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 language | English (US) |
---|---|
Pages (from-to) | 550-554 |
Number of pages | 5 |
Journal | Journal of Neurosurgery: Spine |
Volume | 15 |
Issue number | 5 |
DOIs | |
State | Published - Nov 2011 |
Keywords
- Aortic injury
- Complication
- Endovascular repair
- Pedicle screw
- Surgical technique
ASJC Scopus subject areas
- Surgery
- Neurology
- Clinical Neurology