Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine: Case report and literature review

Maurizio Domenicucci, Alessandro Ramieri, Alessandro Landi, Angelina Graziella Melone, Antonino Raco, Massimo Ruggiero, Francesco Speziale

Research output: Contribution to journalArticle

Abstract

To present a rare case of association of abdominal aorta rupture and flexion-distraction fracture of thoracolumbar spine and to review the literature on this condition. In non-penetrating abdominal traumatic injuries with flexion-distraction fractures of the thoracolumbar spine, rupture of the abdominal aorta is an extremely rare occurrence but its outcome is potentially lethal. This association of skeletal and vascular lesions mainly affects young patients and involves the thoraco-lumbar junction and the portion of the aorta that lies in front of it. The authors analyze the pertinent literature and describe a case, operated in two sittings, of a traumatic lesion of the aorta attributable to a fracture of L1, focusing on mechanism of damage, diagnosis and surgical treatment. At 2-year follow-up examination, there were no neurological deficits. A review of the pertinent literature has shown that mortality can be reduced by a meticulous clinical and radiological work-up for a correct diagnosis followed by surgical repair of any damaged vessels. The possibility of performing a rapid diagnosis by means of total-body CT-scan plus CT-angiography allows repair of vascular damage, stabilization of the patient's hemodynamic conditions and, subsequently, surgical treatment of the vertebral fracture.

Original languageEnglish
JournalEuropean Spine Journal
Volume20
Issue numberSUPPL. 2
DOIs
Publication statusPublished - 2011

Fingerprint

Spine
Abdominal Aorta
Blood Vessels
Aorta
Rupture
Abdominal Injuries
Hemodynamics
Mortality
Therapeutics
Computed Tomography Angiography

Keywords

  • Aortic disruption
  • BAAD
  • Shear fracture
  • Surgery
  • Vascular damage

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Medicine(all)

Cite this

Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine : Case report and literature review. / Domenicucci, Maurizio; Ramieri, Alessandro; Landi, Alessandro; Melone, Angelina Graziella; Raco, Antonino; Ruggiero, Massimo; Speziale, Francesco.

In: European Spine Journal, Vol. 20, No. SUPPL. 2, 2011.

Research output: Contribution to journalArticle

Domenicucci, Maurizio ; Ramieri, Alessandro ; Landi, Alessandro ; Melone, Angelina Graziella ; Raco, Antonino ; Ruggiero, Massimo ; Speziale, Francesco. / Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine : Case report and literature review. In: European Spine Journal. 2011 ; Vol. 20, No. SUPPL. 2.
@article{bac4bc662cc1483ba2e9bfdef14deb72,
title = "Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine: Case report and literature review",
abstract = "To present a rare case of association of abdominal aorta rupture and flexion-distraction fracture of thoracolumbar spine and to review the literature on this condition. In non-penetrating abdominal traumatic injuries with flexion-distraction fractures of the thoracolumbar spine, rupture of the abdominal aorta is an extremely rare occurrence but its outcome is potentially lethal. This association of skeletal and vascular lesions mainly affects young patients and involves the thoraco-lumbar junction and the portion of the aorta that lies in front of it. The authors analyze the pertinent literature and describe a case, operated in two sittings, of a traumatic lesion of the aorta attributable to a fracture of L1, focusing on mechanism of damage, diagnosis and surgical treatment. At 2-year follow-up examination, there were no neurological deficits. A review of the pertinent literature has shown that mortality can be reduced by a meticulous clinical and radiological work-up for a correct diagnosis followed by surgical repair of any damaged vessels. The possibility of performing a rapid diagnosis by means of total-body CT-scan plus CT-angiography allows repair of vascular damage, stabilization of the patient's hemodynamic conditions and, subsequently, surgical treatment of the vertebral fracture.",
keywords = "Aortic disruption, BAAD, Shear fracture, Surgery, Vascular damage",
author = "Maurizio Domenicucci and Alessandro Ramieri and Alessandro Landi and Melone, {Angelina Graziella} and Antonino Raco and Massimo Ruggiero and Francesco Speziale",
year = "2011",
doi = "10.1007/s00586-011-1732-7",
language = "English",
volume = "20",
journal = "European Spine Journal",
issn = "0940-6719",
publisher = "Springer Verlag",
number = "SUPPL. 2",

}

TY - JOUR

T1 - Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine

T2 - Case report and literature review

AU - Domenicucci, Maurizio

AU - Ramieri, Alessandro

AU - Landi, Alessandro

AU - Melone, Angelina Graziella

AU - Raco, Antonino

AU - Ruggiero, Massimo

AU - Speziale, Francesco

PY - 2011

Y1 - 2011

N2 - To present a rare case of association of abdominal aorta rupture and flexion-distraction fracture of thoracolumbar spine and to review the literature on this condition. In non-penetrating abdominal traumatic injuries with flexion-distraction fractures of the thoracolumbar spine, rupture of the abdominal aorta is an extremely rare occurrence but its outcome is potentially lethal. This association of skeletal and vascular lesions mainly affects young patients and involves the thoraco-lumbar junction and the portion of the aorta that lies in front of it. The authors analyze the pertinent literature and describe a case, operated in two sittings, of a traumatic lesion of the aorta attributable to a fracture of L1, focusing on mechanism of damage, diagnosis and surgical treatment. At 2-year follow-up examination, there were no neurological deficits. A review of the pertinent literature has shown that mortality can be reduced by a meticulous clinical and radiological work-up for a correct diagnosis followed by surgical repair of any damaged vessels. The possibility of performing a rapid diagnosis by means of total-body CT-scan plus CT-angiography allows repair of vascular damage, stabilization of the patient's hemodynamic conditions and, subsequently, surgical treatment of the vertebral fracture.

AB - To present a rare case of association of abdominal aorta rupture and flexion-distraction fracture of thoracolumbar spine and to review the literature on this condition. In non-penetrating abdominal traumatic injuries with flexion-distraction fractures of the thoracolumbar spine, rupture of the abdominal aorta is an extremely rare occurrence but its outcome is potentially lethal. This association of skeletal and vascular lesions mainly affects young patients and involves the thoraco-lumbar junction and the portion of the aorta that lies in front of it. The authors analyze the pertinent literature and describe a case, operated in two sittings, of a traumatic lesion of the aorta attributable to a fracture of L1, focusing on mechanism of damage, diagnosis and surgical treatment. At 2-year follow-up examination, there were no neurological deficits. A review of the pertinent literature has shown that mortality can be reduced by a meticulous clinical and radiological work-up for a correct diagnosis followed by surgical repair of any damaged vessels. The possibility of performing a rapid diagnosis by means of total-body CT-scan plus CT-angiography allows repair of vascular damage, stabilization of the patient's hemodynamic conditions and, subsequently, surgical treatment of the vertebral fracture.

KW - Aortic disruption

KW - BAAD

KW - Shear fracture

KW - Surgery

KW - Vascular damage

UR - http://www.scopus.com/inward/record.url?scp=80051933632&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80051933632&partnerID=8YFLogxK

U2 - 10.1007/s00586-011-1732-7

DO - 10.1007/s00586-011-1732-7

M3 - Article

C2 - 21380748

AN - SCOPUS:80051933632

VL - 20

JO - European Spine Journal

JF - European Spine Journal

SN - 0940-6719

IS - SUPPL. 2

ER -