J Minim Invasive Spine Surg Tech.  2020 Apr;5(1):31-35. 10.21182/jmisst.2020.00094.

Cardiac Perforation Caused by Cement Embolus after Cement-Augmented Pedicle Screw Instrumentation: A Case of Report

• Kim HJ
• Park ES
• Lee SH
• Oh TH
• Park CH
• Shin YH

• KMID: 2562060
• DOI: http://doi.org/10.21182/jmisst.2020.00094

Abstract

Cement-augmented pedicle screw instrumentation (CAPSI) is a widely used surgical technique in posterior spondylodesis of osteoporotic patients. Complications related to cement leakage after CAPSI was rarely reported compare to that of vertebroplasty, kyphoplasty and most of them are asymptomatic. Herein the authors report the case of a 67-year-old female who experienced cardiac perforation by string shape cement embolus after CAPSI. She underwent the foreign body removal operation through the 5^th intercostal thoracotomy and she was well recovered consequently. Surgeons should be aware of this complication entity when encounter postoperative chest pain to avoid fatal results. The authors also reviewed the case reports for cardiac perforation by cement embolus and preventive modalities for the cement leakage.

Keyword

Cardiac perforation by cement embolus; Cement leakage; Cementaugmented pedicle screw; Complications related to cement leakage; Osteoporosis; Vertebroplasty