caa a22 4500 445833548 CHVBK 20180317145323.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-011-1732-7 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1732-7 Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine: case report and literature review [Elektronische Daten] [Maurizio Domenicucci, Alessandro Ramieri, Alessandro Landi, Angelina Melone, Antonino Raco, Massimo Ruggiero, Francesco Speziale] 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. Springer-Verlag, 2011 Aortic disruption nationallicence Shear fracture nationallicence Surgery nationallicence Vascular damage nationallicence BAAD nationallicence Domenicucci Maurizio Department of Neurological Science and Neurosurgery, University of Rome "Sapienza”, Viale del Policlinico 155, 00161, Rome, Italy aut Ramieri Alessandro The Don Gnocchi foundation and Orthopedic Service, Rome, Italy aut Landi Alessandro Department of Neurological Science and Neurosurgery, University of Rome "Sapienza”, Viale del Policlinico 155, 00161, Rome, Italy aut Melone Angelina Department of Neurological Science and Neurosurgery, University of Rome "Sapienza”, Viale del Policlinico 155, 00161, Rome, Italy aut Raco Antonino Department of Neurosurgery, SM Goretti Hospital (Lt), Latina, Italy aut Ruggiero Massimo Department of Surgery "Paride Stefanini” and Vascular Surgery B, University of Rome "Sapienza”, Rome, Italy aut Speziale Francesco Department of Surgery "Paride Stefanini” and Vascular Surgery B, University of Rome "Sapienza”, Rome, Italy aut European Spine Journal Springer-Verlag 20(2011-07-01), 314-319 0940-6719 20<314 2011 20 586 https://doi.org/10.1007/s00586-011-1732-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1732-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Domenicucci Maurizio Department of Neurological Science and Neurosurgery, University of Rome "Sapienza”, Viale del Policlinico 155, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Ramieri Alessandro The Don Gnocchi foundation and Orthopedic Service, Rome, Italy aut NATIONALLICENCE 700 1- Landi Alessandro Department of Neurological Science and Neurosurgery, University of Rome "Sapienza”, Viale del Policlinico 155, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Melone Angelina Department of Neurological Science and Neurosurgery, University of Rome "Sapienza”, Viale del Policlinico 155, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Raco Antonino Department of Neurosurgery, SM Goretti Hospital (Lt), Latina, Italy aut NATIONALLICENCE 700 1- Ruggiero Massimo Department of Surgery "Paride Stefanini” and Vascular Surgery B, University of Rome "Sapienza”, Rome, Italy aut NATIONALLICENCE 700 1- Speziale Francesco Department of Surgery "Paride Stefanini” and Vascular Surgery B, University of Rome "Sapienza”, Rome, Italy aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-07-01), 314-319 0940-6719 20<314 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer