Endovascular embolization of iatrogenic vertebral artery injury during anterior cervical spine surgery: report of two cases and review of the literature

Spine
Jeong-Wook ChoiSoo-Han Kim

Abstract

Case description. To report 2 cases of vertebral artery injury (VAI) during anterior cervical decompression surgery and review the pertinent medical literature. The incidence of VAI during an anterior surgical approach to the cervical spine is rare but potentially lethal. The spine surgeon should be aware of the detailed surgical anatomy and be prepared to manage an inadvertent injury to the vertebral artery. In the first case presented, infection was the cause of VAI. During aggressive irrigation and pus drainage, massive bleeding was encountered. For the second case, the vertebral artery was injured during decompression of cervical spondylosis while drilling the neural foramen. Intraoperative direct packing with hemostatic agents provided effective control of hemorrhage. Ten days after surgery, sudden neck swelling and mental deterioration occurred because of rebleeding from a pseudoaneurysm in the first case. In the second case, a pseudoaneurysm was detected by angiography, obtained 4 days after surgery. Both pseudoaneurysms were successfully occluded by an endovascular technique without any neurologic sequelae. In case of bleeding control by hemostatic packing, there remains a risk of delayed hemorrhage from pseudoaneurysm....Continue Reading

References

Apr 1, 1972·Journal of Neurosurgery·A Shintani, N T Zervas
May 1, 1993·The Journal of Bone and Joint Surgery. British Volume·M D SmithM Leventhal
Jul 21, 1999·Journal of Neurosurgery·M A ElerakyV K Sonntag
Jan 1, 1962·Clinical Neurosurgery·R B CLOWARD
Oct 18, 2003·Cardiovascular and Interventional Radiology·Orlando Diaz-DazaCliff J Whigham
Dec 17, 2004·Cardiovascular and Interventional Radiology·Jose C Méndez, Francisco González-Llanos
Sep 13, 2005·The Spine Journal : Official Journal of the North American Spine Society·James P BurkeWilliam C Welch

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Citations

Jun 22, 2011·Cardiovascular and Interventional Radiology·Gianpaolo CarrafielloCarlo Fugazzola
Jun 18, 2009·Archives of Orthopaedic and Trauma Surgery·Qi ZhangYingze Zhang
Jul 14, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Hyung-Ki Park, Hae-Dong Jho
Jul 20, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ronald H M A Bartels
Nov 16, 2011·The Orthopedic Clinics of North America·Gregory GrabowskiJames D Kang
May 28, 2008·The Spine Journal : Official Journal of the North American Spine Society·Chan W PengJeffrey M Spivak
May 9, 2014·British Journal of Neurosurgery·Shahid A KhanSidney M Marks
Feb 11, 2012·Journal of Korean Neurosurgical Society·Hyeun Jin JungSung Myung Lee
Oct 4, 2008·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Tanzer SancakEvren Ustuner
Jan 28, 2017·Journal of Orthopaedic Surgery and Research·Kyung-Jin SongSung-Soo Kim
Jan 11, 2018·Geriatric Orthopaedic Surgery & Rehabilitation·Alireza K NazemiJonathan J Carmouche
Jan 20, 2010·Journal of Spinal Disorders & Techniques·Gregory S McLoughlinZiya L Gokaslan
May 27, 2017·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Gabrielle G TardieuR Shane Tubbs
Aug 21, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Qing-Jie KongJian-Gang Shi
Oct 6, 2019·Operative Neurosurgery·Fabian WinterAlexander P Hughes
Jun 9, 2020·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Christopher M MikhailAndrew C Hecht
May 18, 2017·Korean Journal of Neurotrauma·Su Bum LeeSeung Chul Rhim
Apr 30, 2017·Global Spine Journal·Gregory D SchroederK Daniel Riew
Sep 28, 2013·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Kyeong-Wook YoonYoung Jin Kim
Jan 21, 2021·JBJS Reviews·Pradip RamamurtiShalin Patel

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