电视胸腔镜下血管内修复T11爆裂骨折后路椎弓根螺钉内固定后延迟医源性降主动脉损伤的研究

EJVES Extra Pub Date : 2013-07-01 DOI:10.1016/j.ejvsextra.2013.03.005

T.-M. Liu , M.-L. Li , C.-C. Ding , B.-C. Li

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引用次数: 2

摘要

以前曾报道过椎弓根螺钉脊柱手术后医源性降主动脉损伤。我们报告了一例44岁女性因第11胸椎(T11)爆裂骨折接受后路椎弓根螺钉内固定的病例。计算机断层扫描显示一颗错位的椎弓根螺钉伴降主动脉后内侧部位糜烂。因此，在视频辅助胸腔镜手术(VATS)引导下，手动收回错位螺钉，并在透视引导下部署胸腔支架。我们建议采用这种微创方法治疗该并发症，以避免进一步的并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Video-assisted Thoracoscopic Surgery with Endovascular Repair for Delayed Iatrogenic Descending Aorta Injury after Posterior Instrumentation with Pedicle Screws for T11 Burst Fracture

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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来源期刊

EJVES Extra

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