Pulmonary cement embolism following transpedicular screws placement for thoracolumbar fractures
| Autor: | Martha L Caicedo Gutiérrez, Luis C Morales Saenz, Fernando Alvarado Gomez, Omar Marroquín Herrera, Jorge L Villán Gaona, Carlos A. Reyes |
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| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Artificial ventilation Leak medicine.medical_specialty Polymethylmethacrylate medicine.medical_treatment Case Report Thoracolumbar fracture medicine Embolization Mechanical ventilation business.industry Pulmonary embolism equipment and supplies musculoskeletal system medicine.disease Bone cement Surgery surgical procedures operative Embolism Respiratory failure Fenestrated transpedicular screws Neurology (clinical) business |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 |
| DOI: | 10.25259/sni_817_2021 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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