ArticleDer Unfallchirurg2013
[Pericardial perforation 2.5 years after kyphoplasty. A rare complication after cement extravasation].
Article in Der Unfallchirurg, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Presentations, management strategies, and outcomes of intracardiac cement embolism following spinal vertebral augmentation: a systematic review of case reports.Journal of orthopaedic surgery and research · 2025Pooled it
- Intracardiac leakage of cement during artificial femoral head replacement: a case report and review.International journal of clinical and experimental pathology · 2024Article
- Intracardiac and intrapulmonary cement embolisms after percutaneous vertebroplasty.Quantitative imaging in medicine and surgery · 2023Article
- Outcomes of different minimally invasive surgical treatments for vertebral compression fractures: An observational study.World journal of clinical cases · 2021Article
- Transcatheter Removal of Bone Cement Embolism in the Right Atrium after Percutaneous Vertebroplasty: The Embolus Broke in Half and Migrated to the Right Pulmonary Artery Intraoperatively.Taehan Yongsang Uihakhoe chi · 2021Article
- [Cement embolism in the vena cava after pedicle screw augmentation].Der Unfallchirurg · 2021Article
- Risk factors of neurological deficit and pulmonary cement embolism after percutaneous vertebroplasty.Journal of orthopaedic surgery and research · 2019Article
- Intra-cardiac Embolism of a Large Bone Cement Material after Percutaneous Vertebroplasty Removed through a Combination of an Endovascular Procedure and an Inferior Vena Cava Exploration: a Case Report.Journal of Korean medical science · 2018Article
- Complications of percutaneous vertebroplasty: An analysis of 1100 procedures performed in 616 patients.Medicine · 2016Observational
- Intracardiac Leakage of Cement During Kyphoplasty and Vertebroplasty: A Case Report.The American journal of case reports · 2016Article
- [Tibial plateau fractures in winter sports. Current treatment options].Der Unfallchirurg · 2014Article
- Controversial issues in kyphoplasty and vertebroplasty in osteoporotic vertebral fractures.BioMed research international · 2014Review
- The statistical fragility of vertebroplasty outcomes: A systematic review of randomized controlled trials.Journal of craniovertebral junction & spineReview
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Kyphoplasty is an established method in the treatment of osteoporotic spine fractures. In 10-15% of cases cement extravasation and leakage into veins occur. We report about the rare course of an extravasation. In 2008 an osteoporotic compression fracture of L(4) and L(5) in a 62-year-old female patient was treated by kyphoplasty. In the treated vertebra filling of an outgoing vein towards the proximal right side occurred. Postoperatively the patient was free of complaints (VAS preoperative 9/10, postoperative 1/10). In the chest X-ray a small asymptomatic filling of a lung vessel on the left side was present. The patient arrived as an emergency case 2.5 years later with decompensated heart failure. In the chest CT and angiography cement emboli in the lung were seen as well as a perforation of the pericardium with beginning tamponade. A thoracotomy was performed. Intraoperatively two 4 cm long sharp cement pieces were removed from the heart, which had perforated the right ventricle. Leakages were closed by suture. The patient survived the operation and was dismissed after 2 weeks of intensive care for rehabilitation and from there dismissed home. Six months later she had no more problems. When filling vertebra in several levels one must pay attention to introducing cement with a thick consistency, otherwise venous emboli and lung emboli may occur. These are as a rule asymptomatic, but may result in exceptional life-threatening complications.
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