CASE: We describe the case of a 53-year-old man who developed acute groin pain 20 days after a posterior L4-L5 interbody fusion. Despite positioning of pedicle screws within the safe zone, an L4 right lumbar artery pseudoaneurysm was found on computer tomography angiogram. Coil embolization was successfully performed. CONCLUSION: Iatrogenic lumbar artery pseudoaneurysms are a rare complication of spinal surgery. Our case is, to the best of our knowledge, the only reported case where this lesion occurred despite good positioning of the screws: It is therefore important to always suspect and exclude this complication in case of suggestive symptoms.
Occurrence of L4 Lumbar Artery Pseudoaneurysm After Posterior Reduction and L4-L5 Fusion for Grade I Anterolisthesis: A Case Report / Ruffilli A.; Barile F.; Fiore M.; Pasini S.; Facchini G.; Faldini C.. - In: JBJS CASE CONNECTOR. - ISSN 2160-3251. - ELETTRONICO. - 10:4(2020), pp. e20.00117-e20.00117. [10.2106/JBJS.CC.20.00117]
Occurrence of L4 Lumbar Artery Pseudoaneurysm After Posterior Reduction and L4-L5 Fusion for Grade I Anterolisthesis: A Case Report
Ruffilli A.;Barile F.;Fiore M.;Pasini S.;Faldini C.
2020
Abstract
CASE: We describe the case of a 53-year-old man who developed acute groin pain 20 days after a posterior L4-L5 interbody fusion. Despite positioning of pedicle screws within the safe zone, an L4 right lumbar artery pseudoaneurysm was found on computer tomography angiogram. Coil embolization was successfully performed. CONCLUSION: Iatrogenic lumbar artery pseudoaneurysms are a rare complication of spinal surgery. Our case is, to the best of our knowledge, the only reported case where this lesion occurred despite good positioning of the screws: It is therefore important to always suspect and exclude this complication in case of suggestive symptoms.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
