Pulmonary cement embolism following cement-augmented pedicle screw fixation in a patient with metastatic vertebral compression fracture: A case report and management considerations
We report the case of a 61-year-old female with metastatic rectal adenocarcinoma who underwent surgical fixation and laminectomy for an L3 vertebral compression fracture. Pedicle screws were augmented with cement. Follow-up computed tomography later detected an incidental pulmonary cement embolism i...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725001273 |
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| author | Mohammad Daher, BS Victor Percheron, MD Adrien Lampilas, MD Amer Sebaaly, MD Guillaume Riouallon, MD Stéphanie Bonhomme, MD Maxime Delrue, MD, PhD |
| author_facet | Mohammad Daher, BS Victor Percheron, MD Adrien Lampilas, MD Amer Sebaaly, MD Guillaume Riouallon, MD Stéphanie Bonhomme, MD Maxime Delrue, MD, PhD |
| author_sort | Mohammad Daher, BS |
| collection | DOAJ |
| description | We report the case of a 61-year-old female with metastatic rectal adenocarcinoma who underwent surgical fixation and laminectomy for an L3 vertebral compression fracture. Pedicle screws were augmented with cement. Follow-up computed tomography later detected an incidental pulmonary cement embolism in the right pulmonary artery. The patient remained asymptomatic and was managed with anticoagulation therapy. Subsequent gastrointestinal bleeding required temporary cessation of anticoagulation, but prophylactic anticoagulation was resumed due to the persistent embolus. At 6-month follow-up, the patient remained stable without hemorrhagic complications. In asymptomatic central pulmonary cement embolisms, anticoagulation may be appropriate but requires careful risk assessment and multidisciplinary management to balance the risks of thrombosis and bleeding. |
| format | Article |
| id | doaj-art-408db6f2033d45138bb36cb7e78b8ce2 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-408db6f2033d45138bb36cb7e78b8ce22025-08-20T03:35:44ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410184510.1016/j.jvscit.2025.101845Pulmonary cement embolism following cement-augmented pedicle screw fixation in a patient with metastatic vertebral compression fracture: A case report and management considerationsMohammad Daher, BS0Victor Percheron, MD1Adrien Lampilas, MD2Amer Sebaaly, MD3Guillaume Riouallon, MD4Stéphanie Bonhomme, MD5Maxime Delrue, MD, PhD6Orthopedic Department, Hotel Dieu de France, Beirut, Lebanon; Orthopedic Department, Brown University, Providence, RIVascular Medicine Department, Hôpitaux Paris Saint-Joseph et Marie-Lannelongue, Paris, FranceOrthopedic Department, Hôpitaux Paris Saint-Joseph et Marie-Lannelongue, Paris, FranceOrthopedic Department, Hotel Dieu de France, Beirut, LebanonOrthopedic Department, Hôpitaux Paris Saint-Joseph et Marie-Lannelongue, Paris, FranceVascular Medicine Department, Hôpitaux Paris Saint-Joseph et Marie-Lannelongue, Paris, FranceVascular Medicine Department, Hôpitaux Paris Saint-Joseph et Marie-Lannelongue, Paris, France; Inserm UMR-S 1144, Université de Paris Cité, Paris, France; Correspondence: Maxime Delrue, MD, Vascular Medicine Department, Hôpitaux Paris Saint-Joseph et Marie-Lannelongue, Inserm UMR-S 1144, Université de Paris Cité, 185 Rue Raymond Losserand, Paris 75014, FranceWe report the case of a 61-year-old female with metastatic rectal adenocarcinoma who underwent surgical fixation and laminectomy for an L3 vertebral compression fracture. Pedicle screws were augmented with cement. Follow-up computed tomography later detected an incidental pulmonary cement embolism in the right pulmonary artery. The patient remained asymptomatic and was managed with anticoagulation therapy. Subsequent gastrointestinal bleeding required temporary cessation of anticoagulation, but prophylactic anticoagulation was resumed due to the persistent embolus. At 6-month follow-up, the patient remained stable without hemorrhagic complications. In asymptomatic central pulmonary cement embolisms, anticoagulation may be appropriate but requires careful risk assessment and multidisciplinary management to balance the risks of thrombosis and bleeding.http://www.sciencedirect.com/science/article/pii/S2468428725001273Cement embolismVertebral compression fracturesMetastasis |
| spellingShingle | Mohammad Daher, BS Victor Percheron, MD Adrien Lampilas, MD Amer Sebaaly, MD Guillaume Riouallon, MD Stéphanie Bonhomme, MD Maxime Delrue, MD, PhD Pulmonary cement embolism following cement-augmented pedicle screw fixation in a patient with metastatic vertebral compression fracture: A case report and management considerations Journal of Vascular Surgery Cases and Innovative Techniques Cement embolism Vertebral compression fractures Metastasis |
| title | Pulmonary cement embolism following cement-augmented pedicle screw fixation in a patient with metastatic vertebral compression fracture: A case report and management considerations |
| title_full | Pulmonary cement embolism following cement-augmented pedicle screw fixation in a patient with metastatic vertebral compression fracture: A case report and management considerations |
| title_fullStr | Pulmonary cement embolism following cement-augmented pedicle screw fixation in a patient with metastatic vertebral compression fracture: A case report and management considerations |
| title_full_unstemmed | Pulmonary cement embolism following cement-augmented pedicle screw fixation in a patient with metastatic vertebral compression fracture: A case report and management considerations |
| title_short | Pulmonary cement embolism following cement-augmented pedicle screw fixation in a patient with metastatic vertebral compression fracture: A case report and management considerations |
| title_sort | pulmonary cement embolism following cement augmented pedicle screw fixation in a patient with metastatic vertebral compression fracture a case report and management considerations |
| topic | Cement embolism Vertebral compression fractures Metastasis |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725001273 |
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