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
Spineauthors
Golfinos JG,Dickman CA,Zabramski JM,Sonntag VK,Spetzler RFdoi
10.1097/00007632-199411001-00010subject
Has Abstractpub_date
1994-11-15 00:00:00pages
2552-6issue
22eissn
0362-2436issn
1528-1159journal_volume
19pub_type
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