Aortic dissection associated with penetration of a spinal pedicle screw: a case report and review of the literature

J Card Surg. 2014 May;29(3):377-81. doi: 10.1111/jocs.12327. Epub 2014 Apr 7.

Abstract

A 30-year-old male underwent a corrective posterior instrumented spinal fusion for scoliosis. Six years later, he was found to have an aortic dissection after aortic penetration of a spinal pedicle screw. We review the literature, including diagnostic modalities, and treatment decision-making for this unusual complication.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Aorta, Thoracic / surgery
  • Aortic Aneurysm / diagnosis
  • Aortic Aneurysm / etiology*
  • Aortic Aneurysm / surgery*
  • Aortic Dissection / diagnosis
  • Aortic Dissection / etiology*
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation / methods
  • Bone Screws / adverse effects*
  • Diagnostic Imaging
  • Humans
  • Male
  • Marfan Syndrome / complications
  • Scoliosis / complications
  • Scoliosis / surgery*
  • Spinal Fusion / instrumentation*
  • Treatment Outcome