Pulmonary embolism caused by PMMA in percutaneous vertebroplasty.: Case report and review of the literature

被引:16
作者
Pleser, M
Roth, R
Wörsdörfer, O
Manke, C
机构
[1] Klinikum Fulda, Unfallchirurg Orthopad Klin, D-36043 Fulda, Germany
[2] Klinikum Fulda, Klin Diagnost & Interventionelle Radiol, Fulda, Germany
来源
UNFALLCHIRURG | 2004年 / 107卷 / 09期
关键词
percutaneous vertebroplasty; polymethylmethacrylate; pulmonary embolism; complication osteoporosis;
D O I
10.1007/s00113-004-0763-5
中图分类号
R4 [临床医学];
学科分类号
1002 [临床医学]; 100602 [中西医结合临床];
摘要
We report on an 80-year-old female patient with osteoporotic collapse of the L1 vertebra who developed absolute stenosis of the spinal canal. During preoperative vertebra augmentation with PMMA (polymethylmethacrylate), pulmonary embolism developed due to perivertebral leakage of acrylic cement. According to the literature, leakage of PMMA during (percutaneous) vertebroplasty is a more frequent complication than assumed so far, In view of the favorable prognosis of osteoporotic vertebral compression fractures with noninvasive management, we emphasize the need for clear and individual indications and adequate technical settings.
引用
收藏
页码:807 / 811
页数:5
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