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

作　　者：Armel Junior Tokpo Guelord Metre Mpambia Fayçal Lakhdar Hassan Amadou Ali Oualid Mohammed Hmamouche Mohammed Benzagmout Khalid Chakour Mohammed El Faiz Chaoui Armel Junior Tokpo;Guelord Metre Mpambia;Fayçal Lakhdar;Hassan Amadou Ali;Oualid Mohammed Hmamouche;Mohammed Benzagmout;Khalid Chakour;Mohammed El Faiz Chaoui(Teaching Hospital of Hassan 2, Fès, Morocco)

机构地区：[1]Teaching Hospital of Hassan 2, Fès, Morocco

出　　处：《Open Journal of Modern Neurosurgery》2021年第2期65-72,共8页现代神经外科学进展（英文）

摘　　要：<strong>Introduction:</strong> 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. <strong>Case Presentation:</strong> 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. <strong>Conclusion:</strong> 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.<strong>Introduction:</strong> 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. <strong>Case Presentation:</strong> 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. <strong>Conclusion:</strong> 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.

关 键 词：PSEUDO-ANEURYSM Lumbar Spine Burst Fracture EMBOLISATION 

分 类 号：R68[医药卫生—骨科学]