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Bone Cement Leakage-Induced Pulmonary Embolism: A Case Report
Clinical Case Reports
|June 25, 2026
Summary
Pulmonary cement embolism (PCE) is a rare complication of bone cement augmentation. Prompt recognition and prevention of cement leakage are crucial for patient outcomes.
Area of Science:
- Orthopedics
- Cardiopulmonary Medicine
- Radiology
Background:
- Pulmonary cement embolism (PCE) is a rare but serious complication following bone cement augmentation procedures.
- PCE can lead to severe cardiopulmonary compromise.
Purpose of the Study:
- To report a case of fatal pulmonary cement embolism after lumbar spine surgery.
- To emphasize the importance of early detection and prevention strategies for PCE.
Main Methods:
- Case report of a 61-year-old female patient.
- Review of clinical presentation, imaging findings, and management.
- Analysis of outcomes following lumbar decompression, fusion, and bone cement augmentation.
Main Results:
- The patient developed immediate profound hypoxemia post-procedure.
- Imaging confirmed pulmonary cement embolism and bilateral pulmonary infiltrates.
- Despite intensive care, the patient progressed to ARDS and died.
Conclusions:
- This case underscores the critical need for vigilance in preventing cement extravasation during augmentation procedures.
- Early postoperative imaging and prompt recognition of PCE are vital for potentially improving patient outcomes.
- PCE remains a significant risk factor requiring careful management and preventative measures.
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