Cement pulmonary embolism after vertebroplasty. Case report and literature review
DOI:
https://doi.org/10.53903/01212095.210Keywords:
Vertebroplasty, kyphoplasty, pulmonary embolism, bone cementAbstract
Vertebral fractures can be a painful and disabling problem for patients with osteoporosis, neoplastic and/or metastatic bone lesions. Given their increasing incidence in the elderly population and in oncological patients, multiple conservative and non-conservative managements have been proposed. Among the minimally invasive treatments are vertebral cementation techniques, such as vertebroplasty or kyphoplasty; procedures that have shown high efficacy when it comes to treating compression fractures and reducing intense uncontrolled pain. Some complications associated with these interventions have been described, the most frequent being those derived
from cement leakage, since cement can reach the pulmonary circulation after infiltrating through
the vertebral and azygos venous system. The manifestations and/or complications of the leak will
depend on the amount of embolized cement and the occluded artery. We present the case of a 56-year-old patient who underwent vertebroplasty and kyphoplasty for persistent and severe low back pain associated with vertebral compression fractures who presented a cement leak into the pulmonary artery after the procedure. Despite presenting a pulmonary embolism, the patient had
no symptoms or complications during follow-up.
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