Sudden cerebral infarction after interventional vertebral artery embolism for vertebral artery injury during removal of C1-C2 pedicle screw fixation: a case report

被引：0

作者：

Yang, Yi ^{[1
]}

Liu, Hao ^{[1
]}

Ma, Litai ^{[1
]}

Zeng, Jiancheng ^{[1
]}

Song, Yueming ^{[1
]}

Xie, Xiaodong ^{[2
]}

机构：

[1] Sichuan Univ, West China Hosp, Dept Orthopaed, Chengdu 610041, Sichuan Provinc, Peoples R China

[2] Sichuan Univ, West China Hosp, Dept Neurosurg, Chengdu 610041, Sichuan Provinc, Peoples R China

来源：

INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE | 2015年 / 8卷 / 09期

关键词：

Vertebral artery injury; cerebral infarction; cervical spine; pedicle screw; endovascular; CERVICAL-SPINE SURGERY; LATERAL MASS SCREWS; PULLOUT STRENGTHS; MANAGEMENT;

D O I：

暂无

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Vertebral artery injury (VAI) is a rare but serious complication of cervical spine surgery. Instrumented posterior surgery of the upper cervical spine places the vertebral artery at the highest risk of injury. However, VAI during removal of cervical internal fixation is really rare and unexpected. We present a case of 52-year-old male patient who suffered VAI during removal of C1-C2 pedicle screw fixation. An interventional vertebral artery embolism was performed and the patient suffered a sudden cerebral infarction one day after interventional vertebral artery embolism. From this case, removal of upper cervical pedicle screws of malposition is not recommended if it is not really necessary for some other reasons. Interventional vertebral artery embolism is an effective and less invasive procedure than open ligation surgery in the treatment of haemorrhage resulted from VAI but potential risk of cerebral infarction should not be ignored.

引用

页码：16803 / 16807

页数：5

共 15 条

[1] Occipitocervical Fixation Using Occipital Bone Hooks and Cervical Lateral Mass Screws: Analysis of 16 Cases [J].

Akbay, Atilla ;

Isikay, Ilkay ;

Orunoglu, Merdan .

TURKISH NEUROSURGERY, 2014, 24 (04) :558-564

[2]

Elliott RE, 2014, J SPINAL DISORD TECH, V27, P305, DOI 10.1097/BSD.0b013e31825d5daa

[3] Esophageal and Vertebral Artery Injuries During Complex Cervical Spine Surgery-Avoidance and Management [J].

Grabowski, Gregory ;

Cornett, Chris A. ;

Kang, James D. .

ORTHOPEDIC CLINICS OF NORTH AMERICA, 2012, 43 (01) :63-+

[4] C2 laminar screw and C1-2 transarticular screw combined with C1 laminar hooks for atlantoaxial instability with unilateral vertebral artery injury [J].

Guo, Qunfeng ;

Liu, Jun ;

Ni, Bin ;

Lu, Xuhua ;

Zhou, Fengjin .

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2011, 131 (09) :1207-1210

[5]

Hanimoglu H, 2009, TURK NEUROSURG, V19, P345

[6] Endovascular transcatheter occlusion for traumatic vertebral artery pseudoaneurysm [J].

Islamoglu, F ;

Posacioglu, H ;

Memis, A ;

Durmaz, I .

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2000, 20 (06) :576-578

[7] Vertebral artery injuries in cervical spine surgery [J].

Lunardini, David J. ;

Eskander, Mark S. ;

Even, Jesse L. ;

Dunlap, James T. ;

Chen, Antonia F. ;

Lee, Joon Y. ;

Ward, Timothy W. ;

Kang, James D. ;

Donaldson, William F. .

SPINE JOURNAL, 2014, 14 (08) :1520-1525

[8] C1 Pedicle Screws Versus C1 Lateral Mass Screws Comparisons of Pullout Strengths and Biomechanical Stabilities [J].

Ma, Xiang-Yang ;

Yin, Qing-Shui ;

Wu, Zeng-Hui ;

Xia, Hong ;

Liu, Jing-Fa ;

Xiang, Ming ;

Zhao, Wei-Dong ;

Zhong, Shi-Zhen .

SPINE, 2009, 34 (04) :371-377

[9] Vertebral artery injury during cervical spine surgery - A survey of more than 5600 operations [J].

Neo, Masashi ;

Fujibayashi, Shunsuke ;

Miyata, Masahiko ;

Takemoto, Mitsuru ;

Nakamura, Takashi .

SPINE, 2008, 33 (07) :779-785

[10] VERTEBRAL ARTERY INJURY DURING ANTERIOR DECOMPRESSION OF THE CERVICAL-SPINE - A RETROSPECTIVE REVIEW OF 10 PATIENTS [J].

SMITH, MD ;

EMERY, SE ;

DUDLEY, A ;

MURRAY, KJ ;

LEVENTHAL, M .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1993, 75 (03) :410-415

← 1 2 →