Lateral cervical spine dislocation and vertebral artery injury.

Abstract:

:Although anterior and posterior traumatic displacement of cervical vertebrae are commonly noted, and the devastating neurological deficits associated with these injuries have been amply defined, lateral displacement with fractures has been rarely recognized, and the clinical significance of this injury has been overlooked. This report describes five cases of cervical spine fractures with lateral dislocation. All patients had lateral and anteroposterior cervical spine radiographs as well as cervical angiography or postmortem study demonstrating either complete occlusion or significant impairment of flow of the vertebral arteries. Two cases had traumatic vertebral artery occlusion with secondary medullary and cerebellar infarction resulting in the patient's death. Vertebral artery injury apparently is not uncommon in this particular type of fracture. The diagnosis of these vascular injuries may require angiography or magnetic resonance angiography. A vertebral occlusion or dissection is a problem of considerable complexity, requiring individualized management depending on the patient's symptomatology, location and nature of the injury, and time lapsed since the injury.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Parent AD,Harkey HL,Touchstone DA,Smith EE,Smith RR

doi

10.1227/00006123-199209000-00012

keywords:

subject

Has Abstract

pub_date

1992-09-01 00:00:00

pages

501-9

issue

3

eissn

0148-396X

issn

1524-4040

journal_volume

31

pub_type

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