Aortic dissection associated with penetration of a spinal pedicle screw: a case report and review of the literature.
A 30-year-old male underwent a corrective posterior instrumented spinal fusion for scoliosis. Six years later, he was found to have an aortic dissection after aortic penetration of a spinal pedicle screw. We review the literature, including diagnostic modalities, and treatment decision-making for this unusual complication.
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Heart and Vascular Institute, Cleveland, Ohio.
Saila T
ST
Pillai
Paul
P
Schoenhagen
Lakshman
L
Subrahmanyan
Sandip K
SK
Mukherjee
Robert L
RL
McNamara
John
J
Elefteriades
Lars Georg
LG
Svensson
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D001863:Bone Screws / Q000009:adverse effects*; D003952:Diagnostic Imaging; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000150:complications; D012600:Scoliosis / Q000150:complications / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation*; D016896:Treatment Outcome