Li-di Liu1, Xin Hong2, Jiang-Bi Li1, Shao-Kun Zhang1. 1. Department of Spine Surgery, The First Hospital of Jilin University, Changchun, China. 2. Department of Vascular Surgery, Japan Union Hospital of Jilin University, Changchun, China.
Abstract
BACKGROUND: Pedicle screw insertion has been known to have several complications even in the most skilled surgical hands. However, injury to the thoracic aorta during pedicle screw insertion is rare, delayed presentation secondary to pseudoaneurysm is even rarer, the pseudoaneurysm formation caused by a series of malpositioned pedicle screws has perhaps not been reported so far. CASE PRESENTATION: In this paper, we report here a case in which inadvertent injury to the thoracic aorta resulted in pseudoaneurysm, its manifestation was initially vague, resulting in a delayed diagnosis. Delayed aortic pseudoaneurysm or injury can be asymptomatic for a long time. Patients with renewed or continued back pain should alert orthopaedic surgeons regarding the possibility of pseudoaneurysms, regardless of the period that has elapsed after pedicle screw implantation.
BACKGROUND: Pedicle screw insertion has been known to have several complications even in the most skilled surgical hands. However, injury to the thoracic aorta during pedicle screw insertion is rare, delayed presentation secondary to pseudoaneurysm is even rarer, the pseudoaneurysm formation caused by a series of malpositioned pedicle screws has perhaps not been reported so far. CASE PRESENTATION: In this paper, we report here a case in which inadvertent injury to the thoracic aorta resulted in pseudoaneurysm, its manifestation was initially vague, resulting in a delayed diagnosis. Delayed aortic pseudoaneurysm or injury can be asymptomatic for a long time. Patients with renewed or continued back pain should alert orthopaedic surgeons regarding the possibility of pseudoaneurysms, regardless of the period that has elapsed after pedicle screw implantation.
Authors: Fran D Faro; Christine L Farnsworth; Gary S Shapiro; Fazir Mohamad; Klane K White; Eric Breisch; Andrew T Mahar; Tucker Tomlinson; Maneesh Bawa; Mark Gomez; Peter O Newton Journal: Spine (Phila Pa 1976) Date: 2005-11-01 Impact factor: 3.468
Authors: Reinhard Kopp; Rudolph Beisse; Rolf Weidenhagen; Stefan Piltz; Stefan Hauck; Christoph R Becker; Oliver Pieske; Volker Bühren; Karl Walter Jauch; Lutz Lauterjung Journal: Spine (Phila Pa 1976) Date: 2007-12-01 Impact factor: 3.468