Vertebral Artery Injury during Anterior Cervical Spine Surgery : Report of Two Cases

전방경추수술중 추골동맥 손상 : 2예 보고

  • Lee, Dong Girl (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Rhim, Seung Chul (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Roh, Sung Woo (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Im, Su Bin (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Kwon, Yang (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Kwun, Byung Duk (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan)
  • 이동걸 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
  • 임승철 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
  • 노성우 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
  • 임수빈 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
  • 권양 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
  • 권병덕 (울산대학교 의과대학 서울중앙병원 신경외과학교실)
  • Received : 2000.06.05
  • Accepted : 2000.09.15
  • Published : 2001.02.28

Abstract

Vertebral artery injury is a rare complication of anterior cervical approach. We report two patients who suffered injury to vertebral artery during anterior cervical spine surgery. The mechanism of injury, their operative management, and the subsequent outcome were assessed and relevant literatures reviewed. The awareness of the possibility of vertebral artery injury is most important to prevent and it's occurrence is best avoided by a thorough understanding of the anatomical relationships of the artery, the spinal canal, and the vertebral body and careful use of surgical instruments.

Keywords