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[椎弓根螺钉强化术后腔静脉内骨水泥栓塞]

[Cement embolism in the vena cava after pedicle screw augmentation].

作者信息

David S, Kleber F X

机构信息

Klinik für Unfallchirurgie und Orthopädie, Ev. Krankenhaus Paul-Gerhardt Stift, Paul-Gerhardt-Str. 42-45, 06886, Lutherstadt Wittenberg, Deutschland.

Klink für Innere Medizin III (Kardiologie), Ev. Krankenhaus Paul-Gerhardt Stift, Lutherstadt Wittenberg, Deutschland.

出版信息

Unfallchirurg. 2021 Jun;124(6):512-516. doi: 10.1007/s00113-020-00920-5. Epub 2020 Nov 17.

DOI:10.1007/s00113-020-00920-5
PMID:33201267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8159774/
Abstract

After a fall a 52-year-old female patient suffered an unstable fracture of lumbar vertebral body 3 and a stable fracture of thoracic vertebral body 12 without neurological deficits. In addition to the balloon kyphoplasty of thoracic vertebral body 12, percutaneous fixator internal instrumentation of lumbar vertebral bodies 2-4 was carried out with cement-augmented pedicle screws. Cement leakage into the inferior vena cava occurred. After the onset of detachment of the cement parts, we decided on an endovascular removal using the sling technique. The postinterventional course was uncomplicated.

摘要

一名52岁女性患者跌倒后发生了第3腰椎椎体不稳定骨折和第12胸椎椎体稳定骨折，无神经功能缺损。除了对第12胸椎椎体进行球囊后凸成形术外，还使用骨水泥强化椎弓根螺钉对第2 - 4腰椎椎体进行了经皮固定器内固定术。骨水泥渗漏至下腔静脉。在骨水泥部件发生分离后，我们决定采用吊带技术进行血管内取出。介入治疗后的病程无并发症。

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2
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Direct reduction of thoracolumbar burst fractures by means of balloon kyphoplasty with calcium phosphate and stabilization with pedicle-screw instrumentation and fusion.通过球囊后凸成形术联合磷酸钙直接复位胸腰椎爆裂骨折，并采用椎弓根螺钉内固定及融合术进行稳定。
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Minimally invasive fixation techniques for thoracolumbar fractures: comparison between percutaneous pedicle screw with intermediate screw (PPSIS) and percutaneous pedicle screw with kyphoplasty (PPSK).胸腰椎骨折的微创固定技术：经皮椎弓根螺钉联合中间螺钉（PPSIS）与经皮椎弓根螺钉联合椎体后凸成形术（PPSK）的比较
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The reduction of endplate fractures during balloon vertebroplasty: a detailed radiological analysis of the treatment of burst fractures using pedicle screws, balloon vertebroplasty, and calcium phosphate cement.球囊椎体成形术中终板骨折的减少：使用椎弓根螺钉、球囊椎体成形术和磷酸钙骨水泥治疗爆裂骨折的详细影像学分析
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引用本文的文献

1
Case report: Cement entrapped in the inferior vena cava filter after pedicle screw augmentation.病例报告：椎弓根螺钉强化术后骨水泥被困于下腔静脉滤器内。
Front Cardiovasc Med. 2022 Sep 29;9:892025. doi: 10.3389/fcvm.2022.892025. eCollection 2022.

本文引用的文献

1
[Thoracolumbar spinal fractures in the elderly : Classification and treatment].[老年人胸腰椎脊柱骨折：分类与治疗]
Unfallchirurg. 2017 Dec;120(12):1071-1085. doi: 10.1007/s00113-017-0435-x.
2
Long-Term Outcomes of Patent Foramen Ovale Closure or Medical Therapy after Stroke.卵圆孔未闭封堵或卒中后药物治疗的长期结局。
N Engl J Med. 2017 Sep 14;377(11):1022-1032. doi: 10.1056/NEJMoa1610057.
3
Successful thrombolysis, angioplasty, and stenting of delayed thrombosis in the vena cava following percutaneous vertebroplasty with polymethylmethacrylate cement.
经皮椎体成形术联合聚甲基丙烯酸甲酯骨水泥治疗后并发静脉血栓形成的溶栓、血管成形术和支架置入术。
J Vasc Surg. 2012 Oct;56(4):1119-23. doi: 10.1016/j.jvs.2012.02.039. Epub 2012 May 8.
4
[Pericardial perforation 2.5 years after kyphoplasty. A rare complication after cement extravasation].椎体后凸成形术后2.5年心包穿孔。骨水泥外渗后的罕见并发症
Unfallchirurg. 2013 Jan;116(1):80-4. doi: 10.1007/s00113-011-2136-1.
5
Cement embolization into the vena cava and pulmonal arteries after vertebroplasty: interdisciplinary management.椎体成形术后骨水泥栓塞至腔静脉和肺动脉：多学科管理
Eur J Vasc Endovasc Surg. 2006 May;31(5):558-61. doi: 10.1016/j.ejvs.2005.11.008. Epub 2005 Dec 22.
6
[Extravertebral cement drainage with occlusion of the extradural venous plexus into the vena cava after vertebrobplasty. Case report and review of the literature].[椎体成形术后经椎体外途径注入骨水泥并封堵硬膜外静脉丛至腔静脉。病例报告及文献复习]
Unfallchirurg. 2003 Oct;106(10):860-4. doi: 10.1007/s00113-003-0644-3.