ArticleJournal of neurosurgery. Case lessons2025
Covered stent implantation for intraoperative vertebral artery injury during posterior endoscopic cervical discectomy: illustrative case.
Article in Journal of neurosurgery. Case lessons, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPosterior endoscopic cervical discectomy (PECD) is a minimally invasive procedure with no published reported case of intraoperative vertebral artery injury (VAI) to date. OBSERVATIONS: This report describes a case of VAI during PECD managed with emergency extension of the incision for tamponade hemostasis, followed by endovascular intervention to restore vascular integrity and spinal canal decompression subsequently, resulting in a satisfactory recovery for the patient. LESSONS: PECD carries the risk of intraoperative VAI. Extending the incision for hemostasis, endovascular intervention for revascularization, and spine lamina decompression help prevent three critical complications: hemorrhagic shock, posterior circulation ischemia, and spinal cord injury. https://thejns.org/doi/10.3171/CASE24809.
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