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Atlantoaxial Fixation using Rod and Screw for Bilateral High-riding Vertebral Artery  

Lee, Dong-Yeob (Department of Neurosurgery, Wooridul Spine Hospital)
Chung, Chun-Kee (Department of Neurosurgery, Seoul National University College of Medicine)
Jahng, Tae-Ahn (Department of Neurosurgery, Seoul National University College of Medicine)
Publication Information
Journal of Korean Neurosurgical Society / v.37, no.5, 2005 , pp. 380-382 More about this Journal
Abstract
We report a case of atlantoaxial subluxation with bilateral high-riding vertebral artery with narrow isthmus. Because of the potential risk of bilateral vertebral artery injury, we performed atlantoaxial fixation using rod and screw instead of transarticular screw fixation. Although postoperative computed tomography reconstruction demonstrated slight breach of bilateral vertebral artery groove, postoperative angiography showed no evidence of vertebral artery injury. Though technically demanding, atlantoaxial fixation using rod and screw can be a one of the treatment options for atlantoaxial instability with bilateral high riding vertebral artery.
Keywords
Atlantoaxial; C2 screw; High-riding vertebral artery;
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Times Cited By KSCI : 1  (Citation Analysis)
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