polenovjournalРоссийский нейрохирургический журнал имени профессора А. Л. ПоленоваRussian Neurosurgical Journal named after Professor A. L. Polenov2071-2693Семинары, Конференции и Форумыpolenovjournal-100Research ArticleОБЗОРЫ ЛИТЕРАТУРЫ И КЛИНИЧЕСКИЕ СЛУЧАИREVIEWS OF LITERATURE AND CLINICAL CASESЭмболия цементом ветвей легочной артерии после транспедикулярной фиксации с применением костного цементаPulmonary cement embolism after pedicle screw cement fixationhttps://orcid.org/0000-0001-5449-9394ДавыдовД. В.DavydovD. V.

Москва

Moscow

https://orcid.org/0000-0002-2953-9902ГизатуллинШ. Х.GizatullinSh. Kh.

Москва

Moscow

https://orcid.org/0000-0002-4252-7084КолобаеваЕ. Г.KolobaevaE. G.

Москва

Moscow

https://orcid.org/0000-0003-1946-5337АнтоховВ. П.AntokhovV. P.

Москва

Moscow

https://orcid.org/0000-0003-4241-2874ФиллимоновМ. С.FillimonovM. S.

Москва

Moscow

ФГБУ «Главный военный клинический госпиталь имени академика Н. Н. Бурденко»,РоссияMain Military Clinical Hospital n. a. N. N. BurdenkoRussian FederationФГБУ «Главный военный клинический госпиталь имени академика Н. Н. Бурденко»РоссияMain Military Clinical Hospital n. a. N. N. BurdenkoRussian Federation202107082024132102108Copyright © Давыдов Д.В., Гизатуллин Ш.Х., Колобаева Е.Г., Антохов В.П., Филлимонов М.С., 20242024Давыдов Д.В., Гизатуллин Ш.Х., Колобаева Е.Г., Антохов В.П., Филлимонов М.С.Davydov D.V., Gizatullin S.K., Kolobaeva E.G., Antokhov V.P., Fillimonov M.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://polenovjournal.elpub.ru/jour/article/view/100

Применение костного цемента в хирургии позвоночника в большинстве случаев не приводит к клинически значимым осложнениями остаётся бессимптомным, однако иногда может приводить к серьезным клиническим последствиям с картиной эмболии цементом. Наиболее широко в литературе освещены последствия вертебропластики по поводу гемангиом, травм, остеопороза. В то же время осложнения, связанные с аугментацией винтов при транспедикулярной фиксации упоминаются редко. В статье представлены два клинических случая эмболии цементом ветвей легочной артерии после транспедикулярной фиксации. Описаны клинические проявления, диагностический поиск причин гемодинамических и дыхательных нарушений. Приведен краткий обзор литературы по осложнениям, профилактике и лечению осложнений применения костного цемента. Уверенная дифференциальная диагностика причин развившейся клинической картины затруднительна. Выявляемые цементные эмболы легочной артерии, как правило, не имеют клинического значения.

The use of bone cement in spinal surgery in most cases does not lead to clinically significant complications and remains asymptomatic, but sometimes it can lead to serious clinical consequences of cement embolism. The consequences of vertebroplasty for hemangiomas, trauma, osteoporosis are most widely covered in the literature. At the same time, the complications associated with cement strengthening of screws during pedicle fixation are poorly covered. The article presents two clinical cases of symptomatic cement embolism of the branches of the pulmonary artery after pedicle screws fixation. Clinical manifestations, differential diagnosis of the causes of hemodynamic and respiratory disorders are described. There is a brief review of the literature on complications, prevention and treatment of complications from the use of bone cement. Differential diagnosis of the causes of the clinical manifestations is difficult. Revealed cement pulmonary embolism are usually of no clinical significance.

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The authors declare that there are no conflicts of interest present.