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Endovascular Treatment of Late Aortic Erosive Lesion by Pedicle Screw without Screw Removal: Case Report and Literature Review.

Related Articles Endovascular Treatment of Late Aortic Erosive Lesion by Pedicle Screw without Screw Removal: Case Report and Literature Review. Ann Vasc Surg. 2017 Feb;39:285.e17-285.e21 Authors: Zerati AE, Leiderman DB, Teixeira WG, Narazaki DK, Cristante AF, Wolosker N, de Luccia N, Barros Filho TE Abstract BACKGROUND: Aortic lesions are uncommon complications in spine surgery, but potentially fatal, because they can cause massive bleeding and hemodynamic instability. We report the endovascular treatment of late aortic erosive lesion by pedicle screw without screw removal. METHODS: A breast cancer patient had a pathological fracture on T10, with spinal cord compression, and a pseudoaneurysm of the aorta in contact with an anterolateral pedicle screw. Endovascular surgery corrected the aortic lesion and allowed decompression, a week later, by posterior arthrodesis (T7-L1), with screw maintenance. RESULTS: There was no contrast leakage at thorax angiotomography in 2 years, and she died of meningeal carcinomatosis. CONCLUSION: Screw maintenance was safe in the endovascular treatment of aortic lesion by erosion. PMID: 27666805 [PubMed - indexed for MEDLINE]

BACKGROUND:

Aortic lesions are uncommon complications in spine surgery, but potentially fatal, because they can cause massive bleeding and hemodynamic instability. We report the endovascular treatment of late aortic erosive lesion by pedicle screw without screw removal.

METHODS:

A breast cancer patient had a pathological fracture on T10, with spinal cord compression, and a pseudoaneurysm of the aorta in contact with an anterolateral pedicle screw. Endovascular surgery corrected the aortic lesion and allowed decompression, a week later, by posterior arthrodesis (T7-L1), with screw maintenance.

RESULTS:

There was no contrast leakage at thorax angiotomography in 2 years, and she died of meningeal carcinomatosis.

CONCLUSION:

Screw maintenance was safe in the endovascular treatment of aortic lesion by erosion.

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Tags: pubmed, spine injury
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