Repair of injured vertebral artery in anterior cervical procedures

Spine
B A PfeiferE R Jewell

Abstract

A case report of treatment of injury to the vertebral artery in anterior cervical procedures is presented with a review of the literature. The feasibility of direct surgical repair is suggested. Currently, ligation or tamponade is accepted as the treatment of injury to the vertebral artery in anterior cervical surgery. Significant morbidity can result from this method. Direct repair should eliminate this morbidity. A report is presented of a patient who sustained injury to the vertebral artery, and the technique of repair is discussed. The literature was reviewed. The outcome was successful regarding both repair and the primary procedure. Although it is impossible to make a recommendation based on a single incident, this technique is believed to minimize postoperative sequelae that can be associated with occlusion of the vertebral artery.

Citations

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
Jul 28, 2004·Journal of Clinical Forensic Medicine·C ManaouilO Jardé
Oct 2, 2007·Spine·Kostas N FountasJoe S Robinson
Nov 16, 2011·The Orthopedic Clinics of North America·Gregory GrabowskiJames D Kang
Nov 14, 2006·The Spine Journal : Official Journal of the North American Spine Society·Joshua E MedowJohn Sandin
Sep 13, 2005·The Spine Journal : Official Journal of the North American Spine Society·James P BurkeWilliam C Welch
Nov 30, 2010·Journal of Korean Neurosurgical Society·Kyung-Hun NamDae-Chul Cho
Jun 7, 2017·World Neurosurgery·Evgenii BelykhPeter Nakaji
Nov 12, 2005·Acta Neurologica Scandinavica·J Inamasu, B H Guiot
Dec 3, 2005·Acta neurochirurgica·J Inamasu, B H Guiot

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