Peripheral arterial embolization of cement during revision spine surgery.
Cement embolism of the pulmonary arteries is a well-known complication of percutaneous vertebroplasty as well as orthopedic procedures involving instrumentation of the medullary canal. A few cases of paradoxical cement embolism have also been described. Herein, we report a case of cortical bone void filler embolism to the infragenicular arteries during revision spine surgery. The cement had entered the aorta via the left L3 lumbar artery. To the best of our knowledge, this is the first report of embolism due to direct arterial migration of cement during an orthopedic procedure.
1st Department of Orthopedics, Athens University Medical School, Attikon Hospital, Athens, Greece.
Konstantinos
K
Soultanis
John D
JD
Kakisis
Nikolaos
N
Pyrovolou
Andreas M
AM
Lazaris
Spyros
S
Vasdekis
Panagiotis
P
Soukakos
D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001843:Bone Cements / Q000009:adverse effects*; D017128:Embolectomy; D019320:Embolism, Paradoxical / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000209:etiology; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012447:Sacrum / Q000601:surgery*; D013167:Spondylitis, Ankylosing / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000009:adverse effects*
D001843:Bone Cements