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Der Unfallchirurg

, Volume 107, Issue 9, pp 807–811 | Cite as

Lungenembolie durch PMMA bei perkutaner Vertebroplastie

Fallbericht und Literaturübersicht
  • M. PleserEmail author
  • R. Roth
  • O. Wörsdörfer
  • C. Manke
Kasuistik

Zusammenfassung

Wir berichten über eine 80-jährige Patientin mit absoluter Spinalkanalstenose infolge eines osteoporotisch bedingten Kollaps des LWK 1. Im Rahmen einer perkutan durchgeführten Wirbelkörperaugmentation kam es präoperativ zu einem perivertebralen Zementaustritt und anschließender PMMA-bedingter Lungenembolie.

Anhand der Literaturübersicht zu dieser seltenen Komplikation der Vertebroplastie wird die Häufigkeit des perivertebralen Zementaustritts bei derartigen Maßnahmen herausgestellt. Vor dem Hintergrund der hervorragenden konservativen Behandlungsergebnisse der osteoporotischen Wirbelkörperfrakturen ist vor dem Einsatz der Vertebroplastie eine strenge und individuelle Indikationsstellung hierzu erforderlich.

Schlüsselwöter

Perkutane Vertebroplastie Polymethylmethacrylat Lungenembolie Komplikation Osteoporose 

Pulmonary embolism caused by PMMA in percutaneous vertebroplasty

Case report and review of the literature

Abstract

We report on an 80-year-old female patient with osteoporotic collapse of the L1 vertebra who developed absolute stenosis of the spinal canal. During preoperative vertebra augmentation with PMMA (polymethylmethacrylate), pulmonary embolism developed due to perivertebral leakage of acrylic cement.

According to the literature, leakage of PMMA during (percutaneous) vertebroplasty is a more frequent complication than assumed so far. In view of the favorable prognosis of osteoporotic vertebral compression fractures with noninvasive management, we emphasize the need for clear and individual indications and adequate technical settings.

Keywords

Percutaneous vertebroplasty Polymethylmethacrylate Pulmonary embolism Complication Osteoporosis 

Notes

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.

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • M. Pleser
    • 1
    • 3
    Email author
  • R. Roth
    • 1
  • O. Wörsdörfer
    • 1
  • C. Manke
    • 2
  1. 1.Unfallchirurgisch-Orthopädische KlinikKlinikum Fulda
  2. 2.Klinik für Diagnostische und Interventionelle RadiologieKlinikum Fulda
  3. 3.Unfallchirurgisch-Orthopädische KlinikKlinikum FuldaFulda

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