Renal cement embolism during percutaneous vertebroplasty

被引：43

作者：

Chung S.-E. ^{[1
]}

Lee S.-H. ^{[2
]}

Kim T.-H. ^{[1
,3
]}

Yoo K.H. ^{[1
,4
]}

Jo B.-J. ^{[1
]}

机构：

[1] Department of Diagnostic Radiology, Wooridul Spine Hospital, Seoul

[2] Department of Neurosurgery, Wooridul Spine Hospital, Seoul

[3] Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul

[4] Department of Orthopedics, Wooridul Spine Hospital, Seoul

来源：

European Spine Journal | 2006年 / 15卷 / Suppl 5期

关键词：

Bone cement; Embolism; Percutaneous vertebroplasty; Vertebral venous system;

D O I：

10.1007/s00586-005-0037-0

中图分类号：

学科分类号：

摘要：

Percutaneous vertebroplasty (PVP) is an effective treatment for lesions of the vertebral body that involves a percutaneous injection of polymethylmethacrylate (PMMA). Although PVP is considered to be minimally invasive, complications can occur during the procedure. We encountered a renal embolism of PMMA in a 57-year-old man that occurred during PVP. This rare case of PMMA leakage occurred outside of the anterior cortical fracture site of the L1 vertebral body, and multiple tubular bone cements migrated to the course of the renal vessels via the valveless collateral venous network surrounding the L1 body. Although the authors could not explain the exact cause of the renal cement embolism, we believe that physicians should be aware of the fracture pattern, anatomy of the vertebral venous system, and careful fluoroscopic monitoring to minimize the risks during the PVP. © 2006 Springer-Verlag.

引用

页码：S590 / S594

页数：4

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