Pulmonary cement embolism following transpedicular screws placement for thoracolumbar fractures.

Autor:	Gomez FA; Department of Spine Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia., Herrera OM; Department of Spine Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia., Gaona JLV; Department of Spine Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia., Reyes CAF; Department of Spine Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia., Gutiérrez MLC; Department of Spine Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia., Saenz LCM; Department of Spine Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Jazyk:	angličtina
Zdroj:	Surgical neurology international [Surg Neurol Int] 2021 Sep 30; Vol. 12, pp. 495. Date of Electronic Publication: 2021 Sep 30 (Print Publication: 2021).
DOI:	10.25259/SNI_817_2021
Abstrakt:	Background: Symptomatic pulmonary cement embolism in patients undergoing thoracic transpedicular fenestrated screw placement is rare. Here, we have added a 64-year-old female undergoing transpedicular screw placement for a T11 fracture who developed a pulmonary cement embolism intraoperatively and add this case to 13 others identified in the literature. Case Description: A 64-year-old female presented with a type "C", ASIA "E" T11 fracture. The thoracolumbar pedicle screw fixation was supplemented with bone cement due to her underlying severe osteoporosis. During the fluoroscopy-guided supplementation with bone cement, a leak through the paravertebral venous system was noted. Thirty minutes later, the patient acutely developed extreme respiratory failure and required mechanical ventilation for the next 2 days. The diagnosis of pulmonary embolism due to bone cement was confirmed on a contrast computed tomography study of the chest. Conclusion: Symptomatic pulmonary cement embolization supplementing transpedicular screws placement for osteoporotic bone is rare. Here, we present a 64-year-old female who during transpedicular fixation of a T11 fracture developed an acute pulmonary embolism from the bone cement resulting in the need for 2 days of postoperative artificial ventilation. Competing Interests: There are no conflicts of interest. (Copyright: © 2021 Surgical Neurology International.)
Databáze:	MEDLINE
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