, safe psoas dissection, and en bloc cement removal. Symptoms resolved immediately. Symptomatic intrapsoas cement leakage causing radiculopathy is rare, and robotic guidance contributed to a safe, accurate procedure.