Lumbar Artery Pseudo-Aneurysm after Spinal Trauma and Transpedicular Fixation: A Case Report

Autor:	Guelord Metre Mpambia, F. Lakhdar, Khalid Chakour, Hassan Amadou Ali, Mohammed El Faiz Chaoui, Mohammed Benzagmout, Armel Junior Tokpo, Oualid Mohammed Hmamouche
Rok vydání:	2021
Předmět:	medicine.medical_specialty business.industry Spinal trauma medicine.medical_treatment Surgical wound Lumbar vertebrae medicine.disease Surgery Lumbar medicine.anatomical_structure Burst fracture medicine.artery medicine business Complication Reduction (orthopedic surgery) Lumbar arteries
Zdroj:	Open Journal of Modern Neurosurgery. 11:65-72
ISSN:	2163-0585 2163-0569
DOI:	10.4236/ojmn.2021.112008
Popis:	Introduction: A case of lumbar artery pseudo-aneurysm after surgery for lumbar vertebra burst fracture is presented. Only two cases secondary to spinal trauma and revealed after surgery have been described in the literature. A review of literature was conducted and a possible relationship with burst fracture or reduction maneuvers was discussed. Case Presentation: Here, we report a post traumatic lumbar burst facture with incomplete motor deficit of lower limbs after a fall. Surgical reduction and stabilization via posterior approach were performed. Post-operatively, a hemorrhage through surgical wound had been noticed. Pseudo-aneurysm of the lumbar artery at L3 level was diagnosed and embolisation was performed. Conclusion: This is a rare case of pseudo-aneurysm occurring in the setting of surgical stabilisation after a trauma. It was revealed by a hemorrhage discovered as a late complication. We should be aware of such potential complication as a delayed post surgery event in order to adapt the care.
Databáze:	OpenAIRE
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