Intraoperative pulmonary embolism during spinal instrumentation surgery. A prospective study using transoesophageal echocardiography.

Intraoperative pulmonary embolism during spinal instrumentation surgery. A prospective study using transoesophageal echocardiography. Research Abstract Details 

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Intraoperative pulmonary embolism during spinal instrumentation surgery. A prospective study using transoesophageal echocardiography. Abstract Text:

S Takahashi,H Kitagawa,T Ishii,

Intraoperative pulmonary fat and bone-marrow embolism is a serious complication of bone and joint surgery. We have investigated the occurrence and incidence of intraoperative embolism in patients undergoing elective lumbar spinal surgery with or without instrumentation. Sixty adult patients with lumbar degenerative disease were examined by intraoperative transoesophageal echocardiography while undergoing posterior lumbar surgery. Of these, 40 underwent surgery with instrumentation and 20 without. Moderate to severe (grade 2 or 3 according to the grading scale of Pitto et al) embolic events were seen in 80% of the instrumented patients but in none of the non-instrumented patients (p < 0.001). The insertion of pedicle screws was particularly associated with large numbers of pulmonary emboli, while the surgical approach, laminectomy, disc removal and bone harvesting were associated with small numbers of emboli. We consider that, as in arthroplasty and intramedullary fixation of fractures, these embolic events are relevant to the development of potentially fatal fat embolism during spinal surgery.

Intraoperative pulmonary embolism during spinal instrumentation surgery. A prospective study using transoesophageal echocardiography. Publishing Authors By Initials

S Takahashi,H Kitagawa,T Ishii,

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Intraoperative pulmonary embolism during spinal instrumentation surgery. A prospective study using transoesophageal echocardiography. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The Journal of bone and joint surgery. British vol

VOLUME: 85

Page Numbers: 90-4

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ISSN: 0301-620X

DAY: 14

MONTH: Jan

YEAR: 2003

Intraoperative pulmonary embolism during spinal instrumentation surgery. A prospective study using transoesophageal echocardiography. Information

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LANGUAGE: eng

NlmUniqueID: 375355

Intraoperative pulmonary embolism during spinal instrumentation surgery. A prospective study using transoesophageal echocardiography. Keywords Mesh Terms:

KEYWORDS: Surgical Instruments

MESH TERMS: ultrasonography

Chemical & Substance for Abstract: Intraoperative pulmonary embolism during spinal instrumentation surgery. A prospective study using transoesophageal echocardiography. Information

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Grant and Affiliation Information for Intraoperative pulmonary embolism during spinal instrumentation surgery. A prospective study using transoesophageal echocardiography.

AFFILIATION: Nagahama City Hospital, Shiga, Japan.

Country: England

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MEDLINETA: J Bone Joint Surg Br

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