PMID- 34737100
OWN - NLM
STAT- MEDLINE
DCOM- 20220805
LR  - 20220822
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 158
DP  - 2022 Feb
TI  - Vertebral Body Erosion by a Chronic Contained Rupture of Thoracoabdominal Aortic 
      Aneurysm: Systematic Review and Spine Surgical Recommendations.
PG  - e75-e86
LID - S1878-8750(21)01613-2 [pii]
LID - 10.1016/j.wneu.2021.10.116 [doi]
AB  - BACKGROUND: Vertebral body erosion (VBE) is commonly caused by neoplastic, 
      inflammatory, or infectious diseases: it can be rarely associated with aortic 
      wall disorders, such as chronic contained rupture of aortic aneurysm (CCR-AA). 
      CCR-AA is a rare event comprising <5% of all reported cases. This condition is 
      easily undiagnosed, differential diagnosis may be challenging, and there is no 
      consensus or recommendation that dictates guidance on management of spinal 
      surgical treatment. METHODS: We performed a systematic review of the literature 
      of all cases of VBE secondary to CCR-AA to identify clinical, radiologic, and 
      surgical outcome characteristics with the aim of providing a basis for future 
      research studies. RESULTS: The search returned 80 patients. All reported patients 
      had a history of hypertension. In almost all patients, the AA size reported was 
      high (mean diameter, 7.056 cm). The treatment of this condition involves various 
      reported treatment strategies: a totally conservative approach, treatment of the 
      aortic aneurysm through a minimally invasive endovascular procedure, or an open 
      surgery and combined approach. Despite the wide variability in therapeutic 
      strategy, the rate of good outcomes was relatively high at 80%. CONCLUSIONS: Back 
      pain and pain along the vertebral column are such frequent symptoms that unusual 
      causes or serious and life-threatening complications may be overlooked. In 
      addition to the common traumatic and degenerative causes of back pain, AA must 
      also be considered. A combined approach between vascular and spine surgery could 
      be achieved without any increased risk.
CI  - Copyright (c) 2021 Elsevier Inc. All rights reserved.
FAU - Pesce, Alessandro
AU  - Pesce A
AD  - Santa Maria Goretti Hospital, Latina, Italy.
FAU - Armocida, Daniele
AU  - Armocida D
AD  - Santa Maria Goretti Hospital, Latina, Italy; Division of Neurosurgery, Department 
      of Human Neurosciences, "Sapienza" University, Rome, Italy. Electronic address: 
      danielearmocida@yahoo.it.
FAU - Petrella, Gianpaolo
AU  - Petrella G
AD  - Santa Maria Goretti Hospital, Latina, Italy.
FAU - Guerrini, Francesco
AU  - Guerrini F
AD  - Santa Maria Goretti Hospital, Latina, Italy.
FAU - Pompucci, Angelo
AU  - Pompucci A
AD  - Santa Maria Goretti Hospital, Latina, Italy.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20211101
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - *Aortic Aneurysm, Abdominal/surgery
MH  - *Aortic Aneurysm, Thoracic
MH  - *Aortic Rupture/diagnostic imaging/etiology/surgery
MH  - Back Pain/complications/surgery
MH  - Humans
MH  - *Spinal Diseases/complications/surgery
MH  - Spine
MH  - Treatment Outcome
MH  - Vertebral Body
OTO - NOTNLM
OT  - Aortic aneurysm
OT  - Spine stabilization
OT  - Spine surgery
OT  - Vertebral erosion
EDAT- 2021/11/06 06:00
MHDA- 2022/08/06 06:00
CRDT- 2021/11/05 05:51
PHST- 2021/09/05 00:00 [received]
PHST- 2021/10/12 00:00 [revised]
PHST- 2021/10/13 00:00 [accepted]
PHST- 2021/11/06 06:00 [pubmed]
PHST- 2022/08/06 06:00 [medline]
PHST- 2021/11/05 05:51 [entrez]
AID - S1878-8750(21)01613-2 [pii]
AID - 10.1016/j.wneu.2021.10.116 [doi]
PST - ppublish
SO  - World Neurosurg. 2022 Feb;158:e75-e86. doi: 10.1016/j.wneu.2021.10.116. Epub 2021 
      Nov 1.