ArticleJournal of vascular surgery cases and innovative techniques2025
Thoracic aortic injury as a complication of spinal surgery: A new case and systematic review (1991-2024).
Article in Journal of vascular surgery cases and innovative techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Delayed hemothorax in adolescent idiopathic scoliosis 5-year post-spinal fusion.Spine deformity · 2026Article
- When Bone Deforms the Aorta: Long-Term Vascular Remodeling Secondary to Juvenile Osteoporosis.Cureus · 2026Article
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Authors and funding
3 authors.
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Abstract
Background: Iatrogenic thoracic aortic injury (TAI) is a rare but well-recognized complication of spine surgery, lacking standardized treatment guidelines due to its rarity and variability of manifestations. Methods: We present a new case of TAI successfully managed with endovascular repair and systematically reviewed 52 articles (1991-2024) reporting 64 cases, including demographics, surgical indications, injury patterns, and treatments. Results: A 53-year-old man with a T7 fracture underwent posterior spinal instrumentation and developed chest pain due to a combination of impingement and screw penetration into the thoracic aorta and was treated with thoracic endovascular aortic repair (TEVAR) and removal of pedicle screws. The review (n = 64; mean age, 50 years; 48% male and 48% female) identified vertebral fractures (42.2%), spinal deformities (31.3%), and posterior approaches (70%) as predominant risk factors. Injuries included thoracic aorta penetration (53%), impingement (21.9%), combined injuries (21.9%), and other rare events (3.2%), with median diagnosis at 31 to 34 months. Treatments comprised TEVAR (51.6%), open repair (31.3%), and conservative management (17.2%). Posterior approaches significantly increased injury risk ( Conclusions: TAI often presents late, requiring surveillance. TEVAR is effective, although open repair remains vital in select cases. This review informs management strategies for this rare complication.
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