Iatrogenic aortic injuries by pedicle screws are rare but serious complications of spinal fixation surgery. We report the case of a 55-year-old man who underwent surgical correction of traumatic thoracic vertebral fractures at another institution. At 6-month follow-up, computed tomography revealed a nonhealing of the fractures, and a T4 misplaced pedicle screw penetrating the descending thoracic aorta. The patient underwent open aortic repair associated with the anterior vertebral column reconstruction and posterior arthrodesis revision by a vascular and orthopedic surgery team simultaneously.

DELAYED PRESENTATION OF A THORACIC AORTIC INJURY WITH A VERTEBRAL PEDICLE SCREW

FREYRIE, ANTONIO;GALLITTO, ENRICO;GARGIULO, MAURO
2013

Abstract

Iatrogenic aortic injuries by pedicle screws are rare but serious complications of spinal fixation surgery. We report the case of a 55-year-old man who underwent surgical correction of traumatic thoracic vertebral fractures at another institution. At 6-month follow-up, computed tomography revealed a nonhealing of the fractures, and a T4 misplaced pedicle screw penetrating the descending thoracic aorta. The patient underwent open aortic repair associated with the anterior vertebral column reconstruction and posterior arthrodesis revision by a vascular and orthopedic surgery team simultaneously.
A Freyrie; A Gasbarrini; C Simoes; E Gallitto; M Gargiulo
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/393940
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