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胸段椎弓根螺钉致主动脉损伤的延迟表现

Delayed Presentation of Aortic Injury by a Thoracic Pedicle Screw.

作者信息

Sevuk Utkan, Mesut Abdullah, Kiraz Ilker, Kose Kaan, Ayaz Firat, Erkul Aylin

机构信息

Department of Cardiovascular Surgery, Diyarbakir Gazi Yasargil Education and Research Hospital, Diyarbakir, Turkey.

Department of Neurosurgery, Diyarbakir Gazi Yasargil Education and Research Hospital, Diyarbakir, Turkey.

出版信息

J Card Surg. 2016 Apr;31(4):220-30. doi: 10.1111/jocs.12718. Epub 2016 Feb 10.

DOI:10.1111/jocs.12718
PMID:26864154
Abstract

Delayed presentation of a thoracic aortic injury is an extremely rare complication after spine surgery. We report a case of delayed presentation of a thoracic aortic injury with a vertebral pedicle screw after posterior spinal surgery without periaortic hematoma, hemorrhage or pseudoaneurysm formation and review the relevant literature.

摘要

胸椎主动脉损伤延迟出现是脊柱手术后极为罕见的并发症。我们报告1例后路脊柱手术后出现胸椎主动脉损伤延迟表现的病例,该损伤由椎弓根螺钉所致,未形成主动脉周围血肿、出血或假性动脉瘤,并复习相关文献。

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引用本文的文献

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J Vasc Surg Cases Innov Tech. 2025 Jul 9;11(6):101909. doi: 10.1016/j.jvscit.2025.101909. eCollection 2025 Dec.
2
Endovascular repair for thoracic aortic pseudoaneurysm induced by pedicle screw implantation: a case report with 8 years follow-up.胸主动脉假性动脉瘤经皮椎弓根螺钉植入术后血管内修复:8 年随访的病例报告。
J Cardiothorac Surg. 2024 Jun 7;19(1):326. doi: 10.1186/s13019-024-02820-w.
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Abdominal Arterial Translation in Lower Lumbar Spine Level Due to Positional Change: A Clinical Survey Using Intraoperative Computed Tomography.
因体位改变导致下腰椎水平腹主动脉移位:一项使用术中计算机断层扫描的临床调查
J Clin Med. 2024 Mar 25;13(7):1897. doi: 10.3390/jcm13071897.
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Delayed open treatment of aortic penetration by a thoracic pedicle screw: illustrative case.经胸椎弓根螺钉延迟开放治疗主动脉穿透伤:病例报告
J Neurosurg Case Lessons. 2023 Feb 27;5(9). doi: 10.3171/CASE22533.
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Rating the incidence of iatrogenic vascular injuries in thoracic and lumbar spine surgery as regards the approach: A PRISMA-based literature review.基于 PRISMA 的文献回顾:评价胸腰椎手术中入路相关医源性血管损伤的发生率。
Eur Spine J. 2021 Nov;30(11):3172-3190. doi: 10.1007/s00586-021-06956-4. Epub 2021 Aug 19.
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