Case Report
Copyright ©The Author(s) 2021.
World J Clin Cases. May 6, 2021; 9(13): 3120-3129
Published online May 6, 2021. doi: 10.12998/wjcc.v9.i13.3120
Table 1 A timeline of the patient
Date
Oxygen saturation
Platelets, 109/L
WBC, 109/L
Hemoglobin, g/L
D-dimer, ng/mL
Clinical intervention
March 13, 201799%1726.75121631Admission
March 23, 201799%----Lumbar surgery
March 24, 201799%15814.27967698.90Vital signs monitering
March 25, 201770%11312.484Pulmonary expert consultation
March 26, 201785%1218.9085 5667Levofloxacin 500 mg qd+ LMWH 5000 IU qd
April 1, 201798%----Levofloxacin 500 mg qd+ LMWH 5000 IU qd
April 14, 201798%---4638Discharged
Table 2 Summary of reported cardiopulmonary embolism caused by cement-augmented pedicle screw instrumentation
Ref.
Sex
Age
Vertebrae augmented
Time of embolism detected Post-op
Clinical presentation
Treatment
Outcome
Rasch et al[20], 2010M55L3/42 dTachycardia, dyspnea and oxygen desaturationPulmonary arteriotomy and cement removementDischarged without severe complication
Tang et al[21], 2020 F73L3-L56 dDyspnea, blood oxygen desaturationOxygen inhalation and anticoagulation treatmentUneventful recovery in 2 yr follow-up
Akinola et al[22], 2010 M76L3-L5ImmediateNo symptomsAnticoagulation treatment for 6 moUneventful recovery in 6 mo follow-up
Zheng et al[23], 2013 F47T1-T4, T91 hDyspnea, low blood pressure, unconsciousness NADeath
Rahimizadeh et al[24], 2020FNA (middle aged)L31 dCardiopulmonary arrestResuscitation, anticoagulation treatment Uneventful recovery in 12 mo follow-up
Röllinghoff et al[25], 2010F69T8-L1NANo symptomsNAUneventful recovery in 18 mo follow-up
Tonolini et al[26], 2012 F75L1/L3ImmediateDyspnea with tachypnea and bilateral hypoventilationAnticoagulation treatmentDischarged without severe complication