Pulmonary Embolism from Cement Augmentation of the Vertebral Body
Pulmonary cement embolism (PCE) can follow cement augmentation procedures for spine fractures due to osteoporosis, traumatic injuries, and painful metastatic lesions. PCE is underreported and it is likely that many cases remain undiagnosed. Risk factors for PCE have been identified, which can help a...
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Format: | Article |
Language: | English |
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Korean Spine Society
2018-04-01
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Series: | Asian Spine Journal |
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Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-12-380.pdf |
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author | Jose Manuel Fernando Ignacio Katrina Hannah Dizon Ignacio |
author_facet | Jose Manuel Fernando Ignacio Katrina Hannah Dizon Ignacio |
author_sort | Jose Manuel Fernando Ignacio |
collection | DOAJ |
description | Pulmonary cement embolism (PCE) can follow cement augmentation procedures for spine fractures due to osteoporosis, traumatic injuries, and painful metastatic lesions. PCE is underreported and it is likely that many cases remain undiagnosed. Risk factors for PCE have been identified, which can help alert clinicians to patients likely to develop the condition, and there are recommended techniques to reduce its incidence. Most patients with PCE are asymptomatic or only develop transient symptoms, although a few may exhibit florid cardiorespiratory manifestations which can ultimately be fatal. Diagnosis is mainly by radiographic means, commonly using simple radiographs and computed tomography scans of the chest with ancillary tests that assess the patient's cardiorespiratory condition. Management depends on the location and size of the emboli as well as the patient's symptomatology. The aim of this review is to raise awareness of the not uncommon complications of PCE following vertebral cement augmentation and the possibility of serious sequelae. Recommendations for the diagnosis and management of PCE are presented, based on the most recent literature. |
first_indexed | 2024-12-10T12:36:18Z |
format | Article |
id | doaj.art-37f970daee794b35bd8b2ddfa714fd1d |
institution | Directory Open Access Journal |
issn | 1976-1902 1976-7846 |
language | English |
last_indexed | 2024-12-10T12:36:18Z |
publishDate | 2018-04-01 |
publisher | Korean Spine Society |
record_format | Article |
series | Asian Spine Journal |
spelling | doaj.art-37f970daee794b35bd8b2ddfa714fd1d2022-12-22T01:48:39ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462018-04-0112238038710.4184/asj.2018.12.2.380363Pulmonary Embolism from Cement Augmentation of the Vertebral BodyJose Manuel Fernando Ignacio0Katrina Hannah Dizon Ignacio1Department of Orthopedics, University of the Philippines Manila, Manila, Philippines.Department of Neurosciences, Philippine General Hospital, Manila, Philippines.Pulmonary cement embolism (PCE) can follow cement augmentation procedures for spine fractures due to osteoporosis, traumatic injuries, and painful metastatic lesions. PCE is underreported and it is likely that many cases remain undiagnosed. Risk factors for PCE have been identified, which can help alert clinicians to patients likely to develop the condition, and there are recommended techniques to reduce its incidence. Most patients with PCE are asymptomatic or only develop transient symptoms, although a few may exhibit florid cardiorespiratory manifestations which can ultimately be fatal. Diagnosis is mainly by radiographic means, commonly using simple radiographs and computed tomography scans of the chest with ancillary tests that assess the patient's cardiorespiratory condition. Management depends on the location and size of the emboli as well as the patient's symptomatology. The aim of this review is to raise awareness of the not uncommon complications of PCE following vertebral cement augmentation and the possibility of serious sequelae. Recommendations for the diagnosis and management of PCE are presented, based on the most recent literature.http://www.asianspinejournal.org/upload/pdf/asj-12-380.pdfPulmonary embolismBone cementPolymethylmethacrylateKyphoplastyVertebroplasty |
spellingShingle | Jose Manuel Fernando Ignacio Katrina Hannah Dizon Ignacio Pulmonary Embolism from Cement Augmentation of the Vertebral Body Asian Spine Journal Pulmonary embolism Bone cement Polymethylmethacrylate Kyphoplasty Vertebroplasty |
title | Pulmonary Embolism from Cement Augmentation of the Vertebral Body |
title_full | Pulmonary Embolism from Cement Augmentation of the Vertebral Body |
title_fullStr | Pulmonary Embolism from Cement Augmentation of the Vertebral Body |
title_full_unstemmed | Pulmonary Embolism from Cement Augmentation of the Vertebral Body |
title_short | Pulmonary Embolism from Cement Augmentation of the Vertebral Body |
title_sort | pulmonary embolism from cement augmentation of the vertebral body |
topic | Pulmonary embolism Bone cement Polymethylmethacrylate Kyphoplasty Vertebroplasty |
url | http://www.asianspinejournal.org/upload/pdf/asj-12-380.pdf |
work_keys_str_mv | AT josemanuelfernandoignacio pulmonaryembolismfromcementaugmentationofthevertebralbody AT katrinahannahdizonignacio pulmonaryembolismfromcementaugmentationofthevertebralbody |