Management of pulmonary cement embolism after percutaneous vertebroplasty and kyphoplasty: a systematic review of the literature View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-09

AUTHORS

Antonio Krueger, Christopher Bliemel, Ralph Zettl, Steffen Ruchholtz

ABSTRACT

Balloon kyphoplasty and percutaneous vertebroplasty are relatively recent procedures in the treatment of painful vertebral fractures. There are, however, still some uncertainties about the incidence and treatment strategies of pulmonary cement embolisms (PCE). In order to work out a treatment strategy for the management of this complication, we performed a review of the literature. The results show that there is no clear diagnostic or treatment standard for PCE. The literature research revealed that the risk of a pulmonary embolism ranges from 3.5 to 23% for osteoporotic fractures. In cases of asymptomatic patients with peripheral PCE we recommend no treatment besides clinical follow-up; in cases of symptomatic or central embolisms, however, we recommend to proceed according to the guidelines regarding the treatment of thrombotic pulmonary embolisms, which includes initial heparinization and a following 6-month coumarin therapy. In order to avoid any types of embolisms, both procedures should only be performed by experienced surgeons after critical determination of the indications. More... »

PAGES

1257-1265

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00586-009-1073-y

DOI

http://dx.doi.org/10.1007/s00586-009-1073-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1028733924

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19575243


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