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Title: Endovascular treatment of thoracic aorta injury after spinal column surgery
Authors: Martín Pedrosa, José Miguel
Gutiérrez, Vicente
González Fajardo, José Antonio
Vaquero, Carlos
Issue Date: 2012
Publisher: Society of Vascular Surgery
Description: Producción Científica
Citation: Journal of Vascular Surgery, 2012, Volume 55, Issue 6, Pages 1782–1783
Abstract: A 61-year-old woman with a history of left dorso-lumbar scoliosis and severe dorso-lumbar kyphosis underwent surgical treatment of a spinal deformity. Surgery was conducted on the patient by performing a dorso-lumbar spinal arthrodesis (T6-L5) by means of the insertion of two longitudinal rods and a number of pedicle-expander screws at different vertebral levels. Following the orthopedic surgery, the patient presented paraparesis of the lower limbs and anemia that required transfusion. In the immediate postoperative period, a noncontrast-enhanced computed tomography (CT) scan was obtained to assess the medullary canal. A deviation of the left screw placed at T6 was detected; this screw projected outward from the vertebral cortex, protruding into the descending thoracic aorta. A contrast-enhanced CT scan showed that the screw had been malpositioned, and the image was highly suggestive of a perforation of the aortic wall, despite a lack of evidence of a peri-aortic hematoma, extravasation of contrast medium, or pleural effusion. The patient remained hemodynamically stable, and the decision was to perform an endovascular repair electively within 24 hours.
Keywords: Cirugía operatoria
Mádula espinal - Lesiones y heridas
ISSN: 0741-5214
Peer Review: SI
Language: eng
Rights: info:eu-repo/semantics/openAccess
Appears in Collections:DEP11 - Artículos de revista

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