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Incidence of vertebral artery injury in patients undergoing cervical spine trauma surgery in correlation with surgical approach: A review
Spinal cord injuries at the cervical spine level represent the most consequential of the related injuries at all levels of the spine. They can trigger permanent unilateral or bilateral damage with conspicuous disability. Regarding unstable injuries, the gold standard approach is open reduction and o...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508423/ https://www.ncbi.nlm.nih.gov/pubmed/37713867 http://dx.doi.org/10.1097/MD.0000000000034653 |
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author | Sakellariou, Evangelos Benetos, Ioannis S. Evangelopoulos, Dimitrios-Stergios Galanis, Athanasios Alevrogianni, Fani Vavourakis, Michail Marougklianis, Vasilios Tsalimas, Georgios Pneumaticos, Spiros |
author_facet | Sakellariou, Evangelos Benetos, Ioannis S. Evangelopoulos, Dimitrios-Stergios Galanis, Athanasios Alevrogianni, Fani Vavourakis, Michail Marougklianis, Vasilios Tsalimas, Georgios Pneumaticos, Spiros |
author_sort | Sakellariou, Evangelos |
collection | PubMed |
description | Spinal cord injuries at the cervical spine level represent the most consequential of the related injuries at all levels of the spine. They can trigger permanent unilateral or bilateral damage with conspicuous disability. Regarding unstable injuries, the gold standard approach is open reduction and osteosynthesis, which can select between anterior and posterior surgical access. Each of the aforementioned approaches demonstrates both advantages and disadvantages; thus, it is up to the surgeon to determine the optimal option concerning the patient’s safety. Diligent intraoperative control of anatomical reduction is pivotal to obtaining the best feasible postoperative outcomes. Literature data delineate copious complications following surgical intervention in the cervical spine. Indubitably, the most crucial intraoperative complication accounts for vascular injuries, with the most preponderant being the corrosion of the vertebral artery, as it is potentially life-threatening. This paper aims to provide a succinct and compendious review of the existing literature regarding cervical spinal cord injuries and to deduce many inferences concerning the incidence of iatrogenic vertebral artery injuries in relation to the surgical approach for fracture reduction. |
format | Online Article Text |
id | pubmed-10508423 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-105084232023-09-20 Incidence of vertebral artery injury in patients undergoing cervical spine trauma surgery in correlation with surgical approach: A review Sakellariou, Evangelos Benetos, Ioannis S. Evangelopoulos, Dimitrios-Stergios Galanis, Athanasios Alevrogianni, Fani Vavourakis, Michail Marougklianis, Vasilios Tsalimas, Georgios Pneumaticos, Spiros Medicine (Baltimore) 7100 Spinal cord injuries at the cervical spine level represent the most consequential of the related injuries at all levels of the spine. They can trigger permanent unilateral or bilateral damage with conspicuous disability. Regarding unstable injuries, the gold standard approach is open reduction and osteosynthesis, which can select between anterior and posterior surgical access. Each of the aforementioned approaches demonstrates both advantages and disadvantages; thus, it is up to the surgeon to determine the optimal option concerning the patient’s safety. Diligent intraoperative control of anatomical reduction is pivotal to obtaining the best feasible postoperative outcomes. Literature data delineate copious complications following surgical intervention in the cervical spine. Indubitably, the most crucial intraoperative complication accounts for vascular injuries, with the most preponderant being the corrosion of the vertebral artery, as it is potentially life-threatening. This paper aims to provide a succinct and compendious review of the existing literature regarding cervical spinal cord injuries and to deduce many inferences concerning the incidence of iatrogenic vertebral artery injuries in relation to the surgical approach for fracture reduction. Lippincott Williams & Wilkins 2023-09-15 /pmc/articles/PMC10508423/ /pubmed/37713867 http://dx.doi.org/10.1097/MD.0000000000034653 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 7100 Sakellariou, Evangelos Benetos, Ioannis S. Evangelopoulos, Dimitrios-Stergios Galanis, Athanasios Alevrogianni, Fani Vavourakis, Michail Marougklianis, Vasilios Tsalimas, Georgios Pneumaticos, Spiros Incidence of vertebral artery injury in patients undergoing cervical spine trauma surgery in correlation with surgical approach: A review |
title | Incidence of vertebral artery injury in patients undergoing cervical spine trauma surgery in correlation with surgical approach: A review |
title_full | Incidence of vertebral artery injury in patients undergoing cervical spine trauma surgery in correlation with surgical approach: A review |
title_fullStr | Incidence of vertebral artery injury in patients undergoing cervical spine trauma surgery in correlation with surgical approach: A review |
title_full_unstemmed | Incidence of vertebral artery injury in patients undergoing cervical spine trauma surgery in correlation with surgical approach: A review |
title_short | Incidence of vertebral artery injury in patients undergoing cervical spine trauma surgery in correlation with surgical approach: A review |
title_sort | incidence of vertebral artery injury in patients undergoing cervical spine trauma surgery in correlation with surgical approach: a review |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508423/ https://www.ncbi.nlm.nih.gov/pubmed/37713867 http://dx.doi.org/10.1097/MD.0000000000034653 |
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