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Title of Journal: Eur Spine J

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Abbravation: European Spine Journal

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Springer Berlin Heidelberg

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DOI

10.1016/0022-4375(96)86979-9

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1432-0932

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Rupture of the spleen following thoracoscopic spin

Authors: Robert Bogner Herbert Resch Michael Mayer Stefan Lederer Reinhold Ortmaier
Publish Date: 2014/12/13
Volume: 24, Issue: 4, Pages: 569-572
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Abstract

A 38yearold patient with an L1 burst fracture AO A33 underwent a standard thoracoscopic corpectomy and replacement of the vertebral body with an extendable vertebral body replacement 10 days after posterior instrumentation of T12–L2 In patients history chronic abusive alcoholism with related diseases such as pancreatitis followed by hemipancreatectomy was found Six hours after the surgery the patient became hemodynamically unstable An emergency CT scan revealed a splenic rupture Emergent splenectomy was performedDue to its proximity to the thoracolumbar junction the spleen is vulnerable to injury during spine surgery If the patient has undergone previous intraabdominal operations or chronic inflammation of the pancreas is found special care of the spleen during the operation is necessary

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