REPAIR OF VERTEBRAL ARTERY INJURY DURING ANTERIOR CERVICAL DECOMPRESSION

被引：105

作者：

GOLFINOS, JG ^{[1
]}

DICKMAN, CA ^{[1
]}

ZABRAMSKI, JM ^{[1
]}

SONNTAG, VKH ^{[1
]}

SPETZLER, RF ^{[1
]}

机构：

[1] BARROW NEUROL INST,EDITORIAL OFF,350 W THOMAS RD,PHOENIX,AZ 85013

来源：

SPINE | 1994年 / 19卷 / 22期

关键词：

ANTERIOR CERVICAL DECOMPRESSION; INTRAOPERATIVE COMPLICATION; VERTEBRAL ARTERY;

D O I：

10.1097/00007632-199411001-00010

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：2552 / 2556

页数：5

共 23 条

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