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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...

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Autores principales: Sakellariou, Evangelos, Benetos, Ioannis S., Evangelopoulos, Dimitrios-Stergios, Galanis, Athanasios, Alevrogianni, Fani, Vavourakis, Michail, Marougklianis, Vasilios, Tsalimas, Georgios, Pneumaticos, Spiros
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
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.
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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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