Document Detail


Severe erosion of lumbar vertebral body because of a chronic ruptured abdominal aortic aneurysm.
MedLine Citation:
PMID:  18299106     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND CONTEXT: Erosion of vertebral bodies because of abdominal aortic aneurysm is an extremely rare condition. This vertebral destruction is usually seen after aortic graft surgery; nevertheless, it is not expected in primary aortic aneurysms. PURPOSE: The purpose of this article was to present a patient who suffers from back and hip pain because of a chronic ruptured primary aortic aneurysm. STUDY DESIGN: Case report. METHOD: A 51-year-old patient had complaints of back pain. Physical examination revealed a pulsatile mass in the periumblical region. By using conventional radiographies, vertebral erosion was detected at the anterior part of L3-L4-L5 vertebrae. A chronic ruptured thrombosed aortic aneurysm was identified by magnetic resonance imaging. RESULTS: After resection of the aneurysm, it was possible that the lack of anterior column support could result in future instability. Therefore, an L4-L5 anterior partial corpectomy and reconstruction of the anterior defect with titanium mesh cage with posterior instrumentation and fusion were performed. CONCLUSION: It was concluded that back pain caused by chronic aortic aneurysms is a rare condition and may be one of the possible etiologies in differential diagnosis of low back pain and/or sciatica in some patients.
Authors:
Mehmet Aydogan; Omer Karatoprak; Cuneyd Mirzanli; Cagatay Ozturk; Mehmet Tezer; Azmi Hamzaoglu
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-02-02
Journal Detail:
Title:  The spine journal : official journal of the North American Spine Society     Volume:  8     ISSN:  1529-9430     ISO Abbreviation:  Spine J     Publication Date:    2008 Mar-Apr
Date Detail:
Created Date:  2008-02-26     Completed Date:  2008-05-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101130732     Medline TA:  Spine J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  394-6     Citation Subset:  IM    
Affiliation:
Istanbul Spine Center, Florence Nightingale Hospital, Abide-i hurriyet cd. no: 290 sisli, Istanbul 34360, Turkey. ortospine@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Abdominal / complications*,  surgery
Aortic Rupture / complications*,  surgery
Back Pain / etiology*
Chronic Disease
Diskectomy
Humans
Lumbar Vertebrae / pathology*,  surgery
Magnetic Resonance Imaging
Male
Middle Aged
Spinal Diseases / etiology*,  surgery
Spinal Fusion

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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