2010
DOI: 10.1016/j.spinee.2010.07.394
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Pulmonary cement embolization after kyphoplasty: a case report and review of the literature

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Cited by 27 publications
(23 citation statements)
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“…Furthermore, balloon inflation should theoretically compact the osteoporotic bone, which may seal osseous defects or venous pathways. 6 Once the procedure begins, the injection should be stopped when the bone cement has reached the posterior quarter of the vertebral body, has filled the fracture gap, or has leaked into the epidural space. 7 The use of a preinjection venogram is thought to decrease the incidence of PE, but this procedure is not commonly performed at all centers.…”
Section: Preventionmentioning
confidence: 99%
“…Furthermore, balloon inflation should theoretically compact the osteoporotic bone, which may seal osseous defects or venous pathways. 6 Once the procedure begins, the injection should be stopped when the bone cement has reached the posterior quarter of the vertebral body, has filled the fracture gap, or has leaked into the epidural space. 7 The use of a preinjection venogram is thought to decrease the incidence of PE, but this procedure is not commonly performed at all centers.…”
Section: Preventionmentioning
confidence: 99%
“…Pulmonary cement emboli after vertebroplasty are not uncommon, although incidence rates vary from 1% to 23%. 1,5 Most cases are asymptomatic, with fewer than 1% presenting with dyspnea, 1 and require only observation without treatment. However, for symptomatic cases or patients with a central embolism, standard treatment guidelines for pulmonary thromboembolism, such as anticoagulation, should be followed.…”
Section: Discussionmentioning
confidence: 99%
“…18 This can be explained by the negative pressure exerted by the KP balloon and compaction of the osteoporotic bone, which lessens the risk of vascular leakage. 19 Pulmonary embolization of cement is one of the most feared complications. This problem is estimated to occur in 3.5%-23% of the cases, though less than 1% of the affected patients develop symptoms in the form of dyspnea and tachypnea.…”
Section: Cement Leakagementioning
confidence: 99%