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Case ReportComplications

Cardiac Cement Embolism After Thoracic Kyphoplasty: Successful Conservative Treatment With 4-Year Follow-Up

Sarah Mills, Javier Pizones, Luis Rodrigo Merino Rueda, Gloria Talavera, José Miguel Sánchez-Márquez and Nicomedes Fernández-Baíllo
International Journal of Spine Surgery February 2022, 16 (1) 27-32; DOI: https://doi.org/10.14444/8173
Sarah Mills
1 Spine Unit, Department of Orthopaedic Surgery, La Paz Hospital Universitario, Madrid, Spain
MD
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Javier Pizones
1 Spine Unit, Department of Orthopaedic Surgery, La Paz Hospital Universitario, Madrid, Spain
MD, PhD
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Luis Rodrigo Merino Rueda
1 Spine Unit, Department of Orthopaedic Surgery, La Paz Hospital Universitario, Madrid, Spain
MD
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Gloria Talavera
1 Spine Unit, Department of Orthopaedic Surgery, La Paz Hospital Universitario, Madrid, Spain
MD
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José Miguel Sánchez-Márquez
1 Spine Unit, Department of Orthopaedic Surgery, La Paz Hospital Universitario, Madrid, Spain
MD, PhD
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Nicomedes Fernández-Baíllo
1 Spine Unit, Department of Orthopaedic Surgery, La Paz Hospital Universitario, Madrid, Spain
MD
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    Figure 1

    Preoperative images consisting of spinal anteroposterior and lateral x-ray images and T2 short tau inversion recovery sagittal magnetic resonance image, where multiple osteoporotic fractures can be seen (some of which are chronic lesions) with acute lesions in T9 and T11 levels (marked with yellow arrows).

  • Figure 2
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    Figure 2

    Postoperative anteroposterior and lateral x-ray images of the spinal region, showing results of kyphoplasty in T9 and T11 and vertebroplasty in T8 and T10 levels. Cement leakage is observed anterior to the vertebral bodies (yellow arrow) and inferior in the lung (blue arrow). In the anteroposterior view, a cylinder can be seen in the right lung with another one over the heart silhouette (marked with yellow arrows).

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    Figure 3

    Postoperative anteroposterior chest x-ray image, showing cement cylinders over the heart silhouette and in the base of the right lung (marked with yellow arrows).

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    Figure 4

    Postoperative computed tomography pulmonary vascular images showing multiple cement embolus (marked with yellow arrows).

  • Figure 5
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    Figure 5

    Postoperative echocardiogram locates the cement embolism in the ventricular septal partition (marked with yellow arrows).

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International Journal of Spine Surgery
Vol. 16, Issue 1
1 Feb 2022
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Cardiac Cement Embolism After Thoracic Kyphoplasty: Successful Conservative Treatment With 4-Year Follow-Up
Sarah Mills, Javier Pizones, Luis Rodrigo Merino Rueda, Gloria Talavera, José Miguel Sánchez-Márquez, Nicomedes Fernández-Baíllo
International Journal of Spine Surgery Feb 2022, 16 (1) 27-32; DOI: 10.14444/8173

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Cardiac Cement Embolism After Thoracic Kyphoplasty: Successful Conservative Treatment With 4-Year Follow-Up
Sarah Mills, Javier Pizones, Luis Rodrigo Merino Rueda, Gloria Talavera, José Miguel Sánchez-Márquez, Nicomedes Fernández-Baíllo
International Journal of Spine Surgery Feb 2022, 16 (1) 27-32; DOI: 10.14444/8173
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Keywords

  • vertebroplasty
  • kyphoplasty
  • cement cardiac embolism
  • vertebral fractures
  • osteoporotic fractures
  • complications

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