Giant delayed pseudo-aneurysm following screw placement in C1 lateral mass

被引：2
作者：
Guo, S. [1 ]
Pan, J. [1 ]
Li, L. [1 ]
Yang, M. [1 ]
Han, Y. [1 ]
Wen, J. [1 ]
Fan, M. [1 ]
Tan, J. [1 ]
机构：
[1] Shanghai East Hosp, Dept Spine, Shanghai 200120, Peoples R China
来源：
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH | 2014年 / 100卷 / 06期
关键词：
Verterbral artery injury; Pseudoaneurysm; Complication; Spinal instrumentation; Iatrogenic vascular injury; VERTEBRAL ARTERY INJURY; CERVICAL-SPINE TRAUMA; FIXATION; MANAGEMENT;
D O I：
10.1016/j.otsr.2014.03.028
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
We report the case of a patient who suffered iatrogenic vertebral artery injury (VAI) during a cervical spine posterior fixation procedure. The patient suffered massive bleeding and hemorrhagic shock at the time of screws placement in Cl lateral mass and C2 pedicle. The postoperative MRI and CT angiography showed a pseudoaneurysm 7.0 cm in diameter in the cervical spine. The iatrogenic VAI during posterior screw fixation is extremely rare. But, it can cause catastrophic consequences. We discuss the causes for the iatrogenic VAI and review the preventative measures and suitable management to avoid iatrogenic complications. (C) 2014 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：691 / 694
页数：4
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