Percutaneous kyphoplasty (PKP) has been increasingly used for painful osteoporotic vertebral compression fracture (OVCF) , while bone cement leakage is one of its common complications. In clinical practice, the most patients with bone cement leakage have no symptoms, but a few patients with severe symptoms need be re-operated to remove the leaked bone cement. We reported a case of paraverte- bral leakage of bone cement secondary to PKP for OVCF who underwent revision surgery to remove the paravertebral bone cement leakage block due to dull pain in the right lower abdomen. In addition, the related literatures were reviewed in this article.