title: Abdominal aortic rupture and spondylodiscitis: emergent EVAR and staged spinal fixation.
abstract: Concomitant aortic aneurismal pathology and vertebral erosion are seldom reported in literature. The differential diagnosis between a primary vertebral disease affecting the aortic wall and a primary aortic pathology causing a vertebral disruption is quite difficult. We report on a patient presenting with increasing lumbar pain and neurologic lower limbs deficit due to a vertebral erosion accompanied by aortic rupture treated by emergent endovascular aortic repair procedure and then staged vertebral fixation. Microbiological tests on intraoperative periaortic fluid collection samples showed no clear sign of infection and clinical conditions progressively improved. At 12-month follow-up, the patient is in good clinical condition, with a small residual walking impairment and no clinical, laboratory, or imaging sign of aortic endograft infection.
authors.affiliation: "Paride Stefanini" Department, Vascular and Endovascular Surgery Division, Sapienza University of Rome.
authors.forename: Laura
authors.initials: L
authors.lastname: Capoccia
authors.affiliation: "Paride Stefanini" Department, Vascular and Endovascular Surgery Division, Sapienza University of Rome. Electronic address: dmenna@hotmail.it.
authors.forename: Danilo
authors.initials: D
authors.lastname: Menna
authors.affiliation: "Paride Stefanini" Department, Vascular and Endovascular Surgery Division, Sapienza University of Rome.
authors.forename: Nunzio
authors.initials: N
authors.lastname: Montelione
authors.affiliation: Roberto Tarantino and Daniele Marruzzo are neurosurgeons referring to Neurosurgery Division, Sapienza University of Rome.
authors.forename: Roberto
authors.initials: R
authors.lastname: Tarantino
authors.affiliation: Roberto Tarantino and Daniele Marruzzo are neurosurgeons referring to Neurosurgery Division, Sapienza University of Rome.
authors.forename: Daniele
authors.initials: D
authors.lastname: Marruzzo
authors.affiliation: "Paride Stefanini" Department, Vascular and Endovascular Surgery Division, Sapienza University of Rome.
authors.forename: Enrico
authors.initials: E
authors.lastname: Sbarigia
authors.affiliation: "Paride Stefanini" Department, Vascular and Endovascular Surgery Division, Sapienza University of Rome.
authors.forename: Francesco
authors.initials: F
authors.lastname: Speziale
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D015299:Discitis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D015607:Stents; D014057:Tomography, X-Ray Computed