Menu
Menu
19 Harley St, London, W1G 9QJ, UK
We are London's Top Spine Clinic

Cement pulmonary embolism as a complication of percutaneous vertebroplasty in most cancers sufferers.

Cement pulmonary embolism as a complication of percutaneous vertebroplasty in most cancers sufferers.

Most cancers Imaging. 2018 Feb 08;18(1):5

Authors: Mansour A, Abdel-Razeq N, Abuali H, Makoseh M, Shaikh-Salem N, Abushalha Okay, Salah S

Summary
BACKGROUND: Vertebroplasty is a minimally invasive process generally carried out for vertebral compression fractures secondary to osteoporosis or malignancy. Leakage of bone cement into the paravertebral venous system and cement pulmonary embolism (cPE) are nicely described, largely in sufferers with osteoporosis. Little is thought concerning the medical sequelae and outcomes in most cancers sufferers. On this examine, we report our expertise with cPE following vertebroplasty carried out in most cancers sufferers.
METHODS: Data of all consecutive most cancers sufferers who underwent vertebroplasty at our establishment have been retrospectively reviewed. The process was carried out through percutaneous injection of barium-opacified polymethyl-methacrylate cement.
RESULTS: A complete of 102 most cancers sufferers with a median age of 53 (19-83) years have been included. Seventy-eight (76.5%) sufferers had malignant vertebral fractures, and 24 (23.5%) sufferers had osteoporotic fractures. Cement PE was detected in 13 (12.7%) sufferers; 10 (76.9%) sufferers had malignant fractures, and the remaining three had osteoporotic fractures. Cement PE was largely asymptomatic; nonetheless, 5 (38.5%) sufferers had respiratory signs that led to the prognosis. Solely the 5 symptomatic sufferers have been anticoagulated. Cement PE was extra widespread with a number of myeloma (MM); it occurred in 7 (18.9%) of the 37 sufferers with MM in contrast with solely three (7.three%) of the 41 sufferers with different malignancies. No distinction in incidence was noticed between sufferers with osteoporotic or malignant vertebral fractures.
CONCLUSIONS: Cement PE is a comparatively widespread complication following vertebroplasty and is usually asymptomatic. A number of myeloma is related to the best threat. Giant-scale potential research may also help establish threat components and medical outcomes and will result in higher prevention and therapeutic methods.

PMID: 29422089 [PubMed – in process]

Share to care...

Share on facebook
Facebook
Share on twitter
Twitter
Share on pinterest
Pinterest
Share on google
Google+
Share on linkedin
LinkedIn
Share on skype
Skype

What we do...

The Harley Street Hospital

Testimonials

What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

We treat all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

What our patients say about us ......

Two level decompression

Very pleased with treatment and services. Thank you once again. Safar H. You May Also Like:Patient suffering from severe disc degenerationCervical EpiduralPatient with Lumbar StenosisCervical

Read More »