지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 199 - 203 (5page)
- DOI
- https://doi.org/10.13004/kjnt.2021.17.e30
이용수
초록· 키워드
오류제보하기
The subaxial screw fixation technique is commonly used for fixation in a wide range of cervical diseases, including traumatic, degenerative, and neoplastic diseases, rheumatoid arthritis (RA), and spondyloarthropathy. Although it is regarded as a relatively safe procedure, several complications may be encountered during surgery, such as vertebral artery (VA) and nerve root injuries, facet violation, and mass fracture. We report a case of endovascular embolization after VA injury during a high cervical spinal surgery. A 48-year-old woman was scheduled for C-1-2-3 posterior fixation. Plain radiography of the cervical spine revealed a severely unstable state. During dissection around the C1 lateral mass on the right side, sudden brisk arterial bleeding was observed. On vertebral angiography, flow voiding was noted above the right V3 portion. After checking patent collateral flow from the contralateral VA, routine coil embolization was performed to pack the V3 segment. Iatrogenic vascular injuries due to spinal surgery are rare but serious complications. For patients with RA, we recommend careful preoperative evaluation before a high cervical surgical procedure to avoid iatrogenic VA injury and endovascular interventions that are safe and effective in the diagnosis and treatment of such vascular injuries.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Aydin E / 2018 / Endovascular management of iatrogenic vascular injury in the craniocervical region / Turk Neurosurg 28:72~78
Ebraheim NA / 1989 / Internal fixation of the unstable cervical spine using posterior Roy-Camille plates : preliminary report / J Orthop Trauma 3:23~28
Gantwerker BR / 2010 / Vertebral artery injury during cervical discectomy and fusion in a patient with bilateral anomalous arteries in the disc space: case report / Neurosurgery 67:E874~E875
Gillick JL / 2015 / Rheumatoid arthritis and the cervical spine : a review on the role of surgery / Int J Rheumatol 2015:252456
Gok M / 2018 / Iatrogenic vascular injuries due to spinal surgeries : endovascular perspective / Turk Neurosurg 28:469~473
Ebraheim NA / 1989 / Internal fixation of the unstable cervical spine using posterior Roy-Camille plates : preliminary report / J Orthop Trauma 3:23~28
Gantwerker BR / 2010 / Vertebral artery injury during cervical discectomy and fusion in a patient with bilateral anomalous arteries in the disc space: case report / Neurosurgery 67:E874~E875
Gillick JL / 2015 / Rheumatoid arthritis and the cervical spine : a review on the role of surgery / Int J Rheumatol 2015:252456
Gok M / 2018 / Iatrogenic vascular injuries due to spinal surgeries : endovascular perspective / Turk Neurosurg 28:469~473
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