Skip to main content
SpringerLink
Log in

PMMA Lungenembolisation und postinterventionelle Anschlussfrakturen nach perkutaner Vertebroplastie

PMMA pulmonary embolism and post interventional associated fractures after percutaneous vertebroplasty

  • Kasuistiken
  • Published:
Der Orthopäde Aims and scope Submit manuscript

Zusammenfassung

Vorgestellt wird eine 78-jährige Patientin mit osteoporotisch bedingten Sinterungsfrakturen von Th12 und L4, bei welcher eine perkutane Vertebroplastie (pVp) mit PMMA (Polymethylmethacrylat) durchgeführt wurde. Im Rahmen der Mobilisation kam es zu Anschlussfrakturen von Th11 und L1, welche ebenfalls augmentiert wurden. Postoperativ zeigte sich eine massive PMMA-Lungenembolie, welche konservativ-symptomatisch behandelt wurde. Vor dem Hintergrund dieser Kasuistik werden die verfahrensbedingten Komplikationen Lungenembolisation, Zementaustritt sowie postinterventionell entstehende Anschlussfrakturen diskutiert.

Abstract

A 78-year old woman with osteoporotic collapse of the Th12 and L4 vertebrae was treated by percutaneous vertebroplasty (pVp) with PMMA (polymethylmethacrylate). Postoperatively, the Th11 and L1 vertebrae collapsed so that a second vertebroplasty was performed. Postoperatively, the patient developed a severe pulmonary embolism which was treated conservatively. In this report, the complications of pulmonary embolism, perivertebral leakage of PMMA and of additional vertebral collapses after pVp are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Aebli N, Krebs J, Davis G, Walton M, Williams MJ, Theis JC (2002) Fat embolism and acute hypotension during vertebroplasty: an experimental study in sheep. Spine 27: 460–466

    PubMed  Google Scholar 

  2. Berlemann U, Ferguson SJ, Nolte LP, Heini PF (2002) Adjacent vertebral failure after vertebroplasty. A biomechanical investigation. J Bone Joint Surg Br 84: 748–752

    CAS  PubMed  Google Scholar 

  3. Cotten A, Dewatre F, Cortet B (1996) Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up. Radiology 200: 525–530

    CAS  PubMed  Google Scholar 

  4. Jang JS, Lee SH, Jung SK (2002) Pulmonary embolism of polymethylmethacrylate after percutaneous vertebroplasty: a report of three cases. Spine 27: E416–E418

    PubMed  Google Scholar 

  5. Kaufmann TJ, Jensen ME, Ford G, Gill LL, Marx WF, Kallmes DF (2002) Cardiovascular effects of polymethylmethacrylate use in percutaneous vertebroplasty. AJNR 23: 601–604

    PubMed  Google Scholar 

  6. Lin EP, Ekholm S, Hiwatashi A, Westesson PL (2004) Vertebroplasty: cement leakage into the disc increases the risk of new fracture of adjacent vertebral body. AJNR 25: 175–180

    PubMed  Google Scholar 

  7. Medicine and Healthcare products Regulatory Agency DoHU (2003) Injectable polymeric cements used in percutaneous vertebroplasty, balloon kyphoplasty and pedicle screw augmentation (MDA/2003/021).http://devices.mh-ra.gov.uk/mda/mdawebsitev2.nsf/webvwwhats-new/ADC031554CA31DB880256D

  8. Peh WC, Gilula LA, Peck DD (2002) Percutaneous vertebroplasty for severe osteoporotic vertebral body compression fractures. Radiology 223: 121–126

    PubMed  Google Scholar 

  9. Tozzi P, Abdelmoumene Y, Corno AF, Gersbach PA, Hoogewoud HM, von Segesser LK (2002) Management of pulmonary embolism during acrylic vertebroplasty. Ann Thorac Surg 74: 1706–1708

    PubMed  Google Scholar 

  10. Yeom JS, Kim WJ, Choy WS, Lee CK, Chang BS, Kang JW (2003) Leakage of cement in percutaneous transpedicular vertebroplasty for painful osteoporotic compression fractures. J Bone Joint Surg Br 85: 83–89

    CAS  PubMed  Google Scholar 

Download references

Interessenkonflikt:

Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen.

Author information

Authors and Affiliations

  1. Unfallchirurgische Klinik, Klinikum Hildesheim GmbH

    L. Pott, B. Wippermann, U. Brüsch &  R. Fremerey

  2. Abteilung Neurochirurgie, Klinikum Hildesheim GmbH

    S. Hussein & T. Günther

  3. Unfallchirurgische Klinik, Klinikum Hildesheim GmbH, Weinberg 1, 31141, Hildesheim

    R. Fremerey

Authors
  1. L. Pott
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Wippermann
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. Hussein
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Günther
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. U. Brüsch
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. R. Fremerey
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R. Fremerey.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pott, L., Wippermann, B., Hussein, S. et al. PMMA Lungenembolisation und postinterventionelle Anschlussfrakturen nach perkutaner Vertebroplastie. Orthopäde 34, 698–702 (2005). https://doi.org/10.1007/s00132-005-0785-x

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-005-0785-x

Schlüsselwörter

Keywords

Search

Navigation