ArticleSpine deformity2026
Delayed hemothorax in adolescent idiopathic scoliosis 5-year post-spinal fusion.
Article in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- The impact of osteoporosis on spinal biomechanical stability in adolescent idiopathic scoliosis: a narrative review of finite element analysis and bone mineral density assessment.Frontiers in bioengineering and biotechnology · 2026Review
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Authors and funding
6 authors.
Funding
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Abstract
purposeAdolescent idiopathic scoliosis (AIS) is commonly managed with posterior spinal fusion (PSF) and thoracic pedicle screw fixation. While vascular complications are typically acute, delayed hemothorax occurring years after surgery is exceedingly rare. This report describes a unique case of delayed hemothorax secondary to thoracic pedicle screw proximity to the descending thoracic aorta.
methodsAn 18-year-old female presented with chest pain and dyspnea 5 years after T4-L3 posterior thoracic fusion for AIS. Computed Tomography Angiography (CTA) revealed a large left pleural effusion, and thoracentesis confirmed hemothorax. Detailed imaging review demonstrated a left T6 pedicle screw tip contacting the posterior wall of the descending aorta. A multidisciplinary surgical team performed thoracoscopic evaluation followed by elective hardware removal.
resultsThoracoscopy showed localized inflammatory changes without active extravasation. Under controlled conditions, the left T4-L3 instrumentation was safely removed, including the high-risk T6 screw.
conclusionThis case illustrates an exceptionally delayed vascular complication after thoracic spinal instrumentation. Long-term surveillance and thorough imaging review should be considered in patients with late-onset thoracic symptoms, even years after fusion.
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