The Vertebral Artery Cave at C2: Anatomic Study with Application to C2 Pedicle Screw Placement.

Abstract:

OBJECTIVE:Knowledge of the course of the vertebral artery during instrumentation is of paramount importance. It has been shown that erosion of the C2 pedicle and body can occur due to pulsations of the adjacent vertebral artery. This often results in a "cave" for this segment of the artery. The descriptions of this anatomy are limited. The current study was performed with the hope that these data will be of use to spine surgeons during C2 instrumentation. METHODS:In 40 human adult C2 bone specimens, the position of the vertebral artery in relation to the undersurface of the superior articular facet, pedicle, and C2 body was observed. A classification system was used to better describe these relationships. Pedicle screws were then placed into selected examples of each type. RESULTS:We found type 0 specimens, with no cave, on 8 sides (10%). Types I, II, and III caves with minimal, moderate, and significant encroachment of the pedicle were observed on 40%, 35%, and 27.5% sides, respectively. Type IV caves with erosion into the lateral C2 body and undersurface of the superior articular facet were observed on 12.5% of sides. Although larger caves were found on left sides, this did not reach statistical significance. Pedicle screw placement for types III and IV were most likely to enter the vertebral artery cave (P < 0.05). CONCLUSIONS:Additional osteologic data regarding the course of the vertebral artery while within C2 may decrease morbidity during surgery in this region.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Tubbs RS,Granger A,Fisahn C,Loukas M,Moisi M,Iwanaga J,Paulson D,Jeyamohan S,Chapman JR,Oskouian RJ

doi

10.1016/j.wneu.2016.07.037

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

368-374

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(16)30561-7

journal_volume

94

pub_type

杂志文章
  • Effects of Curcumin on Bone Loss and Biochemical Markers of Bone Turnover in Patients with Spinal Cord Injury.

    abstract:BACKGROUND:Osteoporosis is one of the most common problems of patients with spinal cord injuries (SCIs). The current study aimed to evaluate the antiosteoporotic effects of curcumin on densitometry parameters and biomarkers of bone turnovers among patients with SCI. MATERIALS AND METHODS:The current controlled clinica...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.03.081

    authors: Hatefi M,Ahmadi MRH,Rahmani A,Dastjerdi MM,Asadollahi K

    更新日期:2018-06-01 00:00:00

  • Optic Nerve Atrophy Due to Long-Standing Compression by Planum Sphenoidale Meningioma.

    abstract:PURPOSE:In this study we report an uncommon endoscopic endonasal image of an atrophic optic nerve as seen after surgical removal of a suprasellar meningioma. The peculiarity of this case is the long-lasting underestimated ocular symptomatology of the patient who reported a 15-year history of impairment of vision on her...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.02.032

    authors: Di Somma A,Kaen AM,Cárdenas Ruiz-Valdepeñas E,Cavallo LM

    更新日期:2018-05-01 00:00:00

  • Neurogenic Cough Associated with Hyperintensity in Dorsal Medulla: Case Report and Anatomical Discussion.

    abstract:BACKGROUND:The nucleus tractus solitarius and paratrigeminal nucleus, which are implicated in the processing of airway-derived sensory information, are found in the dorsal medulla. The mechanism and localization of higher-order processing of urge to cough is poorly understood, and much of the existing anatomical locali...

    journal_title:World neurosurgery

    pub_type:

    doi:10.1016/j.wneu.2020.09.096

    authors: Paranathala MP,Mitchell P

    更新日期:2020-12-01 00:00:00

  • The Identification of Factors That Influence the Quality of Bypass Anastomosis and an Evaluation of the Usefulness of an Experimental Practical Scale in This Regard.

    abstract:BACKGROUND:Several factors associated with interrupted and continuous suturing techniques affect the quality of bypass anastomosis. It is difficult to determine the impact of these factors during surgery. The primary objective of this study was to evaluate factors with the potential to influence the quality of bypass a...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.09.031

    authors: Hafez A,Huhtakangas J,Muhammad S,Lawton MT,Tanikawa R,Niemelä M

    更新日期:2019-01-01 00:00:00

  • Intracranial Meningioma in Patients Age

    abstract:BACKGROUND:Intracranial meningiomas are most common among patients in their fifth to seventh decade of life and rare in children and young adults. They constitute 1.5% of all neoplasms in patients age <20 years, but account for 13.5% of all neoplasms in patients age 20-34 years. They are often associated with hereditar...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.09.161

    authors: Motebejane MS,Kaminsky I,Choi IS

    更新日期:2018-01-01 00:00:00

  • An Awake Throughout Approach for Awake Craniotomy: A Perspective from a Resource-Limited Country.

    abstract:BACKGROUND:An awake throughout (AT) approach for awake craniotomy is mostly under utilized. The purpose of this study was to review the efficacy of the technique at our tertiary care center. The primary objective was to identify the incidence of perioperative complications. The secondary objective was to review the pat...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.03.127

    authors: Shafiq F,Parkash J,Enam A,Khan MF,Baig T

    更新日期:2019-06-01 00:00:00

  • Lateral Lumbar Interbody Fusion Revisited: Complication Avoidance and Outcomes with the Mini-Open Approach.

    abstract:OBJECTIVE:To discuss lessons learned from an initial lateral lumbar interbody fusion (LLIF) experience with a focus on evolving surgical technique, complication avoidance, and new motor and sensory outcomes after implementation of a modified surgical approach. METHODS:A retrospective analysis of a prospectively collec...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.09.180

    authors: Sellin JN,Brusko GD,Levi AD

    更新日期:2019-01-01 00:00:00

  • Cerebral Aneurysms: Are They Associated with Anatomic Variations of Carotid and Main Cerebral Arteries?

    abstract:OBJECTIVE:Vascular anatomic variations are very common in the population, but their coexistence with life-threating vascular malformations remains unclear. The objective of the study was to assess the correlation between the presence of anatomic variants of both carotid and main cerebral arteries and the occurrence of ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.12.161

    authors: Polak J,Ciuk S,Kucybała I,Giliavas J,Gajdosz A,Urbanik A

    更新日期:2019-01-10 00:00:00

  • Is Vertebral Artery and Posterior Inferior Cerebellar Artery Dominance a Risk Factor for Thromboembolism During Coil Embolization of Unruptured Posterior Circulation Aneurysms?

    abstract:BACKGROUND:To retrospectively analyze our clinical data to determine the risk factors for thromboembolism, especially with unruptured posterior circulation coil embolization. METHODS:A total of 53 coil embolization procedures for unruptured posterior circulation aneurysms performed in 53 patients between October 2010 ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.03.065

    authors: Son W,Kang DH

    更新日期:2020-06-01 00:00:00

  • Challenges of Managing Patients with Symptomatic Large Traumatic Cervical Pseudomeningoceles.

    abstract:BACKGROUND:Traumatic cervical pseudomeningoceles (TCPs) occur secondary to traction of the cervical nerve roots resulting in violation of the dura. Surgical repair is not necessary in most cases because pseudomeningoceles have a high propensity to spontaneously resolve with conservative management alone. Currently, the...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.04.017

    authors: Ganaha S,Lara-Velazquez M,Yoon JW,Akinduro OO,Clendenen SR,Murray PM,Pichelmann MA,Quinones-Hinojosa A,Deen HG

    更新日期:2018-07-01 00:00:00

  • The role of laboratory dissection training in neurosurgical residency: results of a national survey.

    abstract:OBJECTIVE:Work hour restrictions and current quality, financial, and legal concerns have reduced resident operative volume and autonomy. Although laboratory (cadaveric or animal) dissection has a rich history in neurosurgery, its current role in resident training is unclear. Recent literature suggests educators have lo...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2014.05.028

    authors: Kshettry VR,Mullin JP,Schlenk R,Recinos PF,Benzel EC

    更新日期:2014-11-01 00:00:00

  • Primary Intracranial Epidermoid Carcinoma with Diffuse Leptomeningeal Carcinomatosis: Report of Two Cases.

    abstract:BACKGROUND:Malignant degeneration of epidermoid cyst (EC) with accompanying leptomeningeal carcinomatosis (LC) at presentation is extremely rare. We add two cases to the literature, including the first case of primary brainstem involvement with simultaneous diffuse LC, and discuss clinical and radiological cues to diff...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2015.11.039

    authors: Raheja A,Eli IM,Bowers CA,Palmer CA,Couldwell WT

    更新日期:2016-04-01 00:00:00

  • Initial Experience in Direct Aspiration Thrombectomy Using a Novel 0.071-Inch Aspiration Catheter.

    abstract:INTRODUCTION:A Direct Aspiration First Pass Technique is one of the most widely used techniques in mechanical thrombectomy. Aspiration catheter size plays a major role in the success of this technique. The AXS Vecta (Stryker Neurovascular, Fremont, California, USA) aspiration catheter is the first approved 0.071-inch c...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.03.055

    authors: Almallouhi E,Anadani M,Al Kasab S,Lena JR,Spiotta AM

    更新日期:2019-06-01 00:00:00

  • Orthostatic Enlargement of a Supracerebellar Arachnoid Cyst With Cerebellar Descent Visualized by Upright Computed Tomography.

    abstract:BACKGROUND:Posterior fossa arachnoid cysts are often asymptomatic, but can rarely cause postural headache, the mechanism of which remains unknown. CASE DESCRIPTION:We present a 40-year-old woman with an asymptomatic supracerebellar arachnoid cyst. Upright computed tomography (CT) showed enlargement of the arachnoid cy...

    journal_title:World neurosurgery

    pub_type:

    doi:10.1016/j.wneu.2020.09.132

    authors: Yoshida K,Toda M,Yamada Y,Yamada M,Yokoyama Y,Fujiwara H,Kosugi K,Sasaki H,Jinzaki M

    更新日期:2021-01-01 00:00:00

  • Meningiomas Adjacent to Major Venous Sinuses-Clinical Outcome and Recurrence.

    abstract:BACKGROUND:Surgical treatment of meningiomas next to venous sinuses is difficult because of their irregular growth patterns and infiltration into the venous sinuses, making gross total resection impossible in some patients. We evaluated the postoperative clinical and neurologic course of this tumor subgroup. METHODS:T...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.05.025

    authors: Anthofer J,Seidel-Schulz R,Proescholdt M,Brawanski A,Schebesch KM

    更新日期:2017-08-01 00:00:00

  • Basiespinal Cerebrospinal Fluid Leak as a Complication After Adenoidectomy: Case Report and Literature Review.

    abstract:BACKGROUND:Adenoidectomy is one of the most common procedures in the field of pediatric otolaryngology. Postoperative bleeding is one of the most frequent complications (0.4%). In turn, cerebrospinal fluid fistula is a very uncommon but critical complication in this type of surgery. METHODS:We report the case of a 3-y...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2016.07.053

    authors: Moreno-Luna R,Cárdenas Ruiz-Valdepeñas E,Tato JI,Rivero-Garvia M,Márquez-Rivas J,Mochón Martín A

    更新日期:2016-09-01 00:00:00

  • Utility of the 5-Item Modified Frailty Index for Predicting Adverse Outcomes Following Elective Anterior Cervical Discectomy and Fusion.

    abstract:BACKGROUND:Frailty is an increasingly studied tool for preoperative risk stratification, but its prognostic value for anterior cervical discectomy and fusion (ACDF) patients is unclear. We sought to evaluate the association of the 5-item modified Frailty Index (5i-mFI) with 30-day adverse outcomes following ACDF and it...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.10.154

    authors: Zreik J,Alvi MA,Yolcu YU,Sebastian AS,Freedman BA,Bydon M

    更新日期:2020-11-03 00:00:00

  • Spinal Dural Arteriovenous Fistulas: Clinical Outcome After Surgery Versus Embolization: A Retrospective Study.

    abstract:OBJECTIVE:Spinal dural arteriovenous fistulas (SDAVFs) are rare vascular spinal malformations. According to the reported data, surgery seems to result in better occlusion rates than endovascular treatment. However, the post-treatment evolution of neurological symptoms stratified by the treatment remains unknown. The ma...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.04.005

    authors: Bretonnier M,Hénaux PL,Gaberel T,Roualdes V,Kerdiles G,Le Reste PJ,Morandi X

    更新日期:2019-07-01 00:00:00

  • Abscess within a Glioblastoma: Mimicking a Matryoshka Doll.

    abstract:BACKGROUND:Abscess coexisting within a brain tumor is rare. Case reports in the literature primarily consist of sellar pathology and parenchymal lesions, including meningioma, glioma, and metastases. We report a case of glioblastoma with an intratumoral abscess in a middle-aged patient with no prior invasive procedure ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.02.036

    authors: Kishore K,Beniwal M,Rao S,Narasinga Rao KVL,Vazhayil V,Srinivas D,Somanna S

    更新日期:2018-05-01 00:00:00

  • Delayed Traumatic Aortic Pseudoaneurysm Formation Causing Vertebral Body Erosion and Back Pain: Case Report and Literature Review.

    abstract:BACKGROUND:Aortic pseudoaneurysms are a rare cause of chronic back pain, usually resulting from compression of the adjacent neurovasculature. It is uncommon for patients with pseudoaneurysms of the abdominal aorta to present in a delayed fashion after initial traumatic injury. CASE DESCRIPTION:We describe an unusual c...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2017.11.035

    authors: Cappuzzo JM,Knudson KE,Sarin S,Babrowicz J,Cherrick A,Sherman JH

    更新日期:2018-02-01 00:00:00

  • Learning Curve of Robot-Assisted Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fractures.

    abstract:OBJECTIVE:There are few reports on the robot-assisted percutaneous kyphoplasty (PKP) for osteoporotic vertebral compression fractures (OVCF), and we aimed to explore the learning curve of the robot-assisted PKP for treating OVCF. METHODS:A total of 44 patients (71 vertebral fractures) with OVCF treated with robot-assi...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.02.110

    authors: Yuan W,Cao W,Meng X,Zhu H,Liu X,Cui C,Tao L,Zhu Y

    更新日期:2020-06-01 00:00:00

  • Endovascular Treatment of Vertebral-Venous Fistula with Flow-Diverting Stent.

    abstract:BACKGROUND:Vertebral-venous fistulas (VVFs) are a rare vascular condition and are commonly associated with trauma but may also be idiopathic, spontaneous, or congenital. A current literature review reveals there is no level 1 evidence or established guidelines on optimal treatment for VVF. Diagnosis is often confirmed ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.09.168

    authors: Rajadurai S,Muthukumaraswamy S,Hussain Z

    更新日期:2019-01-01 00:00:00

  • Combined Endoscopic Endonasal and Bilateral Subfrontal Approach for a Nonfunctioning Pituitary Adenoma Associated with an Internal Carotid Artery-Superior Hypophyseal Artery Aneurysm.

    abstract:BACKGROUND:An aneurysm embedded in a pituitary adenoma is rare, and treatment for both the aneurysm and pituitary adenoma is complex and controversial. CASE DESCRIPTION:A 53-year-old woman presented with a visual field defect. Magnetic resonance imaging showed a pituitary adenoma and coexistence of an aneurysm located...

    journal_title:World neurosurgery

    pub_type:

    doi:10.1016/j.wneu.2019.10.159

    authors: Kino H,Ito Y,Akutsu H,Tanaka S,Hara T,Ishikawa E,Miyamoto H,Matsumaru Y,Matsumura A

    更新日期:2020-02-01 00:00:00

  • Delayed Occipital Artery Pseudoaneurysm Following Blunt Force Trauma.

    abstract:BACKGROUND:Occipital artery pseudoaneurysms are extremely rare pathologies that manifest after traumatic injury; only 11 cases have been reported in the literature. Because of their low incidence and vague symptoms, the initial diagnosis can be difficult. However, for correctly diagnosed occipital artery pseudoaneurysm...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2016.01.095

    authors: Changa AR,Meleis AM,Bassani L

    更新日期:2016-05-01 00:00:00

  • Purely Intraforaminal Meningioma in the Cervical Spine.

    abstract::Meningiomas are mostly benign intradural tumors. Concerning the spine, some of them can extend outside the canal or even develop extradurally but their primary attach is often located in the vertebral canal. Here we present the case of an exceptional purely intraforaminal meningioma mimicking a neurogenic tumor, invol...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.10.006

    authors: Pommier B,Vasiljevic A,Barrey C

    更新日期:2021-01-01 00:00:00

  • Results of a Single Center's Stenting Procedure for the Treatment of Carotid Stenosis.

    abstract:BACKGROUND:Stenting may be a safer alternative to endarterectomy for treating carotid artery stenosis (CAS), but its long-term efficacy is uncertain. There is a lack of long-term and noncontrolled clinical trial data that reflects "real-world" CAS. This study aimed to analyze the long-term efficacy and safety of our ce...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.09.065

    authors: Vieira-Leite C,Mosqueira AJ,Arias-Rivas S,Rodríguez-Yáñez M,Pumar JM

    更新日期:2020-01-01 00:00:00

  • The Radiographic Effects of Surgical Approach and Use of Retractors on the Brain After Anterior Cranial Fossa Meningioma Resection.

    abstract:OBJECTIVE:There is an increasing trend toward skull base (SB) approaches and retractorless surgery to minimize brain manipulation during surgery. We evaluated the radiographic changes over time after surgical resection of anterior cranial fossa meningiomas with and without both SB approaches and/or fixed retractor syst...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.01.069

    authors: Chaichana KL,Vivas-Buitrago T,Jackson C,Ehresman J,Olivi A,Bettegowda C,Quinones-Hinojosa A

    更新日期:2018-04-01 00:00:00

  • Brain Bypass Surgery for Complex Middle Cerebral Artery Aneurysms: Evolving Techniques, Results, and Lessons Learned.

    abstract:OBJECTIVE:To analyze a consecutive series of patients with middle cerebral artery (MCA) aneurysms who needed an adjunctive cerebral revascularization procedure to achieve aneurysm occlusion with preservation of flow through all MCA branches. METHODS:A total of 42 patients with 43 MCA aneurysms underwent 52 bypass proc...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.06.059

    authors: Natarajan SK,Zeeshan Q,Ghodke BV,Sekhar LN

    更新日期:2019-10-01 00:00:00

  • The Influence of Parkinson Disease on Lumbar Decompression Surgery: A Retrospective Case Control Study.

    abstract:BACKGROUND:Parkinson disease (PD) is a major risk factor during spine surgery, and its frequency is increasing as the population ages. The study aim was to examine the influence of PD specifically on lumbar decompression surgery. METHODS:A retrospective review was performed of all patients with PD who underwent electi...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.09.028

    authors: Westermann L,Eysel P,Hantscher J,Baschera D,Simons M,Herren C,Zarghooni K,Siewe J

    更新日期:2017-12-01 00:00:00

  • Impact of Laterality on Surgical Outcome of Glioblastoma Patients: A Retrospective Single-Center Study.

    abstract:BACKGROUND:Resection of left hemisphere (LH) tumors is often complicated by the risks of causing language dysfunction. Although neurosurgeons' concerns when operating on the presumed dominant hemisphere are well known, literature evaluating laterality as a predictive surgical parameter in glioblastoma (GB) patients is ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.02.084

    authors: Coluccia D,Roth T,Marbacher S,Fandino J

    更新日期:2018-06-01 00:00:00