Cardiac Perforation Caused by Cement Embolus after Cement-Augmented Pedicle Screw Instrumentation: A Case of Report

Cement-augmented pedicle screw instrumentation (CAPSI) is a widely used surgical technique in posterior spondylodesis of osteoporotic patients. Complications related to cement leakage after CAPSI was rarely reported compare to that of vertebroplasty, kyphoplasty and most of them are asymptomatic. He...

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Main Authors: Hyun Jun Kim, Eun Soo Park, Sang Ho Lee, Tak Hyuk Oh, Chan Hong Park, Yong Hwan Shin
Format: Article
Language:English
Published: Korean Minimally Invasive Spine Surgery Society 2020-04-01
Series:Journal of Minimally Invasive Spine Surgery and Technique
Subjects:
Online Access:http://www.jmisst.org/upload/pdf/jmisst-2020-00094.pdf
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author Hyun Jun Kim
Eun Soo Park
Sang Ho Lee
Tak Hyuk Oh
Chan Hong Park
Yong Hwan Shin
author_facet Hyun Jun Kim
Eun Soo Park
Sang Ho Lee
Tak Hyuk Oh
Chan Hong Park
Yong Hwan Shin
author_sort Hyun Jun Kim
collection DOAJ
description Cement-augmented pedicle screw instrumentation (CAPSI) is a widely used surgical technique in posterior spondylodesis of osteoporotic patients. Complications related to cement leakage after CAPSI was rarely reported compare to that of vertebroplasty, kyphoplasty and most of them are asymptomatic. Herein the authors report the case of a 67-year-old female who experienced cardiac perforation by string shape cement embolus after CAPSI. She underwent the foreign body removal operation through the 5th intercostal thoracotomy and she was well recovered consequently. Surgeons should be aware of this complication entity when encounter postoperative chest pain to avoid fatal results. The authors also reviewed the case reports for cardiac perforation by cement embolus and preventive modalities for the cement leakage.
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spelling doaj.art-02fc29d5b224416e9f90870195ba24022023-01-17T06:09:20ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432020-04-0151313510.21182/jmisst.2020.0009467Cardiac Perforation Caused by Cement Embolus after Cement-Augmented Pedicle Screw Instrumentation: A Case of ReportHyun Jun Kim0Eun Soo Park1Sang Ho Lee2Tak Hyuk Oh3Chan Hong Park4Yong Hwan Shin5 Department of Neurosurgery, Daegu Wooridul Spine Hospital, Daegu, Korea Department of Neurosurgery, Daegu Wooridul Spine Hospital, Daegu, Korea Department of Neurosurgery, Wooridul Spine Hospiral, Seoul, Korea Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Daegu, Korea Department of Anesthesiology and Pain Medicine, Daegu Wooridul Spine Hospital, Daegu, Korea Department of Neurosurgery, Daegu Wooridul Spine Hospital, Daegu, KoreaCement-augmented pedicle screw instrumentation (CAPSI) is a widely used surgical technique in posterior spondylodesis of osteoporotic patients. Complications related to cement leakage after CAPSI was rarely reported compare to that of vertebroplasty, kyphoplasty and most of them are asymptomatic. Herein the authors report the case of a 67-year-old female who experienced cardiac perforation by string shape cement embolus after CAPSI. She underwent the foreign body removal operation through the 5th intercostal thoracotomy and she was well recovered consequently. Surgeons should be aware of this complication entity when encounter postoperative chest pain to avoid fatal results. The authors also reviewed the case reports for cardiac perforation by cement embolus and preventive modalities for the cement leakage.http://www.jmisst.org/upload/pdf/jmisst-2020-00094.pdfcardiac perforation by cement emboluscement leakagecementaugmented pedicle screwcomplications related to cement leakageosteoporosisvertebroplasty
spellingShingle Hyun Jun Kim
Eun Soo Park
Sang Ho Lee
Tak Hyuk Oh
Chan Hong Park
Yong Hwan Shin
Cardiac Perforation Caused by Cement Embolus after Cement-Augmented Pedicle Screw Instrumentation: A Case of Report
Journal of Minimally Invasive Spine Surgery and Technique
cardiac perforation by cement embolus
cement leakage
cementaugmented pedicle screw
complications related to cement leakage
osteoporosis
vertebroplasty
title Cardiac Perforation Caused by Cement Embolus after Cement-Augmented Pedicle Screw Instrumentation: A Case of Report
title_full Cardiac Perforation Caused by Cement Embolus after Cement-Augmented Pedicle Screw Instrumentation: A Case of Report
title_fullStr Cardiac Perforation Caused by Cement Embolus after Cement-Augmented Pedicle Screw Instrumentation: A Case of Report
title_full_unstemmed Cardiac Perforation Caused by Cement Embolus after Cement-Augmented Pedicle Screw Instrumentation: A Case of Report
title_short Cardiac Perforation Caused by Cement Embolus after Cement-Augmented Pedicle Screw Instrumentation: A Case of Report
title_sort cardiac perforation caused by cement embolus after cement augmented pedicle screw instrumentation a case of report
topic cardiac perforation by cement embolus
cement leakage
cementaugmented pedicle screw
complications related to cement leakage
osteoporosis
vertebroplasty
url http://www.jmisst.org/upload/pdf/jmisst-2020-00094.pdf
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