Combined endovascular and neurosurgical approach to the removal of an intraaortic pedicle screw

Technical note

Michelle J. Clarke, James Guzzo, Jean Paul Wolinsky, Ziya Gokaslan, James H. Black

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Iatrogenic aortic injuries are a potentially devastating complication of spine surgery. In instrumented cases, injuries may occur in the perioperative period due to iatrogenic vessel injury, or they may occur years later as prominent implants erode or penetrate major vessels. The authors present a case of a 71-year-old man in whom a thoracic pedicle screw was found perforating the thoracic aorta during routine follow-up 6 months after surgery. Due to the risk of future complications, the screw was removed while simultaneously delivering an endovascular aortic stent to gain vascular control. Surgical considerations and potential technical limitations are discussed.

Original languageEnglish (US)
Pages (from-to)550-554
Number of pages5
JournalJournal of Neurosurgery: Spine
Volume15
Issue number5
DOIs
StatePublished - Nov 2011
Externally publishedYes

Fingerprint

Wounds and Injuries
Perioperative Period
Thoracic Aorta
Stents
Blood Vessels
Spine
Thorax
Pedicle Screws

Keywords

  • Aortic injury
  • Complication
  • Endovascular repair
  • Pedicle screw
  • Surgical technique

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Neurology

Cite this

Combined endovascular and neurosurgical approach to the removal of an intraaortic pedicle screw : Technical note. / Clarke, Michelle J.; Guzzo, James; Wolinsky, Jean Paul; Gokaslan, Ziya; Black, James H.

In: Journal of Neurosurgery: Spine, Vol. 15, No. 5, 11.2011, p. 550-554.

Research output: Contribution to journalArticle

Clarke, Michelle J. ; Guzzo, James ; Wolinsky, Jean Paul ; Gokaslan, Ziya ; Black, James H. / Combined endovascular and neurosurgical approach to the removal of an intraaortic pedicle screw : Technical note. In: Journal of Neurosurgery: Spine. 2011 ; Vol. 15, No. 5. pp. 550-554.
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