2024-03-29T14:08:19Zhttp://uvadoc.uva.es/oai/requestoai:uvadoc.uva.es:10324/36052021-06-23T09:55:17Zcom_10324_1138com_10324_931com_10324_894col_10324_1226
Martín Pedrosa, José Miguel
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500
Gutíerrez Alonso, Vicente
ce837734-f3a9-4684-8c3f-ab8df8c59152
600
González Fajardo, José Antonio
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Vaquero Puerta, Carlos
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0000-0002-2195-1679
2013-09-30T07:34:28Z
2013-09-30T07:34:28Z
2012
Journal of Vascular Surgery, 2012, Volume 55, Issue 6, Pages 1782–1783
0741-5214
http://uvadoc.uva.es/handle/10324/3605
https://doi.org/10.1016/j.jvs.2011.02.051
Producción Científica
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.
application/pdf
eng
Society of Vascular Surgery
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/3.0/
Attribution-NonCommercial-NoDerivs 3.0 Unported
Cirugía operatoria
Mádula espinal - Lesiones y heridas
Endovascular treatment of thoracic aorta injury after spinal column surgery
info:eu-repo/semantics/article
SI
ORIGINAL
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