Cargando…
Vertebral Artery Variations at the Craniovertebral Junction in “Sandwich” Atlantoaxial Dislocation Patients
OBJECTIVE: To summarize the vertebral artery (VA) pattern of 96 “sandwich” atlantoaxial dislocation (AAD) patients and to describe the strategies of reducing the injury of VA during surgery. METHODS: From 2009 to 2020, we retrospectively reviewed the 3-dimensional computed tomography angiography dat...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Spinal Neurosurgery Society
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752713/ https://www.ncbi.nlm.nih.gov/pubmed/35000331 http://dx.doi.org/10.14245/ns.2142726.363 |
_version_ | 1784631932595732480 |
---|---|
author | Tian, Yinglun Xu, Nanfang Yan, Ming Chen, Jinguo Hung, Kan-Lin Hou, Xiangyu Wang, Shenglin Li, Weishi |
author_facet | Tian, Yinglun Xu, Nanfang Yan, Ming Chen, Jinguo Hung, Kan-Lin Hou, Xiangyu Wang, Shenglin Li, Weishi |
author_sort | Tian, Yinglun |
collection | PubMed |
description | OBJECTIVE: To summarize the vertebral artery (VA) pattern of 96 “sandwich” atlantoaxial dislocation (AAD) patients and to describe the strategies of reducing the injury of VA during surgery. METHODS: From 2009 to 2020, we retrospectively reviewed the 3-dimensional computed tomography angiography data of 96 AAD patients combined with atlas occipitalization and C2–3 fusion, which were diagnosed as “sandwich” AAD and 96 patients as control group patients who were without atlas occipitalization, C2–3 fusion and any other cervical bone deformity at our institution. The variations of each side of VA were described in 3 different parts (C0–1, C1–2, and C2–3) according to the characteristics of the 3-part pathological structures in “sandwich” subgroup. RESULTS: One hundred ninety-two sides of VAs in every group of patients were analyzed and every VA was described separately at 3 different level regions. There were different variations in these 3 different regions: 4 variations in the upper fusion region, 5 variations in the sandwiched region, and 6 variations in the lower fusion region in sandwich AAD patients. And the rate of VA deformity in sandwich AAD patients was much higher and more types of VA variations existed. CONCLUSION: In “sandwich” AAD patients, deformities of vertebral arteries in craniovertebral junction are more common, and the same VA may have deformities at different levels that severely affect surgical procedures. Therefore, preoperative imaging examination of VA for “sandwich” AAD patients is vital of guiding surgeons to avoid injury of VA during surgery. |
format | Online Article Text |
id | pubmed-8752713 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Spinal Neurosurgery Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-87527132022-01-21 Vertebral Artery Variations at the Craniovertebral Junction in “Sandwich” Atlantoaxial Dislocation Patients Tian, Yinglun Xu, Nanfang Yan, Ming Chen, Jinguo Hung, Kan-Lin Hou, Xiangyu Wang, Shenglin Li, Weishi Neurospine Original Article OBJECTIVE: To summarize the vertebral artery (VA) pattern of 96 “sandwich” atlantoaxial dislocation (AAD) patients and to describe the strategies of reducing the injury of VA during surgery. METHODS: From 2009 to 2020, we retrospectively reviewed the 3-dimensional computed tomography angiography data of 96 AAD patients combined with atlas occipitalization and C2–3 fusion, which were diagnosed as “sandwich” AAD and 96 patients as control group patients who were without atlas occipitalization, C2–3 fusion and any other cervical bone deformity at our institution. The variations of each side of VA were described in 3 different parts (C0–1, C1–2, and C2–3) according to the characteristics of the 3-part pathological structures in “sandwich” subgroup. RESULTS: One hundred ninety-two sides of VAs in every group of patients were analyzed and every VA was described separately at 3 different level regions. There were different variations in these 3 different regions: 4 variations in the upper fusion region, 5 variations in the sandwiched region, and 6 variations in the lower fusion region in sandwich AAD patients. And the rate of VA deformity in sandwich AAD patients was much higher and more types of VA variations existed. CONCLUSION: In “sandwich” AAD patients, deformities of vertebral arteries in craniovertebral junction are more common, and the same VA may have deformities at different levels that severely affect surgical procedures. Therefore, preoperative imaging examination of VA for “sandwich” AAD patients is vital of guiding surgeons to avoid injury of VA during surgery. Korean Spinal Neurosurgery Society 2021-12 2021-12-31 /pmc/articles/PMC8752713/ /pubmed/35000331 http://dx.doi.org/10.14245/ns.2142726.363 Text en Copyright © 2021 by the Korean Spinal Neurosurgery Society https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Tian, Yinglun Xu, Nanfang Yan, Ming Chen, Jinguo Hung, Kan-Lin Hou, Xiangyu Wang, Shenglin Li, Weishi Vertebral Artery Variations at the Craniovertebral Junction in “Sandwich” Atlantoaxial Dislocation Patients |
title | Vertebral Artery Variations at the Craniovertebral Junction in “Sandwich” Atlantoaxial Dislocation Patients |
title_full | Vertebral Artery Variations at the Craniovertebral Junction in “Sandwich” Atlantoaxial Dislocation Patients |
title_fullStr | Vertebral Artery Variations at the Craniovertebral Junction in “Sandwich” Atlantoaxial Dislocation Patients |
title_full_unstemmed | Vertebral Artery Variations at the Craniovertebral Junction in “Sandwich” Atlantoaxial Dislocation Patients |
title_short | Vertebral Artery Variations at the Craniovertebral Junction in “Sandwich” Atlantoaxial Dislocation Patients |
title_sort | vertebral artery variations at the craniovertebral junction in “sandwich” atlantoaxial dislocation patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752713/ https://www.ncbi.nlm.nih.gov/pubmed/35000331 http://dx.doi.org/10.14245/ns.2142726.363 |
work_keys_str_mv | AT tianyinglun vertebralarteryvariationsatthecraniovertebraljunctioninsandwichatlantoaxialdislocationpatients AT xunanfang vertebralarteryvariationsatthecraniovertebraljunctioninsandwichatlantoaxialdislocationpatients AT yanming vertebralarteryvariationsatthecraniovertebraljunctioninsandwichatlantoaxialdislocationpatients AT chenjinguo vertebralarteryvariationsatthecraniovertebraljunctioninsandwichatlantoaxialdislocationpatients AT hungkanlin vertebralarteryvariationsatthecraniovertebraljunctioninsandwichatlantoaxialdislocationpatients AT houxiangyu vertebralarteryvariationsatthecraniovertebraljunctioninsandwichatlantoaxialdislocationpatients AT wangshenglin vertebralarteryvariationsatthecraniovertebraljunctioninsandwichatlantoaxialdislocationpatients AT liweishi vertebralarteryvariationsatthecraniovertebraljunctioninsandwichatlantoaxialdislocationpatients |