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Pulmonary Cement Embolism after Vertebroplasty
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Pulmonary Cement Embolism after Vertebroplasty
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Journal Article
Pulmonary Cement Embolism after Vertebroplasty
2012
Overview
A 61-year-old man with spinal cord compression underwent therapeutic laminectomy of the fifth vertebra and laminectomy and vertebroplasty of the fourth vertebra. During the vertebroplasty, polymethylmethacrylate cement leaked into the paravertebral vascular system.
A 61-year-old man with spinal cord compression caused by a vertebral hemangioma underwent therapeutic laminectomy of the fifth vertebra and laminectomy and vertebroplasty of the fourth vertebra. During the vertebroplasty, polymethylmethacrylate cement leaked into the paravertebral vascular system. In the recovery room, the patient was mildly hypoxemic but otherwise asymptomatic. A chest radiograph and an image subsequently obtained with computed tomography revealed that some of the injected cement had embolized and entered the systemic circulation, where it lodged in the segmental and subsegmental pulmonary arteries of the middle lobes and the superior segment of the lower lobe (arrows) of the . . .
Publisher
Massachusetts Medical Society
