Video-assisted Thoracoscopic Surgery with Endovascular Repair for Delayed Iatrogenic Descending Aorta Injury after Posterior Instrumentation with Pedicle Screws for T11 Burst Fracture
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引用次数: 2
Abstract
Introduction
Iatrogenic descending aortic injury after spine surgery with pedicle screws has previously been reported.
Report
We describe a case of a 44 year-old woman who underwent posterior instrumentation with pedicle screws for 11th thoracic (T11) spinal burst fracture.
Discussion
Computed tomography revealed a malpositioned pedicle screw with erosion of the posterior medial site of the descending aorta. Therefore, the malpositioned screw was manually retracted under video-assisted thoracoscopic surgery (VATS) guidance, and a thoracic stent graft was deployed under fluoroscopic guidance. We suggest treating this complication with this minimally invasive method to avoid further complications.
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