2010
DOI: 10.1055/s-0029-1240847
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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 au… Show more

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Cited by 13 publications
(8 citation statements)
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“…Here, we presented our case along with reviewing three symptomatic and four asymptomatic cases in the literature [ Table 1]. [1,4,5,8,[10][11][12] Risk factors and prevention e occurrence of PCE during pedicle screw PMMA augmentation depends on the viscosity of cement at the time of its delivery. e increased force attributed to the rapid injection of low viscous cement (dough-like) likely contributes to a higher incidence of PCE, while the reduced delivery rate of toothpaste-like cement results in a smaller incidence of leakage.…”
Section: Discussionmentioning
confidence: 99%
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“…Here, we presented our case along with reviewing three symptomatic and four asymptomatic cases in the literature [ Table 1]. [1,4,5,8,[10][11][12] Risk factors and prevention e occurrence of PCE during pedicle screw PMMA augmentation depends on the viscosity of cement at the time of its delivery. e increased force attributed to the rapid injection of low viscous cement (dough-like) likely contributes to a higher incidence of PCE, while the reduced delivery rate of toothpaste-like cement results in a smaller incidence of leakage.…”
Section: Discussionmentioning
confidence: 99%
“…[3] Clinical picture of PCE e clinical picture of a symptomatic PCE is similar to that of a thrombotic PE; the cardinal features include tachycardia, dyspnea, hypotension, and loss of consciousness that may result in cardiorespiratory arrest and death. [6][7][8]10,12,13]…”
Section: Discussionmentioning
confidence: 99%
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“…Some authors suggested anticoagulation therapy in symptomatic cases with initial heparinization and a following 6-month coumarin therapy; surgical intervention to remove cement embolus was also reported in symptomatic cases. 25,26 Furthermore, Tozzi et al . reported on thrombi covering most of the acrylic surface of the embolus 26 …”
Section: Discussionmentioning
confidence: 99%