gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

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Treatment in a perforation of Aorta through pedicle screw as a rare complication

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  • corresponding author B. Wegener - Ludwig-Maximilians-Universität, Klinik und Poliklinik für Orthopädie, Orthopädie, München
  • C. von Pellengahr - München
  • C. Birkenmaier - München
  • H. Dürr - Müchen
  • P. Müller - München
  • V. Jansson - München

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novEP35

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/nov2005/05nov116.shtml

Published: June 13, 2005

© 2005 Wegener et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Intrapedicular screw fixation of the spine has become increasingly popular in recent years. Transpedicle screw insertion may cause three types of complications: neurologic, vascular and mechanical. Potential compilications due to pedicle screw penetration of the anterior cortex of a vertebra include injury to vascular, visceral, ureteral, sympathetic and neural structures. Most neurological and mechanical complications mainly are attributable to orientation errors. Presented is a special treatment of a penetration of the aorta at a patient with a hypernephrom. The clinical case analysis radiographs, angiography, and computed tomograh images and describe the symptoms some years after spondylodesis and our treatment.

We think that a computer assisted technique is much more accurate and save than manual insertion. Some investigations shown a reduce of complications with a computer assisted surgery at spine.