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©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2021; 9(13): 3120-3129
Published online May 6, 2021. doi: 10.12998/wjcc.v9.i13.3120
Published online May 6, 2021. doi: 10.12998/wjcc.v9.i13.3120
Intracardiac, pulmonary cement embolism in a 67-year-old female after cement-augmented pedicle screw instrumentation: A case report and review of literature
Tong-Zhou Liang, Bo Gao, Yan Peng, Wen-Jie Gao, Department of Orthopedics, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510289, Guangdong Province, China
Hai-Peng Zhu, Department of Orthopedics, Guangdong Women and Children Hospital, Guangzhou 511400, Guangdong Province, China
Author contributions: Liang TZ and Zhu HP contributed equally to the work; Liang TZ, Zhu HP, and Gao B provided patient care, monitored the patient’s vital signs, provided treatment, and abstracted laboratory and clinical data; Gao WJ and Zhu HP performed a regular follow-up of the patient; Peng Y, Gao WJ, and Liang TZ contributed to the writing of the manuscript; All authors reviewed and approved the final manuscript and issued final approval for the version to be submitted.
Supported by Fundamental Research Funds for the Central Universities , No. 20ykpy94 .
Informed consent statement: The patient and her families provided informed written consent form for reporting the case.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen-Jie Gao, MD, PhD, Attending Doctor, Department of Orthopedics, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, No. 33 Yingfeng Road, Haizhu District, Guangzhou 510289, Guangdong Province, China. gaowj7@mail.sysu.edu.cn
Received: November 24, 2020
Peer-review started: November 24, 2020
First decision: January 24, 2021
Revised: February 4, 2021
Accepted: March 3, 2021
Article in press: March 3, 2021
Published online: May 6, 2021
Processing time: 143 Days and 9.1 Hours
Peer-review started: November 24, 2020
First decision: January 24, 2021
Revised: February 4, 2021
Accepted: March 3, 2021
Article in press: March 3, 2021
Published online: May 6, 2021
Processing time: 143 Days and 9.1 Hours
Core Tip
Core Tip: Intracardiac and pulmonary cement embolism event after cement-augmented pedicle screw instrumentation is an extremely rare complication in orthopedics surgery. In our case, the patient developed no symptoms except for rapid decrease in oxygen saturation to 70%. The case presents evidence for treating cement embolism cases without severe life-threatening complications, which include close monitoring, oxygen inhalation, anti-coagulation, and antibiotic therapy. This case improves our understanding of bone cement embolism and informs optimization of the duration and type of anticoagulant drugs to be used when the complication occurs.