Vertebral Artery Injury with Coinciding Unstable Cervical Spine Trauma: Mechanisms, Evidence-based Management, and Treatment Options

被引：7
作者：
Merrill, Sarah [1 ]
Clifton, William [2 ]
Valero-Moreno, Fidel [2 ]
Damon, Aaron [2 ]
Rahmathulla, Gazanfar [3 ]
机构：
[1] Mayo Clin, Alix Sch Med, Neurol Surg, Scottsdale, AZ USA
[2] Mayo Clin, Neurol Surg, Jacksonville, FL 32224 USA
[3] Univ Florida, Coll Med, Neurol Surg, Gainesville, FL USA
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2020年 / 12卷 / 03期
关键词：
vertebral artery; cervical spine fracture; vertebral artery injury; anticoagulation; cervical spine trauma; vertebral artery dissection; traumatic injury; blunt cervical trauma; anatomy; cerebrovascular injury; BLUNT CEREBROVASCULAR INJURIES; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; DIAGNOSIS; OCCLUSION;
D O I：
10.7759/cureus.7225
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Unstable traumatic cervical spine fracture is a commonly encountered neurosurgical issue. Concomitant vertebral artery injuries present a challenge in surgical decision-making regarding the timing and order of surgical intervention with respect to endovascular intervention and internal fixation of the unstable fracture. Currently, there are no studies that have specifically examined stroke rate or outcomes for patients who have vertebral artery injuries and unstable cervical spine fractures with respect to temporal treatment course. The purpose of this paper is to review the current evidence for the standards of diagnosis and management of vertebral artery injuries with coinciding unstable cervical spine injuries and propose an evidence-based algorithm for workup and treatment.
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页数：6
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