Emergency Aortic Control for Pedicle Screw Misplacement During Spinal Fixation.

Abstract:

:Aortic iatrogenic injuries during spinal instrumentation are rare but carry a high risk of mortality. In this report, we describe the case of a 26-year-old man with traumatic vertebral fracture and subsequent spinal cord injury who underwent posterior vertebral fixation at our trauma center. The neurosurgical procedure was complicated by the misplacement of a spinal pedicle screw, which almost penetrated the descending thoracic aorta. To avoid a possibly fatal bleeding, we safely removed the pedicle screw with the help of a prophylactic proximal compliant aortic balloon ready to be inflated in case of hemorrhage. Follow-up computed tomography scan did not detect any defect of the aortic wall, nor any sign of bleeding. After a 15-month follow-up, the patient is alive and in good physical conditions, with little residual neurologic deficit due to the spinal trauma.

journal_name

Ann Vasc Surg

authors

Monzio-Compagnoni N,Aseni P,Romani F

doi

10.1016/j.avsg.2020.01.007

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

669.e1-669.e3

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(20)30026-1

journal_volume

66

pub_type

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