Anatomical Study of the Posterior Ascending Artery: Application to C2 Pedicle Screw Placement.

Abstract:

OBJECTIVE:Anatomy of the posterior ascending artery (PAA) has been well documented. The PAA forms an apical arcade, which supplies the small branches to the tip of the dens. However, morphometrics of this artery such as diameter and distance from the midline, which could be applied to the diagnosis and surgical procedure, are scant. We aimed to investigate the anatomy of the PAA in order to apply our findings to surgical procedures such as C2 pedicle screw placement. METHODS:Ten sides from 5 Caucasian cadaveric heads in which red latex was injected were used. The origin of the PAA, diameter of the PAA and apical arcade, and the distance from midline were recorded. RESULTS:Diameters of the PAA and apical arcade were approximately 1 mm and 0.7 mm, respectively. Distance from the midline to the PAA was approximately 7 mm. In 1 specimen, the os odontoideum was observed on top of the dens. CONCLUSIONS:The result of this study could provide anatomic knowledge, which is important for C2 pedicle screw placement to the spine surgeon.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Iwanaga J,Simonds E,Choi PJ,Oskouian RJ,Tubbs RS

doi

10.1016/j.wneu.2018.01.118

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

e662-e665

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(18)30161-X

journal_volume

112

pub_type

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