Format

Send to

Choose Destination
Spine (Phila Pa 1976). 1994 Nov 15;19(22):2552-6.

Repair of vertebral artery injury during anterior cervical decompression.

Author information

1
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.

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.

PMID:
7855680
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center