Retroperitoneal hematoma: A rare complication of percutaneous pedicle screw in an osteoporotic patient

BACKGROUND: Percutaneous pedicle screw (PPS) placement is an established technique for minimally invasive surgery. However, life-threatening hematomas may occur in osteoporotic patients undergoing percutaneous screw placement. CASE DESCRIPTION: An 80-year-old female with an osteoporotic T10 chance f...

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Autores principales: Yamamoto, Kohei, Matsuoka, Hidenori, Ohashi, So, Yamashiro, Kyohei, Kazami, Kenta, Hirokawa, Yusuke, Narikiyo, Michihisa, Nagasaki, Hirokazu, Tsuboi, Yoshifumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559495/
https://www.ncbi.nlm.nih.gov/pubmed/37810303
http://dx.doi.org/10.25259/SNI_701_2023
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author Yamamoto, Kohei
Matsuoka, Hidenori
Ohashi, So
Yamashiro, Kyohei
Kazami, Kenta
Hirokawa, Yusuke
Narikiyo, Michihisa
Nagasaki, Hirokazu
Tsuboi, Yoshifumi
author_facet Yamamoto, Kohei
Matsuoka, Hidenori
Ohashi, So
Yamashiro, Kyohei
Kazami, Kenta
Hirokawa, Yusuke
Narikiyo, Michihisa
Nagasaki, Hirokazu
Tsuboi, Yoshifumi
author_sort Yamamoto, Kohei
collection PubMed
description BACKGROUND: Percutaneous pedicle screw (PPS) placement is an established technique for minimally invasive surgery. However, life-threatening hematomas may occur in osteoporotic patients undergoing percutaneous screw placement. CASE DESCRIPTION: An 80-year-old female with an osteoporotic T10 chance fracture developed a life-threatening hematoma following a T8–L3 posterior fusion performed with PPS. Prompt angiography diagnosed a life-threatening hematoma attributed to laceration of the left third lumbar artery occurring following pedicle screw (PS) placement into an osteoporotically fractured left L3 transverse process. This was immediately and successfully embolized. CONCLUSION: An 80-year-old female with multiple lumbar osteoporotic fractures developed a life-threatening hematoma during a T8–L3 PS fusion. When the lumbar computed tomography angiography diagnosed a laceration of the left L3 lumbar artery, immediate transarterial embolization proved life-saving.
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spelling pubmed-105594952023-10-08 Retroperitoneal hematoma: A rare complication of percutaneous pedicle screw in an osteoporotic patient Yamamoto, Kohei Matsuoka, Hidenori Ohashi, So Yamashiro, Kyohei Kazami, Kenta Hirokawa, Yusuke Narikiyo, Michihisa Nagasaki, Hirokazu Tsuboi, Yoshifumi Surg Neurol Int Case Report BACKGROUND: Percutaneous pedicle screw (PPS) placement is an established technique for minimally invasive surgery. However, life-threatening hematomas may occur in osteoporotic patients undergoing percutaneous screw placement. CASE DESCRIPTION: An 80-year-old female with an osteoporotic T10 chance fracture developed a life-threatening hematoma following a T8–L3 posterior fusion performed with PPS. Prompt angiography diagnosed a life-threatening hematoma attributed to laceration of the left third lumbar artery occurring following pedicle screw (PS) placement into an osteoporotically fractured left L3 transverse process. This was immediately and successfully embolized. CONCLUSION: An 80-year-old female with multiple lumbar osteoporotic fractures developed a life-threatening hematoma during a T8–L3 PS fusion. When the lumbar computed tomography angiography diagnosed a laceration of the left L3 lumbar artery, immediate transarterial embolization proved life-saving. Scientific Scholar 2023-09-22 /pmc/articles/PMC10559495/ /pubmed/37810303 http://dx.doi.org/10.25259/SNI_701_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Yamamoto, Kohei
Matsuoka, Hidenori
Ohashi, So
Yamashiro, Kyohei
Kazami, Kenta
Hirokawa, Yusuke
Narikiyo, Michihisa
Nagasaki, Hirokazu
Tsuboi, Yoshifumi
Retroperitoneal hematoma: A rare complication of percutaneous pedicle screw in an osteoporotic patient
title Retroperitoneal hematoma: A rare complication of percutaneous pedicle screw in an osteoporotic patient
title_full Retroperitoneal hematoma: A rare complication of percutaneous pedicle screw in an osteoporotic patient
title_fullStr Retroperitoneal hematoma: A rare complication of percutaneous pedicle screw in an osteoporotic patient
title_full_unstemmed Retroperitoneal hematoma: A rare complication of percutaneous pedicle screw in an osteoporotic patient
title_short Retroperitoneal hematoma: A rare complication of percutaneous pedicle screw in an osteoporotic patient
title_sort retroperitoneal hematoma: a rare complication of percutaneous pedicle screw in an osteoporotic patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559495/
https://www.ncbi.nlm.nih.gov/pubmed/37810303
http://dx.doi.org/10.25259/SNI_701_2023
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