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 (2013). DELAYED PRESENTATION OF A THORACIC AORTIC INJURY WITH A VERTEBRAL PEDICLE SCREW. ANNALS OF VASCULAR SURGERY, 27, 449e1-449e3.
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
