Aortic Injury by Thoracic Pedicle Screw. When Is Aortic Repair Required? Literature Review and Three New Cases

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dc.contributor.authorKayacı S.
dc.contributor.authorCakir T.
dc.contributor.authorDolgun M.
dc.contributor.authorCakir E.
dc.contributor.authorBozok Ş.
dc.contributor.authorTemiz C.
dc.contributor.authorCaglar Y.S.
dc.date.accessioned2024-07-22T08:08:35Z
dc.date.available2024-07-22T08:08:35Z
dc.date.issued2019
dc.description.abstractPurpose: Aortic injury by pedicle screw is rare but can cause serious complications. It has not been clearly determined when aortic repair is necessary in cases of screw impingement without perforation of the aortic wall. In this article, we review the treatment and clinical course of pedicle screw aortic impingement and attempt to clarify this issue. Methods: Cases of aortic injury during thoracic screw procedures were found using a MEDLINE search and analyzed together with 3 new cases that we present. Results: Nineteen cases collected from the literature and 3 new cases were included in the study. In 7 of the cases, aortic impingement by the pedicle screw was detected during postoperative follow-up (day 1) radiologic examinations. In the other cases, time to presentation of aortic impingement ranged between 2 weeks and 60 months after fixation. The main indications for thoracic spinal fixation were post-traumatic vertebral fracture and kyphoscoliosis/scoliosis. Repair of the aortic damage ranged from primary repair to stent and tube graft placement by the thoracic endovascular aortic repair method. Conclusions: In cases in which the screw impinges less than 5 mm into the aortic wall, hardware revision without aortic repair may be sufficient if recognized early and there are no sign of aortic leakage in vascular imaging. However, cases with more than 5 mm of screw impingement should undergo aortic repair first, even in the absence of aortic leakage, following by screw revision. © 2019
dc.identifier.DOI-ID10.1016/j.wneu.2019.04.173
dc.identifier.issn18788750
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/14460
dc.language.isoEnglish
dc.publisherElsevier Inc.
dc.subjectAorta
dc.subjectAortography
dc.subjectBlood Vessel Prosthesis
dc.subjectComputed Tomography Angiography
dc.subjectEndovascular Procedures
dc.subjectFemale
dc.subjectHumans
dc.subjectIatrogenic Disease
dc.subjectLumbar Vertebrae
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPedicle Screws
dc.subjectReoperation
dc.subjectSpinal Fractures
dc.subjectStents
dc.subjectThoracic Vertebrae
dc.subjectVascular Grafting
dc.subjectVascular System Injuries
dc.subjectvancomycin
dc.subjectadult
dc.subjectAmerican Spinal Injury Association impairment scale
dc.subjectaortic disease
dc.subjectaortic hemorrhage
dc.subjectaortic impingement
dc.subjectaortic reconstruction
dc.subjectaortic trauma
dc.subjectaortography
dc.subjectbackache
dc.subjectbleeding
dc.subjectcase report
dc.subjectchill
dc.subjectclinical article
dc.subjectcomputer assisted tomography
dc.subjectemergency surgery
dc.subjectemergency ward
dc.subjectendovascular aneurysm repair
dc.subjectfemale
dc.subjectfever
dc.subjectfluoroscopy
dc.subjectfollow up
dc.subjectfracture fixation
dc.subjectgeneral anesthesia
dc.subjecthematothorax
dc.subjecthospital admission
dc.subjecthospital discharge
dc.subjecthuman
dc.subjectkyphoscoliosis
dc.subjectlow back pain
dc.subjectlumbar spine
dc.subjectlumbosacral spine
dc.subjectmale
dc.subjectMedline
dc.subjectmiddle aged
dc.subjectnuclear magnetic resonance imaging
dc.subjectoutpatient department
dc.subjectparaspinal muscle
dc.subjectphysiotherapy
dc.subjectprone position
dc.subjectrehabilitation center
dc.subjectreoperation
dc.subjectReview
dc.subjectscoliosis
dc.subjectsecond lumbar vertebra
dc.subjectsedimentation rate
dc.subjectskin incision
dc.subjectspine fracture
dc.subjectspine injury
dc.subjectthoracic spine
dc.subjectthorax pain
dc.subjectthorax radiography
dc.subjecttreatment duration
dc.subjecttreatment indication
dc.subjectvertebra body
dc.subjectadverse device effect
dc.subjectaorta
dc.subjectblood vessel graft
dc.subjectblood vessel injury
dc.subjectblood vessel prosthesis
dc.subjectcomputed tomographic angiography
dc.subjectendovascular surgery
dc.subjectiatrogenic disease
dc.subjectinjury
dc.subjectlumbar vertebra
dc.subjectpedicle screw
dc.subjectspine fracture
dc.subjectstent
dc.subjectthoracic vertebra
dc.titleAortic Injury by Thoracic Pedicle Screw. When Is Aortic Repair Required? Literature Review and Three New Cases
dc.typeReview

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