Zementembolie in die V. cava nach Pedikelschraubenaugmentation

After a fall a 52-year-old female patient suffered an unstable fracture of lumbar vertebral body 3 and a stable fracture of thoracic vertebral body 12 without neurological deficits. In addition to the balloon kyphoplasty of thoracic vertebral body 12, percutaneous fixator internal instrumentation of lumbar vertebral bodies 2–4 was carried out with cement-augmented pedicle screws. Cement leakage into the inferior vena cava occurred. After the onset of detachment of the cement parts, we decided on an endovascular removal using the sling technique. The postinterventional course was uncomplicated.