Aseptic lysis L2–L3 as complication of abdominal aortic aneurysm repair

Journal of Orthopaedics and Traumatology

Federico Mancini¹  Andrea Ascoli-Marchetti¹  Luca Garro¹  Roberto Caterini¹ 

[1] University of Rome “Tor Vergata”$$

关键词: Endovascular repair;   

DOI  :  10.1007/s10195-014-0308-9

学科分类：骨科学

来源: Springer

【 摘 要 】

Osteolytic vertebral erosion is usually related to tumours, spondylitis or spondylodiscitis. Few reports in the literature describe lytic lesions of anterior lumbar vertebral bodies resulting from abdominal aortic aneurysm or false aneurysm. We report a case of abdominal aortic false aneurysm that caused lytic lesions of the second and third vertebral bodies in an 80-year-old man who underwent endovascular aneurysm repair. Fluoroscopy guided biopsy excluded infection or tumour. We performed a posterior spinal fusion and decompression because of bone loss of the second and third lumbar vertebral bodies and central stenosis. Postoperatively the patient showed satisfactory relief in low-back and thigh pain but, unfortunately, he died 1 month after surgery because of respiratory complications. This case suggests that when a lytic lesion of a lumbar vertebral body is discovered in a patient who has undergone endovascular aneurysm repair, an abdominal aortic false aneurysm may be the cause of the vertebral erosion even in cases without infective pathogenesis.

【 授权许可】

Unknown