To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Open spine stabilization with polymethylmethacrylate (PMMA) augmentation procedures requires significant attention during anesthetic management due to the complication of PMMA embolization. This chapter presents a case study of a 54-year-old male with a T12 burst fracture presented for a second stage posterior instrumentation of T9-L4. It presents a case of hemodynamic instability due to embolization during surgery as well as its management. Myocardial ischemia, pulmonary embolism (PE) from deep venous thrombosis or PMMA, and anaphylactoid/anaphylaxis reaction were considered. This patient had osteoporosis, a systemic skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fractures. Cardiopulmonary presentation is either immediate or delayed and can be catastrophic. Consider a chest X-ray, echocardiogram, and computed tomography scan as diagnostic tools. If strongly symptomatic, consult cardiothoracic surgery for possible embolectomy.