title: [Simultaneous retroperitoneal operation of juxtarenal abdominal aortic aneurysm and ischemic vertebral body necrosis].
abstract: The combination of abdominal aortic aneurysm (AAA) and necrosis of the lumbar vertebral bodies is often the consequence of ischemia of the lumbar arteries and local compression from the aneurysm. A patient with necrosis of lumbar vertebral bodies 2 to 4 was admitted for abdominal aneurysm repair. CT scanning revealed almost complete destruction of the second and fourth lumbar vertebral bodies. In a combined operation an orthopedic and a vascular surgical team implanted two carbonic cages with autogenous splinter of the pelvic bone and an aortic vascular graft, using a retroperitoneal approach. Three months after the operation the 61-year-old man is entirely well and without any signs of back pain. He could be fully mobilized within 3 weeks postoperatively. This case study depicts the surgical techniques and discusses the advantages of the simultaneous operation and retroperitoneal exposure.
authors.affiliation: Abteilung für Chirurgie und Gefässchirurgie, Augusta-Krankenhaus Düsseldorf.
authors.forename: R
authors.initials: R
authors.lastname: Kolvenbach
authors.forename: A
authors.initials: A
authors.lastname: Lohmann
authors.forename: C W
authors.initials: CW
authors.lastname: Siegling
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D003131:Combined Modality Therapy; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000098:blood supply* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000175:diagnosis / Q000601:surgery*; D010348:Patient Care Team; D012187:Retroperitoneal Space / Q000601:surgery; D013523:Surgical Equipment; D016896:Treatment Outcome