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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 27:343-345, February 2006
© 2006 American Society of Neuroradiology

CASE REPORT
SPINE

Fatal Fat Embolism after Vertebroplasty: Identification of the High-Risk Patient

M.I. Syed^a, S. Jan^a, N.A. Patel^a, A. Shaikh^a, R.A. Marsh^c and R.V. Stewart^b

^a Department of Radiology, Mercy Medical Center
^b Department of Pathology, Mercy Medical Center
^c Department of Pathology, Community Hospital, Springfield, Ohio

Address correspondence to Mubin Syed, MD, Mercy Medical Center, Department of Radiology, 1343 N. Fountain Boulevard, Springfield, OH 45501-1308

Summary: We report a rare complication of autopsy-proven fat and bone marrow embolization following percutaneous vertebroplasty in a patient who had no evidence of cement leakage. Cement injection was done during one patient encounter, covering 3 vertebral levels by using a unipedicular approach. Patients may have complications even without polymethylmethacrylate leakage.

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