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Aganesov A.G.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Alexanyan M.M.

Petrovsky Russian Research Center of Surgery, Moscow, Russia

Mardanian G.V.

FGBU RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Novikova A.A.

National Research Center for Hematology, Moscow, Russia

Aortic intramural hematoma after transpedicular thoracic spine fusion

Authors:

Aganesov A.G., Alexanyan M.M., Mardanian G.V., Novikova A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(2): 84‑88

DOI: 10.17116/hirurgia202002184

Views: 2532

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To cite this article:

Aganesov AG, Alexanyan MM, Mardanian GV, Novikova AA. Aortic intramural hematoma after transpedicular thoracic spine fusion. Pirogov Russian Journal of Surgery. 2020;(2):84‑88. (In Russ.)
https://doi.org/10.17116/hirurgia202002184

Подписка 2025 (Pirogov Russian Journal of Surgery)
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A 55-year-old patient M. with compression fractures of Th7—Th8 underwent Th7—Th8 decompressive laminectomy, Th6—Th9 transpedicular spine fusion procedure on January 31, 2017. After that, multiple myeloma was diagnosed at the National Research Center for Hematology. Computed tomography revealed misplacement of a left Th6 screw, its anterior cortical perforation and penetration into the aorta. Signs of intramural hematoma were noticed in this area. The patient was referred to the Petrovsky National Research Center of Surgery. Two-stage surgical approach was preferred. Endovascular repair of the thoracic aorta (TEVAR) was followed by revision of transpedicular fusion system and reinstallation of the screw. Operation was performed on July 14, 2017. Postoperative period was uneventful.

Keywords:

transpedicular spine fusion
fixation
complication
aortic hematoma
myeloma

Authors:

Aganesov A.G.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Alexanyan M.M.

Petrovsky Russian Research Center of Surgery, Moscow, Russia

Mardanian G.V.

FGBU RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Novikova A.A.

National Research Center for Hematology, Moscow, Russia

List of references:

  1. Molloy S, et al. Optimizing the management of patients with spinal myeloma disease. Br J Haematol. 2015;171(3):332-343.
  2. Valesin Filho ES, et al. Pain and quality of life in patients undergoing radiotherapy for spinal metastatic disease treatment. Int Arch Med. 2013 Feb 18;6(1).
  3. Tosi P. Diagnosis and treatment of bone disease in multiple myeloma: spotlight on spinal involvement. Scientifica (Cairo). 2013;2013:104544-104546.
  4. Mak KS, Lee LK, Mak RH. Incidence and treatment patterns in hospitalizations for malignant spinal cord compression in the United States, 1998—2006. Int J Radiat Oncol Biol Phys. 2011;80(3):824-831.
  5. Mackiewicz-Milewska M, Lach S, Mackiewicz-Nartowicz H. Anévrisme de l’aorte thoracique compliquant une stabilisation transpédiculaire de la colonne thoracique. À propos d’un cas. Ann Réadaptation Médecine Phys. 2008;51(1):46-49.
  6. Inamasu J, Guiot BH. Vascular injury and complication in neurosurgical spine surgery. Acta Neurochir (Wien). 2006;148(4):375-386.
  7. Blocher M, et al. Leriche-Like Syndrome as a Delayed Complication Following Posterior Instrumentation of a Traumatic L1 Fracture: A Case Report and Literature Review. Spine (Phila. Pa. 1976). 2015;40(22):E1195-E1197.
  8. Rabellino M, et al. Endovascular treatment of iatrogenic aortic injury after spinal surgery. Minim Invasive Ther Allied Technol. 2013;22(1):56-60.
  9. Kakkos SK, Shepard AD. Delayed presentation of aortic injury by pedicle screws: Report of two cases and review of the literature. J Vasc Surg. 2008;47(5):1074-1082.

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