The main risk of cemented bone surgery (such as percutaneous acrylate vertebroplasty/kyphoplasty or hip replacement) using acrylate is cement pulmonary embolism or bone cement implantation syndrome (BCIS) (PMID 25367483). The disease may affect >1% of those so treated (PMID 24205776). Post-procedural shortness of breath, chest pain, dense dichotomously branched shadows or ARDS or intracardiac densities are suggestive. Massive cement embolism can be fatal