SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2012
The management of vertebral artery injury in anterior cervical spine operation: a systematic review of published cases.
Synthesis in 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, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Prevalence of Vertebral artery anomaly in upper cervical and its surgical implications: a systematic review.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 · 2021Pooled it
- Anterior cervical discectomy and fusion may be more effective than anterior cervical corpectomy and fusion for the treatment of cervical spondylotic myelopathy.BMC musculoskeletal disorders · 2015Pooled it
- Article
- Epidemiology and Management of Iatrogenic Vertebral Artery Injury Associated With Cervical Spine Surgery.Korean journal of neurotrauma · 2022Review
- Anastomosis and Endovascular Treatment of Iatrogenic Vertebral Artery Injury.Korean journal of neurotrauma · 2021Article
- A quantitative analysis of the dimensions and content of the vertebral triangle.Surgical and radiologic anatomy : SRA · 2021Article
- Management of Asymptomatic Vertebral Artery Injury Caused by a Cervical Pedicle Screw Malposition: Two Case Reports.NMC case report journal · 2021Article
- Safe and bloodless exposure of the third segment of the vertebral artery: a step-by-step overview based on over 50 personal cases.Neurosurgical review · 2019Article
- Posterior Inferior Cerebellar Artery Infarction Originating at C1-2 after C1-2 Fusion.Korean journal of neurotrauma · 2019Article
- Airway management in a displaced comminuted fracture of the mandible and atlas with a vertebral artery injury: A case report.Journal of dental anesthesia and pain medicine · 2018Article
- Anterior cervical spine surgery-associated complications in a retrospective case-control study.Journal of spine surgery (Hong Kong) · 2017Review
- Observational
- Epidemiology and Outcomes of Vertebral Artery Injury in 16 582 Cervical Spine Surgery Patients: An AOSpine North America Multicenter Study.Global spine journal · 2017Article
- Intraoperative Death During Cervical Spinal Surgery: A Retrospective Multicenter Study.Global spine journal · 2017Article
- Comparison between anterior cervical discectomy with fusion and anterior cervical corpectomy with fusion for the treatment of cervical spondylotic myelopathy: a meta-analysis.Therapeutics and clinical risk management · 2015Article
- Optimal measurement for "posterolateral protrusion" of the vertebral artery at the craniovertebral junction using computed tomography angiography.Journal of craniovertebral junction & spine · 2014Article
- Variations in Entrance of Vertebral Artery in Korean Cervical Spine: MDCT-based Analysis.The Korean journal of pain · 2014Article
- The Michel Benoist and Robert Mulholland yearly European Spine Journal Review: a survey of the "surgical and research" articles in the European Spine Journal 2012.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 · 2013Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAnterior cervical spine operations (ACSO) are generally considered to be safe and effective, but the vertebral artery (VA) is at risk during the procedure. Because the consequences of VA injury can be catastrophic, properly managing a VA injury is very important. However, due to the rarity of these injuries, there is no agreed upon treatment strategy.
methodsStudies were identified for inclusion in the review via sensitive searches of electronic databases through 31 December 2011. All cases included in the review were qualitatively analyzed to explore the relationship between type of VA injury management and neurological complications.
resultsSeventeen articles describing 39 cases of VA injury during ACSO were included in this study. Seven patients (17.9 %) had neurological complications followed by VA insufficiency. Two patients (5.1 %) had root damage due to ligation. One case (2.6 %) resulted in intraoperative death due to fatal bleeding. Delayed vascular complications were identified in nine (45.0 %) of the 20 patients that underwent only tamponade or hemostatic agent during the operation. Four patients underwent intraoperative endovascular treatment, and three of these patients had a cerebral infarction. All three patients who underwent clipping also had neurological complications. The five patients treated by direct repair did not have any complications.
conclusionOur review suggests the management of VA injury should be considered in order listed: (1) performing tamponade with a hemostatic agent, (2) direct repair, (3) postoperative endovascular procedures to prevent delayed complications. If tamponade fails to achieve proper hemostasis, additional procedures as endovascular embolization, clipping and ligation should be considered but carry the risk of neurological complications. Because of the limitations of this review, further studies are recommended with larger sample sizes.
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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.