Pulmonary cement embolism after pedicle screw cement fixation
Abstract
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.
About the Authors
D. V. Davydov
Main Military Clinical Hospital n. a. N. N. Burdenko
Russian Federation
Russian Federation
Moscow
Sh. Kh. Gizatullin
Main Military Clinical Hospital n. a. N. N. Burdenko
Russian Federation
Russian Federation
Moscow
E. G. Kolobaeva
Main Military Clinical Hospital n. a. N. N. Burdenko
Russian Federation
Russian Federation
Moscow
V. P. Antokhov
Main Military Clinical Hospital n. a. N. N. Burdenko
Russian Federation
Russian Federation
Moscow
M. S. Fillimonov
Main Military Clinical Hospital n. a. N. N. Burdenko
Russian Federation
Russian Federation
Moscow
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Review
For citations:
Davydov D.V., Gizatullin Sh.Kh., Kolobaeva E.G., Antokhov V.P., Fillimonov M.S. Pulmonary cement embolism after pedicle screw cement fixation. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2021;13(2):102-108. (In Russ.)
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