ArticleGlobal spine journal2017
Epidemiology and Outcomes of Vertebral Artery Injury in 16 582 Cervical Spine Surgery Patients: An AOSpine North America Multicenter Study.
Article in Global spine journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Prevalence of anatomical variations at the suboccipital (V3) segment of the vertebral artery: a systematic review.Neuroradiology · 2023Pooled it
- Proximal and distal endovascular embolization of a penetrating V3 vertebral artery transection with adjunctive surgical ligation: A case report.Surgical neurology international · 2026Article
- Vertebral artery dissection with cerebellar stroke after use of a percussive massage device: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- A Systematic Review and Meta-Analysis of Vertebral Artery Injury After Cervical Spine Trauma.Global spine journal · 2024Review
- Delayed Hemorrhage Followed by Vertebral Artery Injury during Cervical Anterior Controllable Antedisplacement and Fusion Surgery: Case Report and Literature Review.Orthopaedic surgery · 2022Review
- Epidemiology and Management of Iatrogenic Vertebral Artery Injury Associated With Cervical Spine Surgery.Korean journal of neurotrauma · 2022Review
- Article
- Basilar Invagination: Surgical Treatment by Novel Anterior Implant.Journal of orthopaedic case reports · 2021Article
- First reported use of real-time intraoperative computed tomography angiography image registration using the Machine-vision Image Guided Surgery system: illustrative case.Journal of neurosurgery. Case lessons · 2021Article
- Management of Asymptomatic Vertebral Artery Injury Caused by a Cervical Pedicle Screw Malposition: Two Case Reports.NMC case report journal · 2021Article
- Narcotrend-guided intraoperative care of a Trisomy 21 paediatric patient who underwent occipitocervical fusion.BMJ case reports · 2020Article
- 3D-Customized Guiding Template for Posterior Fixation in Complex Atlantoaxial Instability-Preliminary Experiences of National Cheng Kung University Hospital.Journal of neurological surgery reports · 2020Article
- Posterior Inferior Cerebellar Artery Infarction Originating at C1-2 after C1-2 Fusion.Korean journal of neurotrauma · 2019Article
- Chylous fistula: management of a rare complication following right anterior cervical spine approach.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 · 2019Review
- Two-stage corrective surgery for severe rigid cervical kyphotic deformity with unilateral vertebral artery occlusion after old blunt trauma: a case report.Spinal cord series and cases · 2018Article
Corrections and comments
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Authors and funding
24 authors at 17 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designA multicenter retrospective case series was compiled involving 21 medical institutions. Inclusion criteria included patients who underwent cervical spine surgery between 2005 and 2011 and who sustained a vertebral artery injury (VAI).
objectiveTo report the frequency, risk factors, outcomes, and management goals of VAI in patients who have undergone cervical spine surgery.
methodsPatients were evaluated on the basis of condition-specific functional status using the Neck Disability Index (NDI), modified Japanese Orthopaedic Association (mJOA) score, the Nurick scale, and the 36-Item Short-Form Health Survey (SF-36).
resultsVAIs were identified in a total of 14 of 16 582 patients screened (8.4 per 10 000). The mean age of patients with VAI was 59 years (±10) with a female predominance (78.6%). Patient diagnoses included myelopathy, radiculopathy, cervical instability, and metastatic disease. VAI was associated with substantial blood loss (770 mL), although only 3 cases required transfusion. Of the 14 cases, 7 occurred with an anterior-only approach, 3 cases with posterior-only approach, and 4 during circumferential approach. Fifty percent of cases of VAI with available preoperative imaging revealed anomalous vessel anatomy during postoperative review. Average length of hospital stay was 10 days (±8). Notably, 13 of the 14 (92.86%) cases resolved without residual deficits. Compared to preoperative baseline NDI, Nurick, mJOA, and SF-36 scores for these patients, there were no observed changes after surgery (
conclusionsVertebral artery injuries are potentially catastrophic complications that can be sustained from anterior or posterior cervical spine approaches. The data from this study suggest that with proper steps to ensure hemostasis, patients recover function at a high rate and do not exhibit residual deficits.
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