AJDRAJNR - American Journal of Neuroradiology

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CASE REPORT
SPINE

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

M.I. Syeda, S. Jana, N.A. Patela, A. Shaikha, R.A. Marshc and R.V. Stewartb

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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