Delayed Penetration of the Thoracic Aorta by Pedicle Screws: A Case Report of Screws Left As-Is.
Journal
Spine
ISSN: 1528-1159
Titre abrégé: Spine (Phila Pa 1976)
Pays: United States
ID NLM: 7610646
Informations de publication
Date de publication:
01 Oct 2019
01 Oct 2019
Historique:
pubmed:
17
5
2019
medline:
31
12
2019
entrez:
17
5
2019
Statut:
ppublish
Résumé
A case report. Presentation of a patient diagnosed with perforation of the aorta by pedicle screws at levels T6 and T9 2 years after spinal fusion, who was advised no intervention. Review of other reported cases that did not undergo excision of the penetrating screws. More than 30 cases of aortic penetration by pedicle screws were described. Gradual penetration of the screws into the aorta rarely causes symptoms other than backache. However, only two cases were treated conservatively. A 65-year-old female patient underwent spinal decompression and T5-T10 posterior fusion following a spinal abscess. Two years and 8 months postoperatively, she underwent a computed tomography scan for suspicion of spinal hardware infection, which showed T6 and T10 screws penetrating the thoracic aorta. Due to high morbidity, the patient was not offered an operation for screw excision. This case report adds to the only two previous reports of patients who did not undergo revision of pedicle screws penetrating thoracic aorta. 5.
Sections du résumé
STUDY DESIGN
METHODS
A case report.
OBJECTIVE
OBJECTIVE
Presentation of a patient diagnosed with perforation of the aorta by pedicle screws at levels T6 and T9 2 years after spinal fusion, who was advised no intervention. Review of other reported cases that did not undergo excision of the penetrating screws.
SUMMARY OF BACKGROUND DATA
BACKGROUND
More than 30 cases of aortic penetration by pedicle screws were described. Gradual penetration of the screws into the aorta rarely causes symptoms other than backache. However, only two cases were treated conservatively.
METHODS
METHODS
A 65-year-old female patient underwent spinal decompression and T5-T10 posterior fusion following a spinal abscess. Two years and 8 months postoperatively, she underwent a computed tomography scan for suspicion of spinal hardware infection, which showed T6 and T10 screws penetrating the thoracic aorta.
RESULTS
RESULTS
Due to high morbidity, the patient was not offered an operation for screw excision.
CONCLUSION
CONCLUSIONS
This case report adds to the only two previous reports of patients who did not undergo revision of pedicle screws penetrating thoracic aorta.
LEVEL OF EVIDENCE
METHODS
5.
Identifiants
pubmed: 31095116
doi: 10.1097/BRS.0000000000003094
pii: 00007632-201910010-00020
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E1169-E1171Références
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