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

作者机构：Teaching Hospital of Hassan 2 Fès Morocco 

出 版 物：《Open Journal of Modern Neurosurgery》 (现代神经外科学进展（英文）)

年 卷 期：2021年第11卷第2期

页      面：65-72页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Pseudo-Aneurysm Lumbar Spine Burst Fracture Embolisation 

摘      要：Introduction: 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. Case Presentation: 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. Conclusion: 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.