A case of delayed postoperative thoracic aortic rupture from erosion by a spinal fixation device is described to call attention to this potential catastrophe. Appropriate management and prevention of this complication is discussed.
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References
1.
BlumenthalSGillK. Complications of the Wiltse pedicle screw fixation system. Spine1993;18: 1867–71.
2.
MarsicanoJMirovskyYRemerSBloomNNeuwirthM. Thrombotic occlusion of the left common iliac artery after an anterior retroperitoneal approach to the lumbar spine. Spine1994;19: 357–9.
3.
McAfeePC. Complications of anterior approaches to the thoracolumbar spine. Clin Orthop1994;306: 110–9.
4.
KingD. Internal fixation for lumbosacral fusion. J Bone Joint Surg1948;30: 560–5.
5.
CoricDBranchCLWilsonJARobinsonJC. Arteriovenous fistula as a complication of C1–2 transarticular screw fixation. J Neurosurg1996;85: 340–3.
6.
CrockardHARansfordAO. Stabilization of the spine. In: SymonL, editor. Advances and technical standards in neurosurgery. 17th ed. New York: Springer-Verlag, 1990: 184.
7.
HaradaYImaiYKurosawaHHoshinoSNacanoK. Long-term results of the clinical use of an expanded polytetrafluoroethylene surgical membrane as a pericardial substitute. J Thorac Cardiovasc Surg1988;96: 811–5.
8.
DiFazioFANicholsJBPopeMHFrymoyerJW. The use of expanded polytetrafluoroethylene as an interposition membrane after lumbar laminectomy. Spine1995;20: 986–91.