title: Aseptic lysis L2-L3 as complication of abdominal aortic aneurysm repair.
abstract: Osteolytic vertebral erosion is usually related to tumours, spondylitis or spondylodiscitis. Few reports in the literature describe lytic lesions of anterior lumbar vertebral bodies resulting from abdominal aortic aneurysm or false aneurysm. We report a case of abdominal aortic false aneurysm that caused lytic lesions of the second and third vertebral bodies in an 80-year-old man who underwent endovascular aneurysm repair. Fluoroscopy guided biopsy excluded infection or tumour. We performed a posterior spinal fusion and decompression because of bone loss of the second and third lumbar vertebral bodies and central stenosis. Postoperatively the patient showed satisfactory relief in low-back and thigh pain but, unfortunately, he died 1 month after surgery because of respiratory complications. This case suggests that when a lytic lesion of a lumbar vertebral body is discovered in a patient who has undergone endovascular aneurysm repair, an abdominal aortic false aneurysm may be the cause of the vertebral erosion even in cases without infective pathogenesis.
authors.affiliation: Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Viale Oxford, 81, 00133, Rome, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Mancini
authors.forename: Andrea
authors.initials: A
authors.lastname: Ascoli-Marchetti
authors.forename: Luca
authors.initials: L
authors.lastname: Garro
authors.forename: Roberto
authors.initials: R
authors.lastname: Caterini
mesh_terms: D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis; D017130:Angioplasty / Q000009:adverse effects / Q000379:methods; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000628:therapy; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D016025:Bone Transplantation / Q000379:methods; D003131:Combined Modality Therapy; D019299:Decompression, Surgical / Q000379:methods; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis* / Q000209:etiology; D008159:Lumbar Vertebrae / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D064847:Multimodal Imaging / Q000379:methods*; D010014:Osteolysis / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D049268:Positron-Emission Tomography / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods