Epidemiology and Management of Iatrogenic Vertebral Artery Injury Associated With Cervical Spine Surgery
10.13004/kjnt.2022.18.e20
- Author:
Ho Jun YI
1
Author Information
1. Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
- Publication Type:Review Article
- From:Korean Journal of Neurotrauma
2022;18(1):34-44
- CountryRepublic of Korea
- Language:English
-
Abstract:
Iatrogenic vertebral artery injury (VAI) caused by surgical interventions involving the cervical spine is an uncommon but catastrophic complication associated with high morbidity or mortality due to ischemic stroke, intra- or extra-dural hemorrhage, and the formation of pseudoaneurysm or arteriovenous fistulae. In cervical spine surgeries, VAI may occur during the peri- or postoperative period. This may be induced by an anterior or posterior surgical approach. Despite advanced imaging techniques and increased anatomical knowledge, VAI during cervical spinal surgery remains a challenge. Techniques for managing VAI include hemostatic tamponade, ligation, microvascular repair or anastomosis, and endovascular management. We need to consider the risk of iatrogenic VAI as a complication in patients undergoing cervical spine surgeries and a better understanding of its mechanism and proper management.
