Pedicle Screw–Aortic Interaction: A Single Centre Experience and Proposal for a Morphology Based Management Algorithm
Federica Campana, Stefano Ancetti, Chiara Cini, Paolo Spath, Alessia Pini, Enrico Gallitto, Alessandro Gasbarrini, Mauro Gargiulo · 2026
Read Pedicle Screw–Aortic Interaction: A Single Centre Experience and Proposal for a Morphology Based Management Algorithm by Federica Campana, Stefano Ancetti, Chiara Cini, Paolo Spath, Alessia Pini, Enrico Gallitto, Alessandro Gasbarrini, Mauro Gargiulo (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13571434.txt.
Description
Campana and colleagues reported a single center's experience in 2026 with screws that stray toward the aorta during spine surgery. Proposed a management algorithm based on screw position relative to the vessel wall. Such contact is rare but can end catastrophically, and no shared playbook existed. Their vascular unit reviewed all referrals from 2020 to 2025, classifying scans as near contact, contact, indentation, or penetration.
Eight patients qualified, mostly young scoliosis cases. Two had near contact, three contact, and three indentation; none had full penetration. Shallow cases had screws removed under live angiographic watch, and completion imaging showed no leaks, so no rescue stent was needed. Every indentation case received a preventive endovascular aortic repair, a stent graft placed inside the vessel, just before screw removal. All procedures succeeded, with no major aortic events or deaths, and all stayed well at a median of twenty-seven months.
Catalog record
| CREATOR | Federica Campana, Stefano Ancetti, Chiara Cini, Paolo Spath, Alessia Pini, Enrico Gallitto, Alessandro Gasbarrini, Mauro Gargiulo |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 27 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |