Patient Data
Age: Adult
- Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
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Chest radiograph obtained after spinal instrumentation. Note how the right-sided screws are all even whereas all the left-sided screws other than the top two are in a suboptimal orientation.
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Pedicle screws are tricky things. A left-sided mid-thoracic screw misses the vertebral body and has its tip indenting the aorta. Fortunately, it was removed without significant bleeding.
Case Discussion
Noticing malalignment of pedicle screws on plain films is worthwhile, although in most instances today, CT's will be obtained following this sort of instrumentation.
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