Minimally invasive graft replacement is a feasible and effective surgical option for treating chronic aortic erosion caused by a malpositioned spinal pedicle screw.
Single-case success suggests feasibility of minimally invasive repair for pedicle screw–induced aortic erosion; leaves open generalizability.
Intra-and early post-operative aortic injury by pedicle screw is not a rare complication in orthopedic surgery, but aortic penetration by a screw head over a long time period is considered as an uncommon case. There are various surgical management options for thoracic aortic injury caused by malpositioned spinal instruments. We report a case of a patient who underwent minimally invasive graft replacement of the descending thoracic artery for pedicle screw penetration.
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Fukuda et al. (2012) studied this question.
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