ArticleAnnals of surgery2000
The devastating potential of blunt vertebral arterial injuries.
Article in Annals of surgery, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 2 of them syntheses that pooled it.
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Who cites it
105 citing papers in PubMed, 2 syntheses or guidelines pooled it, 399 citations in OpenAlex.
- Cervical spine fracture patterns associated with blunt cerebrovascular injuries: A literature review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Pooled it
- Treatment of asymptomatic blunt cerebrovascular injury (BCVI): a systematic review.Trauma surgery & acute care open · 2021Pooled it
- Endovascular management of bilateral traumatic internal carotid artery dissections: A case report.Journal of vascular surgery cases and innovative techniques · 2026Article
- Radiologically Devastating Yet Neurologically Intact: A Rare Case of Ambulatory C6-C7 Translational Injury with Bilateral Facet Dislocation and Vertebral Artery Thrombosis.Journal of orthopaedic case reports · 2026Article
- Self-reported awareness and knowledge of blunt cerebrovascular injury among emergency, orthopedic, and anesthesiology physicians in Denmark and the Netherlands.International journal of emergency medicine · 2026Article
- A unique management strategy to bilateral vertebral artery occlusion following cervical trauma: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Distal and proximal embolization for penetrating vertebral artery injury: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Traumatic Vertebral Artery Injury: Diagnosis, Natural History, and Key Considerations for Management.Journal of clinical medicine · 2025Review
- Traumatic vertebral artery transection injury: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- A bibliometric analysis of blunt cerebrovascular injury: the top 50 most instrumental articles.Neurosurgical review · 2025Review
- Change in management for digital subtraction angiography-identified false-positive traumatic vertebral artery injury.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Article
- Imaging of cerebrovascular complications from blunt skull base trauma.Emergency radiology · 2024Review
- Blunt Traumatic Vertebral Artery Injury After Cervical Fracture Dislocation: A Systematic Review of the Literature.Cureus · 2024Review
- Vertebral artery injury following combination Jefferson fracture of C1 and Type II odontoid fracture: A case report.Clinical case reports · 2024Article
- Traumatic Vertebral Artery Dissection Without Cervical Spine Injury Treated by Mechanical Thrombectomy.Cureus · 2024Article
- Risk Factors, Incidence and Mortality of Vertebral Artery Injury in Patients Undergoing Anterior Cervical Corpectomy: A Retrospective Large National Data Base Study.Global spine journal · 2024Article
- Vertebral Artery Injury in Cervical Spine Fracture Dislocation: An Observational Study in a Tertiary Care Center.Cureus · 2024Article
- Extreme dislocation of the cervical spine-case report.Journal of surgical case reports · 2024Article
- Basilar artery occlusion due to vertebral artery injury treated with thrombectomy and distal vertebral artery embolization through the unaffected side.Surgical neurology international · 2024Article
45 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo formulate management guidelines for blunt vertebral arterial injury (BVI). SUMMARY BACKGROUND DATA: Compared with carotid arterial injuries, BVIs have been considered innocuous. Although screening for BVI has been advocated, particularly in patients with cervical spine injuries, the appropriate therapy of lesions is controversial.
methodsIn 1996 an aggressive arteriographic screening protocol for blunt cerebrovascular injuries was initiated. A prospective database of all screened patients has been maintained. Analysis of injury mechanisms and patterns, BVI grades, treatment, and outcomes was performed.
resultsThirty-eight patients (0.53% of blunt trauma admissions) were diagnosed with 47 BVIs during a 3.5-year period. Motor vehicle crash was the most common mechanism, and associated injuries were common. Cervical spine injuries were present in 71% of patients, but there was no predilection for cervical vertebral level or fracture pattern. The incidence of posterior circulation stroke was 24%, and the BVI-attributable death rate was 8%. Stroke incidence and neurologic outcome were independent of BVI injury grade. In patients treated with systemic heparin, fewer overall had a poor neurologic outcome, and fewer had a poor outcome after stroke. Trends associated with heparin therapy included fewer injuries progressing to a higher injury grade, fewer patients in whom stroke developed, and fewer patients deteriorating neurologically from diagnosis to discharge.
conclusionsBlunt vertebral arterial injuries are more common than previously reported. Screening patients based on injury mechanisms and patterns will diagnose asymptomatic injuries, allowing the institution of therapy before stroke. Systemic anticoagulation appears to be effective therapy: it is associated with improved neurologic outcome in patients with and without stroke, and it appears to prevent progression to a higher injury grade, stroke, and deterioration in neurologic status.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.