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

腹膜后血肿 ： 骨质疏松患者经皮椎弓根螺钉的罕见并发症。

• 发表时间: 2023
• 来源期刊: Surg Neurol Int
• DOI: 10.25259/SNI_701_2023
• PMID: 37810303
• 文章类型: Case Reports
• 作者列表: Yamamoto K,Matsuoka H,Ohashi S,Yamashiro K,Kazami K,Hirokawa Y,Narikiyo M,Nagasaki H,Tsuboi Y

关键词: Lumbar artery injury; Percutaneous pedicle screw; Retroperitoneal hematoma; Transarterial embolization; Transverse process fracture

Abstract

UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.

摘要

■经皮椎弓根螺钉（PPS）放置是微创手术的既定技术。然而,在经皮螺钉置入的骨质疏松患者中可能发生危及生命的血肿。
■一名80岁女性骨质疏松性T10骨折，在用PPS进行T8-L3后路融合术后出现危及生命的血肿。迅速的血管造影诊断出危及生命的血肿，归因于椎弓根螺钉（PS）置入骨质疏松性骨折的左L3横突后发生的左第三腰动脉裂伤。这立即成功地栓塞。
■一名患有多发性腰椎骨质疏松性骨折的80岁女性在T8-L3PS融合术中出现了危及生命的血肿。当腰椎计算机断层扫描血管造影诊断为左L3腰动脉裂伤时，立即经动脉栓塞被证明可以挽救生命。