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Concomitant Lumbar Stenosis and Aortic Pseudoaneurysm: A Case Report.
Christoph Fuchs1, Thomas E Niemeier1, William E Neway2
1Orthopaedic Surgery, UAB School of Medicine.
Cureus
|November 25, 2016
Summary
Aortic pseudoaneurysm can mimic lumbar back pain, posing risks during spinal surgery. Early diagnosis is crucial for effective treatment and preventing complications.
Area of Science:
- Vascular Surgery
- Neurosurgery
- Diagnostic Imaging
Background:
- Aortic pseudoaneurysms can present with symptoms mimicking lumbar back pain.
- Aortic pathology eroding into the spine can cause neural compression.
Observation:
- A case of rapidly progressive aortic pseudoaneurysm in a patient with pre-existing lumbar spine pathology.
- The pseudoaneurysm posed a risk of catastrophic intraoperative bleeding during minimally invasive spinal surgery (MIS).
Findings:
- Postoperative radicular pain resolved, but back pain persisted.
- Further workup revealed the aortic pseudoaneurysm, necessitating open vascular repair.
Implications:
- Highlights aortic pseudoaneurysm as a rare but significant mimicker of lumbar back pain.
- Emphasizes the importance of considering vascular pathology in patients with persistent back pain, especially after spinal procedures.
- Underscores the potential for severe complications if aortic pathology is not identified prior to spinal surgery.
