Endovascular Treatment of Late Aortic Erosive Lesion by Pedicle Screw without Screw Removal: Case Report and Literature Review

Published:September 22, 2016DOI:https://doi.org/10.1016/j.avsg.2016.06.020

      Background

      Aortic lesions are uncommon complications in spine surgery, but potentially fatal, because they can cause massive bleeding and hemodynamic instability. We report the endovascular treatment of late aortic erosive lesion by pedicle screw without screw removal.

      Methods

      A breast cancer patient had a pathological fracture on T10, with spinal cord compression, and a pseudoaneurysm of the aorta in contact with an anterolateral pedicle screw. Endovascular surgery corrected the aortic lesion and allowed decompression, a week later, by posterior arthrodesis (T7-L1), with screw maintenance.

      Results

      There was no contrast leakage at thorax angiotomography in 2 years, and she died of meningeal carcinomatosis.

      Conclusion

      Screw maintenance was safe in the endovascular treatment of aortic lesion by erosion.
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