title: Concomitant Lumbar Stenosis and Aortic Pseudoaneurysm: A Case Report.
abstract: Aortic pseudoaneurysm can create a constellation of symptoms that can mimic lumbar back pain. There are rare but well-documented reports of aortic pathology (aneurysms, pseudoaneurysms, and chronic contained aneurysm ruptures) eroding into the vertebral column causing neural compression. We report a case of a rapidly progressive aortic pseudoaneurysm in a patient with pre-existing lumbar spine pathology which had the potential for catastrophic intraoperative bleeding during a minimally invasive surgery (MIS) using the transforaminal lumbar interbody fusion (TLIF) technique. Postoperatively, the patient's radicular pain resolved but her back pain remained. Further workup identified the pseudoaneurysm and the patient subsequently underwent open vascular repair. In this report, we highlight a lesser known mimicker of lumbar back pain.
authors.affiliation: Orthopaedic Surgery, UAB School of Medicine.
authors.forename: Christoph
authors.initials: C
authors.lastname: Fuchs
authors.affiliation: Orthopaedic Surgery, UAB School of Medicine.
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Niemeier
authors.affiliation: Orthopaedics, Hughston Clinic.
authors.forename: William E
authors.initials: WE
authors.lastname: Neway
authors.affiliation: Orthopaedic Surgery, UAB School of Medicine.
authors.forename: Sakthivel Rajan
authors.initials: SR
authors.lastname: Rajaram Manoharan
keywords: abdominal aortic pseudoaneurysm; lumbar stenosis; minimally invasive spine surgery; tlif; vertebral erosion