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Journals / Journal of Turkish Spinal Surgery / 2014 / Cilt: 25 - Sayı: 1

Çimento yakalamış ve çıkarılmamış vena kava filtresi: Vaka takdimi

A nonremoved caval veın fılter wıth cement: A case report

Sinan KARACA
Özgür KARAMAN
MEHMET NURİ ERDEM
Meriç ENERCAN
Azmi HAMZAOĞLU
Pages
57–61
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This paper presents the role of caval vein filter on protecting from bone cement embolism during the spinal surgery also the fate of a filter with cement in the short term follow up and to discuss whether it is necessary to remove the filter.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Bone cement leakage to the circulation is a well known complication of spinal surgery.
📊
Key Findings & Data:We present 84 year old patient who has a diagnose of spinal infection and underwent corpectomy, debridement and stabilization surgery.
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Conclusion & Impact:This paper presents the role of caval vein filter on protecting from bone cement embolism during the spinal surgery also the fate of a filter with cement in the short term follow up and to discuss whether it is necessary to remove the filter.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Bone cement leakage to the circulation is a well known complication of spinal surgery. Caval filter usually is used for protecting from pulmonary embolism which is sourced from lower extremities. A case of bone cement caught by caval filter and not removed has not been published. We present 84 year old patient who has a diagnose of spinal infection and underwent corpectomy, debridement and stabilization surgery. Due to risk factors, a caval filter has been placed before surgery. Leakage of bone cement to the circulation, has happened during the surgery and filter caught cement on the way to pulmonary arteries which could be possible cause of pulmonary embolism. Filter with cement has not been removed. Caval filters could prevent pulmonary embolism and cemented filter could be safe if it is not removed. This paper presents the role of caval vein filter on protecting from bone cement embolism during the spinal surgery also the fate of a filter with cement in the short term follow up and to discuss whether it is necessary to remove the filter.

Özet

Spinal cerrahide kemik çimentosunun dolaşıma kaçması iyi bilinen bir komplikasyondur. Vena kava filtresi, genellikle alt ekstremitelerden kaynaklanan pulmoner emboliden korunmak için kullanılır. Literatürde kemik çimentosu yakalamış ve çıkartılmamış vena kava filtresi vakası yayınlanmamıştır. Biz bu yayında spinal enfeksiyon sebebiyle korpektomi, debridman ve stabilizasyon prosedürleri uygulanmış olan 84 yaşındaki erkek hastayı sunduk. Hastanın risk faktörleri sebebiyle cerrahi öncesi vena kava filtresi konulmuştu. Cerrahi prosedür sırasında dolaşıma kemik çimentosu kaçağı gerçekleşti ve filtre pulmoner emboliye yol açabilecek çimentoyu pulmoner arterlere giderken yakaladı.Takiplerde çimento parçalı filtre çıkartılmadı. Bu vaka takdimi vena kava filtrelerinin kemik çimentosu kullanılacak olan spinal cerrahi ameliyatlarında çimento embolisinden korunmada önemli rol oynadığını göstermektedir ayrıca kısa dönem takipte filtrenin ne durumda olduğunu ve çıkartılıp çıkartılmaması gerekliliğini sorgulamaktadır.

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Cite This Article

KARACA, S., KARAMAN, Ö., ERDEM, M. N., ENERCAN, M., HAMZAOĞLU, A. (2014). Çimento yakalamış ve çıkarılmamış vena kava filtresi: Vaka takdimi. Journal of Turkish Spinal Surgery, Cilt: 25 - Sayı: 1, 57–61. https://ajindex.com/articles/208768

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References (11)

  1. Agko M, Nazzal M, Jamil T, Castillo-Sang M, Clark P, Kasper G. Prevention of cardiopulmonary embo- lization of polymethylmethacrylate cement fragment af- ter kyphoplasty with insertion of inferior vena cava filter. J Vasc Surg 2010; 51(1): 210-213
  2. Aydogan M, Ozturk C, Karatoprak O, Tezer M, Aksu N, Hamzaoglu A. The pedicle screw fixation with vertebroplasty augmentation in the surgical treatment of the severe osteoporotic spines. J Spinal Disord Tech 2009; 22(6): 444-447
  3. Carlson GD, Abitbol JJ, Anderson DR, et al. Screw fixation in the human sacrum. An invitro study of the biomechanics of fixation. Spine 1992; 17: S196– S203
  4. Duran C. Sirvanci M. Aydogan M. Ozturk E. Oz- turk C. Akman C. Pulmonary cement embolism: a com- plication of percutaneous vertebroplasty. Acta Radiologica 2007; 48(8): 854-859
  5. Eck JC, Nachtigall D, Humphreys SC, Hodges SD. Comparison of vertebroplasty and balloon kypho- plasty for treatment of vertebral compression fractures: a meta-analysis of the literature. Spine J 2008; 8(3): 488- 497
  6. Herbstreit F, Kühl H, Peters J. A cemented caval vein filter: case report. Spine 2006; 31(24): E917-E919
  7. Joels CS, Sing RF, Heniford BT. Complications of inferior vena cava filters. Am Surg 2003; 69(8): 654-659
  8. Kumano K, Hirabayashi S, Ogawa Y, et al. Pedicle screws and bone mineral density. Spine 1994; 19: 1157– 1161
  9. Lee BJ, Lee SR, Yoo TY. Paraplegia as a compli- cation of percutaneous vertebroplasty with polymethyl- methacrylate: a case report. Spine 2002; 27(19): E419- E422
  10. Miyahara T, Miyata T, Shigematsu K, Deguchi J, Kimura H, Ishii S, Nagawa H. Clinical outcome and complications of temporary inferior vena cava filter place- ment. J Vasc Surg 2006; 44(3): 620-624
  11. Ozturk C, Ganiyusufoglu K, Alanay A, Aydo- gan M, Onat L, Hamzaoglu A. Efficacy of prophylactic placement of inferior vena cava filter in patients undergo- ing spinal surgery. Spine 2010; 35(20): 1893-1896.