Author:
Tsalimas Georgios,Pappa Eleni,Zygogiannis Konstantinos,Antonopoulos Spiridon,Kakridonis Fotios,Chatzikomninos Ioannis
Abstract
Background:
Few studies discuss the complication of pulmonary cement embolism (PCE) due to cement augmented pedicle screw instrumentation (CAPSI) of the thoracolumbar spine.
Case Description:
A 62 female with a history of multiple myeloma and Sjogren’s syndrome on chronic steroids developed an osteoporotic L1 compression fracture and underwent posterior stabilization with a T10–L4 CAPSI. However, postoperatively, the patient developed a surgical site infection and a PCE, resulting in severe respiratory compromise and death 1 month later.
Conclusion:
When performing a T10–L4 thoracolumbar CAPSI (i.e., augmented pedicle screw instrumentation of the thoracolumbar spine) to address an L1 osteoporotic compression fracture, a 62 year old patient developed a life ending multi organ deficiency due to sepsis together with a PCE.