Open Access, Peer-reviewed, Quarterly
pISSN 1225-1682
eISSN 2287-9293
    J Korean Fract Soc. 2007 Apr;20(2):202-205. Korean.
    Published online Jun 14, 2016.
    https://doi.org/10.12671/jkfs.2007.20.2.202
    Copyright © The Korean Fracture Society. All rights reserved
    Case Report

    Fatal Hemothorax Following Percutaneous Vertebroplasty: A Case Report

    Hee-Gon Park, M.D., and Joo-Hong Lee, M.D.
      • Department of Orthopaedic Surgery, College of Medicine, Dankook University, Cheonan, Korea.
    • Address reprint requests to: Hee-Gon Park, M.D. Department of Orthopaedic Surgery, Dankook University Hospital, 16-5, Anseo-dong, Cheonan 330-715, Korea. Tel: 82-41-550-3950, Fax: 82-41-556-3238, Email: heegon@chol.com

    Abstract

    Overall, the percutaneous vertebroplasty has low complication rate. Nevertheless, severe complications can occur. The majority of these are related to cement leakage. The cement migration through perivertebral venous system can lead to fatal complication. We present a case of death by hemothorax due to cement leakage following percutaneous vertebroplasty with literature review.

    Keywords
    Percutaneous vertebroplasty; Cement leakage; Hemothorax

    Figures

    Fig. 1
    An 80-year-old female had osteoporotic compression fracture of 11th and 12th thoracic vertebrae, 2nd, 3rd, 4th, and 5th lumbar vertebrae on the lateral. roenterogram.

    Fig. 2
    The T1WI magnetic resonance imaging (MRI) showing low signal on compression fracture.

    Fig. 3
    The anteroposterior roentgenogram showing leakage of PMMA along the vessel.

    Fig. 4
    The lateral roentgenogram showing leakage of PMMA along the vessel.

    Fig. 5
    Computed tomography (CT) showing leakage of PMMA.

    Fig. 6
    She had a hemothorax in 6th day after vertebroplasty.

    References

      1. Bernhard J, Heini PF, Villiger PM. Asymptomatic diffuse pulmonary embolism caused by acrylic cement: an unusual complication of percutaneous vertebroplasty. Ann Rheum Dis 2004;62:85–86.
      1. Chen HL, Wong CS, Ho ST, Chang FL, Hsu CH, Wu CT. A lethal pulmonary embolism during percutaneous vertebroplasty. Anesth Analg 2002;95:1060–1062.
      1. Jensen ME, Evans AJ, Mathis JM, Kallmes DF, Cloft HJ, Dion JE. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fracture: technical aspects. AJNR Am J neuroradiol 1997;18:1897–1904.
      1. Lee BJ, Lee SR, Yoo TY. Paraplegia as a complication of percutaneous vertebroplasty with polymethylm-ethacrylate: a case report. Spine (Phila Pa 1976) 2002;27:E419–E422.
      1. Monticelli F, Meyer HJ, Tutsch-Bauer E. Fatal pulmonary cement embolism following percutaneous vertebroplasty (PVP). Forensic Sci Int 2005;149:35–38.
      1. Padovani B, Kasriel O, Brunner P, Peretti-Viton P. Pulmonary embolism caused by acrylic cement: a rare complication of percutaneous vertebroplasty. AJNR Am J Neuroradiol 1999;20:375–377.
      1. Pahuja K, Chand K. Fatal embolism associated with polymethyl methacrylate bone cement. Int Surg 1976;61:19–22.
      1. Tozzi P, Abdelmoumene Y, Corno AF, Gersbach PA, Hoogewoud HM, von Segesser LK. Management of pulmonary embolism during acrylic vertebroplasty. Ann Thorac Surg 2002;74:1706–1708.
      1. Wick MR, Ritter JH, Schuller D. Ruptured pulmonary infarction: a rare, fatal complication of thromboembolic disease. Mayo Clin Proc 2000;75(6):639–642.
    MeSH Terms
    Hemothorax*
    Vertebroplasty*
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