ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018
Evaluation of vertebral artery anomaly in basilar invagination and prevention of vascular injury during surgical intervention: CTA features and analysis.
Article 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, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Prevalence of suboccipital and intradural vertebral artery variants: a systematic review with meta-analysis.Neuroradiology · 2025Pooled it
- Prevalence of anatomical variations at the suboccipital (V3) segment of the vertebral artery: a systematic review.Neuroradiology · 2023Pooled it
- 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
- Occipitocervical fusion restores vertebral artery hemodynamics and relieves posterior circulation symptoms in basilar invagination: a patient-specific computational fluid dynamics study.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 · 2026Article
- Prevalence of the high-riding vertebral artery depends on how it is defined: a meta-analysis with implications for C2 screw fixation.Anatomical science international · 2026Review
- C1 pedicle screw placement risks in patients with ponticulus posticus: a CTA retrospective simulation study.Journal of orthopaedic surgery and research · 2026Article
- Modified classification system of high-riding vertebral artery for the C2 screw placement strategy: a large-scale, cross-sectional study.Scientific reports · 2025Article
- Chronic type 2 odontoid fracture with atlantoaxial spondyloptosis in an adult: a case report and literature review.Journal of spine surgery (Hong Kong) · 2025Article
- Atlantoaxial Reconstruction: The Artful Evolution of Craniovertebral Junctional Spine Surgery.Neurospine · 2025Article
- Anterior transarticular crossing screw fixation for reducible atlantoaxial dislocation with basilar invagination: a radiological feasibility study.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 · 2025Article
- Biomechanical evaluation of In-Out-In pedicle screws for atlantoaxial posterior fixation in the presence of high-riding vertebral artery and narrow C2 pedicles: a finite element analysis.Journal of orthopaedic surgery and research · 2025Article
- Radiological features and internal fixation strategies of atlantoaxial dislocation combined with atlas occipitalization.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 · 2025Article
- C2 anatomical pedicle screw for C2 fixation under the concept of atlantoaxial joint distraction and fusion with intra-articular cages: technical note.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 · 2025Article
- A Prevalence Anatomic-Imaging Study of the Posterior Inferior Cerebellar Artery's Origin.Medicina (Kaunas, Lithuania) · 2024Article
- C2 pedicle screw insertion assisted by mobilization of the vertebral artery in cases with high-riding vertebral artery.Heliyon · 2024Article
- Effect of High-Riding Vertebral Artery on the Accuracy and Safety of C2 Pedicle Screw Placement in Basilar Invagination and Related Risk Factors.Global spine journal · 2024Article
- Characteristics and evaluation of C1 posterior arch variation for transpedicular screw placement between patients with and without basilar invagination.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 · 2023Article
- [The effect of axis pedicle and intra-axial vertebral artery on CZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- The assessment of the frequency and arrangement of the subsegmental branches of V3 using computed tomography angiography.Quantitative imaging in medicine and surgery · 2021Article
- Surgical treatment of a complex craniocervical malformation combined with posterior cranial fossa teratoma: a case report and literature review.Chinese neurosurgical journal · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate vertebral artery anomaly at the craniovertebral junction (CVJ) in patients with basilar invagination (BI) by computed tomographic angiography (CTA), and to discuss the prevention strategy of vascular injury.
methodsThe primary axial, multiple planar reconstruction and volume-rendering cervicocranial CTA images of 39 BI patients were analysed to evaluate vertebral artery anomaly at the CVJ: persistent first intersegmental artery (PFIA), fenestrated vertebral artery (FEN), and extracranial C1/2 origin of posterior inferior cerebellar artery (PICA), high-riding vertebral artery, side-to-side asymmetry and irregular midline carotid artery loop was determined by subjective vision. 100 patients who underwent CTA for reasons other than CVJ deformity were enrolled as normal controls to evaluate the prevalence of vertebral artery anomaly in a normal population. Chi-square test was utilized for comparing the prevalence of vertebral artery anomaly between these two groups.
resultsThe incidence of PFIA was 25.6% (10/39), FEN was 7.7% (3/39), PICA was 5.1% (2/39), and the total incidence of extraosseous anomalous course of vertebral artery was 38.5% (15/39), significantly higher than that of control group, 7.0% (7/100) (P < 0.01). The incidence of high-riding vertebral artery and side-to-side asymmetry were 61.5% (24/39) and 30.8% (12/39), respectively. An irregular midline carotid artery loop was observed in five patients (12.8%).
conclusionVertebral artery anomaly, which can be clearly depicted by CTA, is more frequent in BI patients. Preoperative CTA should be performed for this patient population to prevent vascular injury. These slides can be retrieved under Electronic Supplementary Material.
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