Abstract
Iatrogenic vascular injury during posterior spinal surgery is a rare but potentially serious complication with treatment challenges. We report the case of threatened aortic injury by pedicle screw impingement during posterior fixation of thoracic spine T7 - T8 fracture dislocation. The removal of the conflicting screws was done posteriorly after a visual control of the absence of adventitious break-in by a thoracotomy.
Highlights
Open AccessPedicle screws have been used successfully for posterior spinal fixation
We report the case of threatened aortic injury by pedicle screw impingement during posterior fixation of thoracic spine T7 - T8 fracture dislocation
Iatrogenic aortic injury by pedicle screw instrumentation is a rare complication during posterior reconstructive surgery of spinal deformity, spinal traumatic injuries and spinal degenerative disease [2]
Summary
Pedicle screws have been used successfully for posterior spinal fixation. Their biomechanical superiority and advantages in terms of fusion rates, coronal balance restoration and functional outcome are well established. Iatrogenic aortic injury by pedicle screw instrumentation is a rare complication during posterior reconstructive surgery of spinal deformity, spinal traumatic injuries and spinal degenerative disease [2]. Complications of posterior spinal instrumentation with pedicle screws, rare, are known and are usually neurological [1]. We report the case of iatrogenic threatened aortic injury by pedicle screw instrumentation during posterior reconstructive surgery of thoracic spine fracture dislocation
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