|Title: ||Endovascular treatment of thoracic aorta injury after spinal column surgery|
|Authors: ||Martín Pedrosa, José Miguel|
González Fajardo, José Antonio
|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
|Peer Review: ||SI|
|Appears in Collections:||DEP11 - Artículos de revista|