Video-assisted Thoracoscopic Surgery with Endovascular Repair for Delayed Iatrogenic Descending Aorta Injury after Posterior Instrumentation with Pedicle Screws for T11 Burst Fracture

摘要

IntroductionIatrogenic descending aortic injury after spine surgery with pedicle screws has previously been reported.ReportWe describe a case of a 44 year-old woman who underwent posterior instrumentation with pedicle screws for 11th thoracic (T11) spinal burst fracture.DiscussionComputed tomography revealed a malpositioned pedicle screw with erosion of the posterior medial site of the descending aorta. Therefore, the malpositioned screw was manually retracted under video-assisted thoracoscopic surgery (VATS) guidance, and a thoracic stent graft was deployed under fluoroscopic guidance. We suggest treating this complication with this minimally invasive method to avoid further complications.