{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T18:53:40Z","timestamp":1770749620264,"version":"3.50.0"},"reference-count":15,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,18]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>A patient in his early adolescence, who was treated for T5-T6 tubercular spondylodiscitis with an un-instrumented decompression, presented at 36 months post-index surgery, for post-laminectomy instability and kyphosis, after completing his requisite antitubercular treatment. He underwent thoracic posterior instrumented kyphosis correction and anterior reconstruction, with a T5-T6 partial corpectomy and corpectomy spacer placement, through a posterior midline incision. On the second postoperative day, he started complaining of pain on the left side of his chest, abdomen and left shoulder. On contrast-enhanced CT evaluation, one of the pedicle screws was found to be impinging on the aortic wall, with contrast opacification in the left hemithorax. After resuscitation, he underwent a minimally invasive endovascular procedure (thoracic endovascular aortic repair, TEVAR), circumventing the need for a complex and morbid open thoracic repair in an adolescent. Post-TEVAR, the pedicle screw realignment was done. The patient has now returned to full daily activities and a normal schooling.<\/jats:p>","DOI":"10.1136\/bcr-2024-262554","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T11:55:37Z","timestamp":1738065337000},"page":"e262554","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Endovascular management of an aortic injury in thoracic kyphosis surgery: a minimally invasive rescue for a life-threatening injury"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2635-5523","authenticated-orcid":false,"given":"Rohit","family":"Mehra","sequence":"first","affiliation":[{"name":"Vascular and Endovascular Surgery, Command Hospital (SC) Pune, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pranati","family":"Swain","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Surgery, Command Hospital Pune, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vyom","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Spine Surgery, Military Hospital Khadki, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjay","family":"Puri","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Spine Surgery, Military Hospital Khadki, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"2025082801402209000_18.1.e262554.1","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.wneu.2019.04.173","article-title":"Aortic Injury by Thoracic Pedicle Screw. 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