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World J Clin Cases. Apr 16, 2014; 2(4): 100-103
Published online Apr 16, 2014. doi: 10.12998/wjcc.v2.i4.100
Published online Apr 16, 2014. doi: 10.12998/wjcc.v2.i4.100
Elective thoracotomy for pedicle screw removal to prevent severe aortic bleeding
Sebastian Decker, Mohamed Omar, Christian Krettek, Christian W Müller, Trauma Department, Hannover Medical School, 30625 Hannover, Germany
Author contributions: Decker S and Omar M contributed to the writing, follow-up examinations and analysis; Krettek C contributed to the revision and analysis; Müller CW contributed to the surgery, revision and follow-up examinations.
Correspondence to: Dr. Sebastian Decker, Trauma Department, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. decker.sebastian@mh-hannover.de
Telephone: +49-511-5322050 Fax: +49-511-5325877
Received: October 29, 2013
Revised: January 27, 2014
Accepted: February 16, 2014
Published online: April 16, 2014
Revised: January 27, 2014
Accepted: February 16, 2014
Published online: April 16, 2014
Core Tip
Core tip: Large vessel damage is described during spinal surgery and can lead to perforation of the aorta by misplaced pedicle screws. However, misplaced pedicle screws are often seen within postoperative computed tomography scans, only resulting in elective pedicle screw removal/exchange. Different techniques are available. We describe the use of a thoracotomy to prevent lethal hemorrhage. The importance of preoperative planning is highlighted, including pondering the advantages and disadvantages.