Endovascular treatment of a malpositioned screw in the thoracic aorta after anterior spinal instrumentation: the screwed aorta.
An interesting case report detailing the management of an aorta that was inadvertently screwed during spinal fixation. The management and imaging encompass the use of computer tomography and intravascular ultrasound to determine the trajectory of the screw and the successful management of the patient.
1Division of Vascular Surgery, Virginia Commonwealth University Health System, Richmond, VA, USA.
Ayorinde
A
Akinrinlola
Derek R
DR
Brinster
D000328:Adult; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D001863:Bone Screws / Q000009:adverse effects*; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000009:adverse effects* / Q000295:instrumentation; D012086:Reoperation; D015607:Stents; D013904:Thoracic Vertebrae / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*
IVUS; aorta; endovascular; thoracic stent graft