2026-04-22T04:30:51Zhttps://uvadoc.uva.es/oai/request

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

00925njm 22002777a 4500 dc Martín Pedrosa, José Miguel author Gutíerrez Alonso, Vicente author González Fajardo, José Antonio author Vaquero Puerta, Carlos author 2012 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. 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 Cirugía operatoria Mádula espinal - Lesiones y heridas Endovascular treatment of thoracic aorta injury after spinal column surgery