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Spine (Phila Pa 1976). 2004 Jul 15;29(14):E294-7.

Acute respiratory distress syndrome associated with pulmonary cement embolism following percutaneous vertebroplasty with polymethylmethacrylate.

Author information

1
Department of Anesthesiology, Chonnam National University Medical School, Gwangju, South Korea.

Abstract

STUDY DESIGN:

A case of acute respiratory distress syndrome following percutaneous vertebroplasty is described.

OBJECTIVE:

To alert clinicians to the potential occurrence of acute respiratory distress syndrome following use of polymethylmethacrylate bone cement.

SUMMARY OF BACKGROUND DATA:

Noncardiogenic pulmonary edema has not been reported following intravertebral injection of polymethylmethacrylate.

METHODS:

A 68-year-old woman underwent percutaneous vertebroplasty for a painful L5 compression fracture under local anesthesia. A contralateral transpedicular approach was made to inject polymethylmethacrylate.

RESULTS:

On the third postoperative day, she developed arthralgia, myalgia, fever, and frequent coughing. Chest radiography revealed bilateral, multifocal, patchy consolidations, suggestive of acute respiratory distress syndrome, and a 5-cm-long tubular radiopacity in the right pulmonary artery. She died 20 days after the vertebroplasty.

CONCLUSION:

This case illustrates that clinicians must be aware of the potential occurrence of acute respiratory distress syndrome in patients who received percutaneous vertebroplasty.

[Indexed for MEDLINE]

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