| Delayed perforation of the aorta by a thoracic pedicle screw. | |
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MedLine Citation:
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PMID: 18622634 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pedicle screw instrumentation has become increasingly popular during the past 20 years and a vast selection of products is available on the market. With rising implantation rates, reports about specific complications also have increased. The main reason for these complications is the fact that the course of the pedicle and in turn the positioning of the pedicle screw cannot be adequately controlled visually. Based on the anatomy of the surrounding structures, complications caused by malpositioning can be divided into three main groups: mechanical, neurological and vascular. Beyond mechanical limitations of spinal motion, nerve injury can lead to neurological problems while injuries to vascular structures usually cause hemorrhage. These typical problems in general become apparent intraoperatively or in the immediate postoperative course. We report on a rare delayed complication and analyze the factors that led to it. In addition, we outline our treatment strategy. The goal has to be to avoid such problems in the future by using suitable navigational aids. |
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Authors:
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Bernd Wegener; Christof Birkenmaier; Andreas Fottner; Volkmar Jansson; Hans Roland Dürr |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-07-10 |
Journal Detail:
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Title: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Volume: 17 Suppl 2 ISSN: 1432-0932 ISO Abbreviation: Eur Spine J Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-08-28 Completed Date: 2009-01-16 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 9301980 Medline TA: Eur Spine J Country: Germany |
Other Details:
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Languages: eng Pagination: S351-4 Citation Subset: IM |
Affiliation:
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Department of Orthopedics and Orthopedic Surgery, Ludwig-Maximilians-University Munich, Marchioninistrasse 15, 81377, Munich, Germany. bernd.wegener@med.uni-muenchen.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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pathology Aged Aorta, Thoracic / injuries*, pathology, surgery Bone Screws / adverse effects* Carcinoma, Renal Cell / secondary, surgery Disease Progression Female Humans Kidney Neoplasms / pathology Laminectomy / adverse effects*, instrumentation Magnetic Resonance Imaging Postoperative Complications / etiology*, pathology, radiography Reconstructive Surgical Procedures / adverse effects*, instrumentation Reoperation Spinal Neoplasms / secondary, surgery Thoracic Vertebrae / pathology, radiography, surgery* Time Factors Tomography, X-Ray Computed |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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