Pedicle screw removal along the descending aorta with endovascular intervention: a case report

Iatrogenic vascular injuries after spinal surgery have been reported in many literatures but it was a rare complications. We report one case of a 26 -year - old male who was involved in road traffic accident with multiple injuries: T3-T4 fracture, left proximal humerus fracture and 8th to 9th rib fractures. Patient underwent for spinal fixation from T1 to T8 on 5thof September 2019. After one month, patient started to have a dry gangrene in the left big toe. CT angiogram showed the pedicle screw was crossed the level of the descending aorta. On 27th of November 2019, patient was operated for screw removal under angiography.