Multimodality management of vertebral artery injury sustained during cervical or craniocervical surgery.
Peter Hanks Maughan, Andrew F Ducruet, Ali M Elhadi, Nikolay L Martirosyan, Mark Garrett, Raza Mushtaq, Felipe C Albuquerque, Nicholas Theodore
Architectural Review Australia | Published : 2013
BACKGROUND: Iatrogenic vertebral artery (VA) injury is a rare but potentially devastating complication associated with cervical and craniocervical surgery. OBJECTIVE: To retrospectively evaluate treatment modalities and outcomes associated with iatrogenic VA injury. METHODS: Our institutional surgical database was queried for patients who underwent cervical or craniocervical surgery from January 1997 to August 2012. RESULTS: During this time period, 8213 patients underwent cervical or craniocervical surgery, and 17 (0.2%) cases of VA injury were identified. Eight (47%) of these injuries occurred during C1-2 instrumentation procedures. Primary microsurgical repair of the VA was performed in 5..View full abstract