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Potter MQ, Lawrence BD, Kinikini DV, et al. Periaortic pedicle screw removal with endovascular control of the aorta and intraoperative aortography: a case report and review of the literature. Evid Based Spine Care J. 2013;4(2):149-53doi: 10.1055/s-0033-1357358.
Potter, M. Q., Lawrence, B. D., Kinikini, D. V., & Brodke, D. S. (2013). Periaortic pedicle screw removal with endovascular control of the aorta and intraoperative aortography: a case report and review of the literature. Evidence-based spine-care journal, 4(2), 149-53. https://doi.org/10.1055/s-0033-1357358
Potter, Michael Q, et al. "Periaortic pedicle screw removal with endovascular control of the aorta and intraoperative aortography: a case report and review of the literature." Evidence-based spine-care journal vol. 4,2 (2013): 149-53. doi: https://doi.org/10.1055/s-0033-1357358
Potter MQ, Lawrence BD, Kinikini DV, Brodke DS. Periaortic pedicle screw removal with endovascular control of the aorta and intraoperative aortography: a case report and review of the literature. Evid Based Spine Care J. 2013 Oct;4(2):149-53. doi: 10.1055/s-0033-1357358. PMID: 24436714; PMCID: PMC3836958.
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Evid Based Spine Care J. 2013 Oct;4(2):149-53. doi: 10.1055/s-0033-1357358.

Periaortic pedicle screw removal with endovascular control of the aorta and intraoperative aortography: a case report and review of the literature.

Evidence-based spine-care journal

Michael Q Potter, Brandon D Lawrence, Daniel V Kinikini, Darrel S Brodke

Affiliations

  1. Department of Orthopaedics, University of Utah, Salt Lake City, Utah, United States.
  2. Division of Vascular Surgery, University of Utah, Salt Lake City, Utah, United States.

PMID: 24436714 PMCID: PMC3836958 DOI: 10.1055/s-0033-1357358

Abstract

Study Design  Case report and review of the literature. Objective The objective of the article is to report the case of a 20-year-old patient with a threatened aortic injury from pedicle screw instrumentation successfully managed without aortic grafting. Methods The patient's clinical course is retrospectively reviewed. The offending hardware was removed after gaining endovascular control of the aorta. Results Intraoperative aortography was normal and no graft was placed. The patient remains asymptomatic at 2 years after surgery. Conclusions Hardware impinging on the aorta can safely be removed by gaining endovascular control of the aorta. In the setting of normal intraoperative aortography in a young patient, we recommend against further intervention to avoid the known morbidity of aortic grafting.

Keywords: aortic graft; aortography; complication; endovascular aortic repair; pedicle screw fixation; vascular injury

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