A fatal iatrogenic right vertebral injury after transoral odontoidectomy and posterior cervical stabilization for a type II odontoid fracture.

Abstract:

:The authors present a singular case of an iatrogenic right vertebral artery injury, involving a 67 year-old man, who reported a type II odontoid fracture (Anderson and D'Alonzo Classification) and posterior atlantoaxial dislocation following a road traffic accident. A small injury involving the right vertebral artery occurred as a consequence of transoral odontoidectomy and posterior cervical stabilization. It was caused by bone spicules of spinal origin and their presence was confirmed by the histological section of the right vertebral artery at the level of C1-C2. The case confirms how iatrogenic vertebral artery injuries during cervical spine surgery may be potentially lethal, especially where complications arise some days after surgery.

journal_name

J Forensic Leg Med

authors

Scalici E,Indorato F,Portelli F,Savì T,Maresi E,Busardò FP

doi

10.1016/j.jflm.2013.12.019

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

41-4

eissn

1752-928X

issn

1878-7487

pii

S1752-928X(13)00335-1

journal_volume

22

pub_type

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