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.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Yoo KY,Jeong SW,Yoon W,Lee Jdoi
10.1097/01.brs.0000131211.87594.b0keywords:
subject
Has Abstractpub_date
2004-07-15 00:00:00pages
E294-7issue
14eissn
0362-2436issn
1528-1159pii
00007632-200407150-00021journal_volume
29pub_type
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