Vertebral artery injury in C1-2 transarticular screw fixation: results of a survey of the AANS/CNS section on disorders of the spine and peripheral nerves. American Association of Neurological Surgeons/Congress of Neurological Surgeons

Journal of Neurosurgery
N M Wright, C Lauryssen

Abstract

The 847 active members of the American Association of Neurological Surgeons/Congress of Neurological Surgeons (AANS/CNS) Section on Disorders of the Spine and Peripheral Nerves were surveyed to quantitate the risk of vertebral artery (VA) injury during C1-2 transarticular screw placement. This retrospective study elicited the number of patients treated with transarticular screws, the number of screws placed, the incidence of VA injury and subsequent neurological deficit, and the management of known or suspected VA injury. Two hundred thirteen (25.1%) of the 847 surgeons responded. One hundred one respondents (47.4%) had placed a total of 2492 C1-2 transarticular screws in 1318 patients. Thirty-one patients (2.4%) had known VA injuries and an additional 23 patients (1.7%) were suspected of having injuries. However, only two (3.7%) of the 54 patients with known or suspected VA injuries exhibited subsequent neurological deficits and only one (1.9%) died of bilateral VA injury. Other iatrogenic complications included dural tears, screw fractures, screw breakout, fusion failure, infection, and suboccipital numbness. Including both known and suspected cases, the risk of VA injury was 4.1% per patient or 2.2% per screw inserted. The r...Continue Reading

References

Apr 1, 1976·AJR. American Journal of Roentgenology·J Merino-deVillasante, J M Taveras
Nov 1, 1991·The Journal of Bone and Joint Surgery. British Volume·D GrobT M Markwalder
Feb 1, 1991·Journal of Neurosurgery·C A DickmanM N Hadley
Sep 1, 1989·AJR. American Journal of Roentgenology·R T HigashidaG B Hieshima
Jul 1, 1988·Spine·M PanjabiH U Bueff
Aug 1, 1993·Journal of Neurosurgery·V V HalbachG B Hieshima
Aug 1, 1993·Journal of Neurosurgery·P MarcotteJ Drabier
Aug 1, 1996·Journal of Neurosurgery·C G ParamoreV K Sonntag
Feb 1, 1910·Annals of Surgery·S J Mixter, R B Osgood

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Citations

Jan 26, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Yung-Fong TsaiChun-Ming Lin
Dec 17, 2004·Cardiovascular and Interventional Radiology·Jose C Méndez, Francisco González-Llanos
Apr 5, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Raheel AhmedArnold H Menezes
Apr 4, 2008·Archives of Orthopaedic and Trauma Surgery·Dorothea Daentzer
Jan 26, 2005·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·Milan K SenMax Aebi
Mar 9, 2005·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·M H Nogueira-Barbosa, H L A Defino
Jun 22, 2005·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·Dieter GrobAnne F Mannion
Oct 7, 2006·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·Jun TakahashiHiroyuki Kato
Oct 20, 2006·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·Jan StulikJan Kryl
Dec 22, 2007·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·Takao MotosuneyaHiroya Sakai
Jul 17, 2008·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·Steven W HwangJames Kryzanski
Jun 12, 2009·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·Sheng LuDong P Li
Jun 5, 2010·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·Weihu MaGuanyi Liu
Sep 14, 2010·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·D PalM Grevitt
Dec 15, 2011·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·Brian P WalcottWael F Asaad
Feb 9, 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·Jian WangYuan Zhang
Oct 23, 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·Hong-Qi ZhangJin-Yang Liu
Oct 10, 2008·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Yoshitaka KobayashiMiho Sekiguchi
Nov 2, 2005·Neurosurgical Review·Peter SpangenbergVeit Rohde
Feb 22, 2012·Forensic Science, Medicine, and Pathology·Marian Wang
Jan 21, 2004·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·John D LaidlawKevin H Siu
Jan 15, 2014·The Spine Journal : Official Journal of the North American Spine Society·David J LunardiniWilliam F Donaldson
Dec 24, 2013·The Spine Journal : Official Journal of the North American Spine Society·Jason Y YeJames D Kang
Oct 5, 2001·Journal of Spinal Disorders·R C Sasso
Jun 7, 2003·Journal of Spinal Disorders & Techniques·Thomas M ReillyPeter V Hall
Dec 16, 2004·Spine·Christian M PuttlitzJeffrey C Lotz

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