Repair of vertebral artery injury during anterior cervical decompression.

Abstract:

METHODS:Vertebral artery injury is a rarely described complication of anterior cervical decompression. The authors performed a retrospective review of their operative database for the purposes of defining the optimal management of this complication and its avoidance. RESULTS:Four of 1,215 (0.3%) patients undergoing anterior cervical operation sustained arterial injuries. In three cases, primary repair of the artery was successful; in one case, the artery was exposed and ligated. There were no postoperative ischemic complications. Artery laceration occurred during decompression (n = 2), screw tapping (n = 1), and during soft tissue retraction (n = 1). CONCLUSIONS:Injury to the vertebral artery during anterior approaches can be avoided by preoperative identification of anomalous arteries and by intraoperative attention to the midline. When the artery is injured, primary repair may be the optimal management strategy.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Golfinos JG,Dickman CA,Zabramski JM,Sonntag VK,Spetzler RF

doi

10.1097/00007632-199411001-00010

subject

Has Abstract

pub_date

1994-11-15 00:00:00

pages

2552-6

issue

22

eissn

0362-2436

issn

1528-1159

journal_volume

19

pub_type

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