Abstract
Instrumentation with cement-augmented pedicle screws has expanded the therapeutic spectrum. This technique is useful for the palliation of bone metastases and in generalized osteoporosis. Serious complications such as pulmonary embolism have been described following percutaneous vertebroplasty, a frequently used technique. We report the case of a 55-year-old patient with a large central Palacos embolism of the right pulmonary artery after corporectomy of the lumbar vertebrae 3 and 4 and reconstruction using autologous pelvic bone. The large Palacos embolism was removed successfully from the right pulmonary artery with extracorporeal circulation.
© Georg Thieme Verlag KG Stuttgart · New York.
MeSH terms
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Anti-Bacterial Agents / therapeutic use
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Antihypertensive Agents / therapeutic use
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Bone Cements / adverse effects*
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Embolectomy
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Extracorporeal Circulation
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Foreign-Body Migration / diagnostic imaging
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Foreign-Body Migration / etiology*
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Foreign-Body Migration / therapy
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Fracture Fixation / adverse effects*
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Humans
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Lumbar Vertebrae / diagnostic imaging
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Lumbar Vertebrae / injuries
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Lumbar Vertebrae / surgery*
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Male
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Middle Aged
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Pulmonary Embolism / diagnostic imaging
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Pulmonary Embolism / etiology*
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Pulmonary Embolism / therapy
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Spinal Fractures / diagnostic imaging
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Spinal Fractures / surgery*
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Tomography, X-Ray Computed
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Treatment Outcome
Substances
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Anti-Bacterial Agents
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Antihypertensive Agents
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Bone Cements