Delayed hemothorax after anterior vertebral body tethering in adolescent idiopathic scoliosis: a case report.
Eur Spine J
; 33(7): 2909-2912, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38753190
ABSTRACT
PURPOSE:
The aim of this case report is to report that delayed hemothorax is possible after anterior vertebral body tethering (aVBT) and to illustrate the course of treatment.METHODS:
We present a 15-year-old boy with adolescent idiopathic scoliosis who underwent an anterior thoracoscopic assisted vertebral body tethering who developed a massive right-sided hemothorax 12 days post-operatively. A chest tube was placed to drain the hemothorax and later required embolectomy with tissue plasminogen activator (TPA) to drain the retained hemothorax.RESULTS:
At 1 month follow up post discharge the patient was asymptomatic, and radiograph did not demonstrate evidence of residual hemothorax and scoliosis. We have followed this patient for 5 years postoperative and he continues to do well clinically and radiographically.CONCLUSIONS:
Pulmonary complications are a known drawback of anterior thoracoscopic spinal instrumentation. Delayed hemothorax is possible after aVBT. In the case of a retained hemothorax, chest tube treatment with TPA is a safe and effective method of embolectomy.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Escoliose
/
Hemotórax
Limite:
Adolescent
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article