Anévrisme de l’aorte thoracique compliquant une stabilisation transpédiculaire de la colonne thoracique. À propos d’un cas

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• 作者：M. Mackiewicz-Milewska ; S. Lach ; H. Mackiewicz-Nartowicz
• 关键词：Transpedicular stabilisation ; Aneurysm ; Aorta
• 刊名：Annales de Readaptation et de Medecine Physique
• 出版年：2008
• 出版时间：January 2008
• 年：2008
• 卷：51
• 期：1
• 页码：46-49
• 全文大小：519 K

文摘

Incorrectly positioned transpedicular stabilization accounts for 4 to 30 % of the complications occurring after vertebral column stabilization operations.

Observations

We describe a specific complication following transpedicular stabilization of TH5–TH7, performed due to fracture of the TH6 vertebra. Given that the patient complained of pain in the thoracic vertebrae, a CT scan of the TH5–TH7 region was performed and revealed that the transpedicular stabilization was incorrectly located; it was immediately adjacent to the thoracic aorta and had led to the formation of a false aneurysm. The stabilization was removed and the patient is under the constant supervision of a vascular surgeon.

Conclusions

Thoracic aorta false aneurysm is a rare complication after vertebral column stabilization. However, there is a high risk of the aorta wall damage during stabilization removal.