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...

Full description

Bibliographic Details
Main Authors: Jose Manuel Fernando Ignacio, Katrina Hannah Dizon Ignacio
Format: Article
Language:English
Published: Korean Spine Society 2018-04-01
Series:Asian Spine Journal
Subjects:
Online Access:http://www.asianspinejournal.org/upload/pdf/asj-12-380.pdf
_version_ 1818056907608293376
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