Pleser M, Roth R, Wörsdörfer O, Manke C
Unfallchirurgisch-Orthopädische Klinik, Klinikum Fulda.
Unfallchirurg. 2004 Sep;107(9):807-11. doi: 10.1007/s00113-004-0763-5.
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.
我们报告了一例80岁女性患者，其L1椎体发生骨质疏松性塌陷并发展为椎管完全狭窄。在术前用聚甲基丙烯酸甲酯（PMMA）进行椎体强化时，由于丙烯酸骨水泥椎旁渗漏导致了肺栓塞。根据文献，（经皮）椎体成形术中PMMA渗漏是一种比迄今所认为的更为常见的并发症。鉴于非侵入性治疗的骨质疏松性椎体压缩骨折预后良好，我们强调需要明确且个体化的适应症以及适当的技术操作。
