Journal of Orthopaedic Surgery (Dec 2010)

Pulmonary Cement Embolism during Cement Augmentation of Pedicle Screw Fixation: A Case Report

  • Bolarinwa Akinola,
  • Lennel Lutchman,
  • Paul Barker,
  • Am Rai

DOI
https://doi.org/10.1177/230949901001800322
Journal volume & issue
Vol. 18

Abstract

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We present a case of pulmonary cement embolism during cement augmentation of pedicle screw fixation for severe degenerative scoliosis. During intra-operative C-arm fluoroscopy, a radio-opaque substance was incidentally noted to pulsate in synchrony with the patient's heartbeat. A diagnosis of pulmonary cement embolism was made. The patient was treated with coumarin for 6 months. He made a good recovery.