Farahvar Arash, Dubensky Deborah, Bakos Robert
Department of Neurological Surgery, University of Rochester Medical Center, Rochester, New York 14642, USA.
J Neurosurg Spine. 2009 Oct;11(4):487-91. doi: 10.3171/2009.5.SPINE08517.
The authors report the case of a 74-year-old woman who underwent an L-2 vertebral kyphoplasty. The patient experienced delayed postoperative hemodynamic deterioration that may have been caused by embolization of polymethylmethacrylate (PMMA) cement through the right cardiac ventricular wall. Cardiac and pulmonary embolization of bone cement can develop as a complication of vertebral kyphoplasty. Surgeons should be alert to this potentially life-threatening condition when performing this increasingly popular form of spine procedure.
作者报告了一例74岁女性接受L2椎体后凸成形术的病例。患者术后出现延迟性血流动力学恶化，可能是由于聚甲基丙烯酸甲酯（PMMA）骨水泥通过右心室壁栓塞所致。骨水泥的心脏和肺部栓塞可能作为椎体后凸成形术的一种并发症出现。在进行这种越来越流行的脊柱手术时，外科医生应警惕这种潜在的危及生命的情况。
