Esophageal injury from thoracic pedicle screw placement in a polytrauma patient: a case report and literature review.
The authors present a case report illustrating a visceral complication that may occur as result of thoracic pedicle screw placement. The case describes the previously unreported occurrence of esophageal impingement secondary to anterior vertebral body perforation by a pedicle screw at the third thoracic vertebra. This case highlights the challenge of thoracic pedicle screw placement and the importance of preoperatively measuring the maximum anterior-posterior dimension of the vertebral body.
O'Brien
J R
JR
Department of Orthopaedic Surgery, University of Maryland Medical System/R. Adams Cowley Shock Trauma Center, 22 South Greene Street, Baltimore, MD 21201, USA.
Krushinski
E
E
Zarro
C M
CM
Sciadini
M
M
Gelb
D
D
Ludwig
S
S
D000293:Adolescent; D001863:Bone Screws / Q000009:adverse effects*; D004947:Esophagus / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D006801:Humans; D009104:Multiple Trauma / Q000150:complications / Q000601:surgery*; D011859:Radiography; D016103:Spinal Fractures / Q000150:complications / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology*