Cement Embolism After Kyphoplasty

Cureus. 2024 Jan 23;16(1):e52821. doi: 10.7759/cureus.52821. eCollection 2024 Jan.

Abstract

Kyphoplasty is used for the treatment of vertebral compression fractures. The procedure involves inflating a balloon at the compression site; then, polymethylmethacrylate (PMMA) cement is added into the space created by the balloon, where it polymerizes, achieving stabilization, with possible expansion of the vertebral angle. The process is guided by X-rays. Complications are rare, especially when compared to vertebroplasty, and one rare complication is pulmonary cement embolism (PCE). Although many cases are likely undetected due to a lack of symptoms, symptomatic cases require treatment, as they can sometimes prove fatal. We present a case of a patient who underwent kyphoplasty and later presented with a PCE. The PCE was diagnosed using X-rays and computed tomography (CT).

Keywords: balloon kyphoplasty; kyphoplasty; pce; pulmonary cement embolism; revision balloon kyphoplasty.

Publication types

  • Case Reports