Lumbar Artery Pseudo-Aneurysm after Spinal Trauma and Transpedicular Fixation: A Case Report
Armel Junior TOKPO*, Guelord Metre MPAMBIA, Fayçal LAKHDAR, Hassan AMADOU ALI, Oualid Mohammed HMAMOUCHE, Mohammed BENZAGMOUT, Khalid CHAKOUR, Mohammed EL FAIZ CHAOUI.
Teaching Hospital of Hassan 2, Fes, Morocco
Citation: Tokpo AJ, Mpambia GM, Lakhdar F, Ali HA, Hmamouche OM et al (2021) Lumbar Artery Pseudo-Aneurysm after Spinal Trauma and Transpedicular Fixation: A Case Report. SciTech Central Neurology 2021.
Received: April 07, 2021 Accepted: April 10, 2021 Published: April 10, 2021
Abstract
Introduction: A case of lumbar artery pseudo-aneurysm after surgery forlumbar 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 possible relationshipwith burst fracture or reduction maneuvers is 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 was performed. Post-operatively, an hemorrhage through surgical wound had been noticed.Pseudo-aneurysm of the lumbar artery at L3 level was diagnosed and embolisation performed.
Conclusion: This is a rare case of pseudo-aneurysm occurring in the setting of surgical stabilisation after a trauma. It was revealed by an 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.
Keywords: Pseudo-aneurysm , Lumbar spine, Burst fracture, Embolisation
Abbreviations: L3: Third lumbar vertebra