Intracardiac,pulmonary cement embolism in a 67-year-old female after cement-augmented pedicle screw instrumentation:A case report and review of literature
作者机构：Department of OrthopedicsSun Yat-Sen Memorial HospitalSun Yat-Sen UniversityGuangzhou 510289Guangdong ProvinceChina Department of OrthopedicsGuangdong Women and Children HospitalGuangzhou 511400Guangdong ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2021年第9卷第13期
页 面：3120-3129页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
基 金：Fundamental Research Funds for the Central Universities No.20ykpy94
主 题：Osteoporosis Polymethyl methacrylate cement Pulmonary embolism Cement-augmented pedicle screw instrumentation Conservative treatment Case report
摘 要：BACKGROUND We report a case of Intracardiac,pulmonary,and intravenous cement embolism after cement-augmented pedicle screw instrumentation in treating spondylolisthesis underlying osteoporotic bone,which was successfully managed by conservative *** describe the treatment and outcome of the patient,hoping to shed light on the management of bone cement *** SUMMARY A 67-year-old female suffered from progressive low back pain and numbness in lower extremities for 30 *** was diagnosed with L4 and L5 spondylolisthesis,spinal stenosis,and *** patient underwent spinal canal decompression,an interbody fusion of L4/5 and L5/S1,cement-augmented pedicle screw instrumentation in L4-L5 segments,and regular pedicle screw in S1 *** days postoperatively,a sudden drop in oxygen saturation *** tomography scan confirmed Intracardiac,pulmonary,and intravenous *** patient was treated conservatively by continuous low-flow oxygen inhalation,anti-coagulation,and antibiotic therapy for 1 mo and continued anticoagulation treatment for 6 *** patient showed no further symptoms in a 30-mo *** Intracardiac,pulmonary cement embolism after cement-augmented pedicle screw instrumentation is extremely *** clinical and radiographic evaluation is required in multiple sites of bone cement *** treatment may be a primary consideration in scattered emboli without life-threatening conditions,but a clinical decision should be made on an individualized basis.
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