2026-04-27T15:10:13Zhttps://uvadoc.uva.es/oai/request

oai:uvadoc.uva.es:10324/36052025-03-26T19:10:03Zcom_10324_1138com_10324_931com_10324_894col_10324_1226

Martín Pedrosa, José Miguel Gutíerrez Alonso, Vicente González Fajardo, José Antonio Vaquero Puerta, Carlos Cirugía operatoria Mádula espinal - Lesiones y heridas 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. 2013-09-30 2013-09-30 2012 info:eu-repo/semantics/article Journal of Vascular Surgery, 2012, Volume 55, Issue 6, Pages 1782–1783 0741-5214 http://uvadoc.uva.es/handle/10324/3605 10.1016/j.jvs.2011.02.051 eng info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by-nc-nd/3.0/ Attribution-NonCommercial-NoDerivs 3.0 Unported Society of Vascular Surgery