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Delayed presentation of infected common iliac artery pseudoaneurysm caused by malpositioned pedicle screw after minimally invasive scoliosis surgery

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Abstract

Purpose

To report delayed onset common iliac artery perforation and infected pseudoaneurysm caused by malpositioned pedicle screw after minimally invasive scoliosis surgery (MISS).

Methods

A 21-year-old female was referred to our hospital with a 1-week history of abrupt right-sided low back pain, lower abdominal pain, and fever with a history of MISS using cannulated pedicle screws 18 months earlier. Paravertebral arterial erosion with pseudoaneurysm and retroperitoneal and paraspinal abscess were suspected.

Results

We performed resection of the pseudoaneurysm, vascular repair of right common iliac artery by angioplasty with a bovine patch and removal of implant. At 6 months after the last surgery, she had no limitations or problems in her daily activities with no recurrence of low back pain, abdominal pain, or fever as well as without loss of deformity.

Conclusions

Our case showed that misplaced pedicle screws can cause potentially fatal complications, such as infected pseudoaneurysm, even in the late postoperative period.

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Author notes

  1. Seung-Woo Suh and Gang-Un Kim equally contributed to this study as the co-first author.

  2. Jae Hyuk Yang and Dong-Gune Chang equally contributed to this study as the co-corresponding author.

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Korea University Guro Hospital, Guro-Dong, Guro-Gu, Seoul, 152-703, Republic of Korea

    Seung-Woo Suh, Hoon-Nyun Lee & Jae Hyuk Yang

  2. Department of Orthopaedic Surgery, Sanggye Paik Hospital, College of Medicine, Inje University, 1342, Dongil-Ro, Nowon-Gu, Seoul, 01757, Republic of Korea

    Gang-Un Kim & Dong-Gune Chang

Authors
  1. Seung-Woo Suh
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  2. Gang-Un Kim
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Correspondence to Dong-Gune Chang.

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IRB Status

This study received the approval of the institutional review board of Korea University Guro Hospital (K2018-1903).

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Suh, SW., Kim, GU., Lee, HN. et al. Delayed presentation of infected common iliac artery pseudoaneurysm caused by malpositioned pedicle screw after minimally invasive scoliosis surgery. Eur Spine J 28 (Suppl 2), 68–72 (2019). https://doi.org/10.1007/s00586-019-06005-1

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  • DOI: https://doi.org/10.1007/s00586-019-06005-1

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