Pedicle screw in aorta

Case contributed by A.Prof Frank Gaillard
X-ray

Chest x-ray

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. 

CT

CT spine

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.

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Case information

rID: 6529
Published: 7th Jul 2009
Last edited: 20th Mar 2018
Tag: spine
Inclusion in quiz mode: Included

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