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October 11, 2025Vascular and Endovascular Surgery

Endovascular Management of Aortic Injuries Caused by Pedicle Screws: A Two-Case Series With a Proposed Decision-Making Framework

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Authors

SRStephanie RosalesEnglewood Hospital and Medical CenterARAndres Rodriguez-BuitragoSunnybrook Health Science CentreMTMarcos TarazonaFundación Santa Fe de Bogotá

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Implication

Case series highlights effective thoracic endovascular repair in aortic injuries from pedicle screws, suggesting a new decision-making framework.

Key Points

  • Both patients successfully treated with thoracic endovascular aortic repair (TEVAR) and pedicle screw revision, ensuring safety.
  • Crucial role of intravenous ultrasound (IVUS) in evaluating vascular involvement, enhancing treatment precision.
  • Multidisciplinary approach essential for optimal outcomes, with no perioperative complications observed at follow-up.
  • Proposed structured decision-making framework aims to guide spine surgeons facing vascular complications during surgeries.

Cite This Study

Rosales et al. (2025) studied this question.

synapsesocial.com/papers/68e9b1d9ba7d64b6fc132d01https://doi.org/10.1177/15385744251387781
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