Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2010; 77(4):337-340 | DOI: 10.55095/achot2010/061

Plicní embolizace polymetylmetakrylátu - vzácná komplikace perkutánní vertebroplastikyKazuistika

P. NESNÍDAL^1,*, J. ŠTULÍK^1,2,3, P. ŠEBESTA^1,2

¹ Spondylochirurgické oddělení FN Motol, Praha

² III. chirurgická klinika 1. LF UK a FN Motol, Praha

³ Ortopedická klinika dětí a dospělých 2. LF UK a FN Motol, Praha

Percutaneous vertebroplasty is a minimally invasive surgical technique involving transpedicular injection of polymethylmetacrylate into the vertebral body. The aim of this procedure is to enhance the mechanical strength of a pathologically changed vertebra. Currently, the method is most often used for painful osteoporotic vertebral fractures, aggressive haemangiomas, necrotic lesions and spinal tumours, particularly the metastatic ones. Although this method is less invasive, relatively straight-forward and effective, there may be complications. The authors present the case of a 70-year-old woman who, on the second day after surgery, developed a rare symptomatic pulmonary polymethylmetacrylate embolism after percutaneous vertebroplasty performed for osteoporotic fractures of the lumbar spine.

Klíčová slova: complications, polymethylmetacrylate, pulmonary embolism, vertebroplasty

Zveřejněno: 1. srpen 2010  Zobrazit citaci