Vertebral artery injury during anterior cervical spine surgery (review)
D. V. Biragov,
D. A. Gulyaev,
D. S. Godanyuk,
Yu. Yu. Polyakov,
R. M. Sharifov,
T. S. Aldatov,
K. V. Zhdanovich https://doi.org/10.56618/2071-2693_2024_16_3_133
EDN: GRWUMX
Abstract
29 literature sources from 1982 to 2023 were used as a literature review. PubMed and Google Scholar databases were used as resources using queries on medical topics for the terms «vertebral artery injuri, complication in cervical spine surgery, vertebral artery anomalies» that are most suitable for search criteria published in English language. There were no evidence level restrictions. The issues of etiology, epidemiology, clinical presentation, as well as various surgical treatment methods of VA damage are highlighted.
The aim of this literature review is to highlight the problem of to vertebral artery injury in anterior cervical spine surgery based on the literature data.
Despite the presence of advanced neuroimaging techniques used in surgical treatment planning, the problem of vertebral artery damage in anterior cervical spine surgery remains unsolved and can lead to a fatal consequences. Taken into account various methods of VAI treatment, prevention by careful preoperative planning remains preferable
About the Authors
D. V. Biragov
National Medical Research Center for Traumatology and Orthopedics named after R. R. Vreden
Russian Federation
Russian Federation
David V. Biragov – Neurosurgeon
8 Academician Baykova street, St. Petersburg, 195427
D. A. Gulyaev
V. A. Almazov National Medical Research Center
Russian Federation
Russian Federation
Dmitry A. Gulyaev – Dr. of Sci. (Med.), Associate Professor, Head at the Laboratory of Integrative Neurosurgical Technologies
2 Akkuratova street, St. Petersburg, 197341
D. S. Godanyuk
V. A. Almazov National Medical Research Center
Russian Federation
Russian Federation
Denis S. Godanyuk – Neurosurgeon at the Department of Neurosurgery No. 5
2 Akkuratova street, St. Petersburg, 197341
Yu. Yu. Polyakov
National Medical Research Center for Traumatology and Orthopedics named after R. R. Vreden
Russian Federation
Russian Federation
Yuri Yu. Polyakov – Cand. of Sci. (Med.), Head at the Department of Traumatology and Orthopedics No. 3
8 Academician Baykova street, St. Petersburg, 195427
R. M. Sharifov
National Medical Research Center for Traumatology and Orthopedics named after R. R. Vreden
Russian Federation
Russian Federation
Ramin M. Sharifov – Neurosurgeon at the Department of Traumatology and Orthopedics No. 3
8 Academician Baykova street, St. Petersburg, 195427
T. S. Aldatov
OOO «AVA-PETER»
Russian Federation
Russian Federation
Timur S. Aldatov – Cand. of Sci. (Med.), Neurosurgeon at the Department of Neurosurgery
55A Liteynyy pr., St. Petersburg, 191014
K. V. Zhdanovich
National Medical Research Center for Traumatology and Orthopedics named after R. R. Vreden
Russian Federation
Russian Federation
Konstantin V. Zhdanovich – Neurosurgeon at the Department of Traumatology and Orthopedics No. 3
8 Academician Baykova street, St. Petersburg, 195427
References
1. Ao S., Liu Y., Wang Y. et al. Cervical kyphosis in asymptomatic populations: incidence, risk factors, and its relationship with health-related quality of life. J Orthop Surg Res. 2019;14(1):322. Doi: 10.1186/s13018-019-1351-2. PMID: 31615561.
2. Damdinov B. B., Sorokovikov V. A., Larionov S. N., Koshkareva Z. V., Sklyarenko O. V., Zhivotenko A. P., Kiriyenko A. N. Features of changes in the sagittal balance of the cervical spine in cervical-brachial syndrome. Spine surgery. 2019;16(2):42–48. (In Russ.). Doi: 10.14531/ss2019.2.42-48. EDN: BWYTYM.
3. Schneider L. S, Pavlov V. V., Krutko A. V. Changes in the vertebral-pelvic balance after hip replacement in patients with congenital hip dislocation. Spine surgery. 2018;15(4):80–86. (In Russ.). Doi: 10.14531/ss2018.4.80-86. EDN: YZKXXN.
4. Makirov S. K., Yuz A. A., Jahhaf M. T. Methodology for assessing sagittal vertebral-pelvic balance. Journal of Spine Surgery. 2015;12(3):55–63. (In Russ.). Doi: 10.14531/ss2015.3.55-63. EDN: UMGWQX.
5. Borzykh K. O., Roerich V. V., Samokhin A. G. Parameters of sagittal balance in patients with posttraumatic deformities of the lower thoracic and upper lumbar localization. Modern problems of science and education. 2018;(6). (In Russ.). Available from: https://science-education.ru/ru/article/view?id=28266 [Accessed 14 June 2023]]. EDN: YVMKLZ.
6. Protsenko A. I., Nikuradze V. K., Mekhtikhanov D. S. Surgical tactics in the treatment of cervical spine injury. Surgery: Magazine named after N. I. Pirogov. 2011;(1):43–47. (In Russ.). EDN: NZGEVF.
7. Klimov V. S., Vasilenko I. I., Ryabykh O. S. Influence of sagittal balance reconstruction on the results of treatment of elderly and senile patients with degenerative spondylolisthesis of low degree of gradation: analysis of a multicenter four-year cohort. Genius of orthopedics. 2020;26(4):555–564. (In Russ.). Doi: 10.18019/1028-4427-2020-26-4-555-564. EDN: YUMKFJ
8. Krutko A. V. Sagittal balance. Harmony in formulas. Novosibirsk; 2016. 64 p. (In Russ.). EDN: YVUYQF.
9. Roerich V. V., Borzykh K. O. Posttraumatic deformities of the thoracic and lumbar spine in patients in the late period of spinal cord injury after previously performed surgical interventions. International Journal of Applied and Fundamental Research. 2015;12(4):657–660. (In Russ.). EDN: VBUMWX.
10. Lastevsky A. D., Popelyukh A. I., Veselov S. V. Biomechanical aspects of primary stability of instrumental fixation in the treatment of dislocations of the cervical vertebrae of subaxial localization: an experimental study. Spine surgery. 2021;18(3):43–52. (In Russ.). Doi: 10.14531/ss2021.3.43-52. EDN: QLYXRP.
11. Mikhailovsky M. V., Novikov V. V. Operative correction of congenital kyphoses in patients older than 10 years. Spine surgery. 2016;13(1):20–26. (In Russ.). Doi: 10.14531/ss2016.1.20-26. EDN: VQGEDT.
12. Lee S. H., Kim K. T., Seo E. M. et al. The influence of thoracic inlet alignment on the craniocervical sagittal balance in asymptomatic adults. J Spinal Disord Tech. 2012;(25):41–47. Doi: 10.1097/BSD.0b013e3182396301. PMID: 22037167.
13. Mizutani J., Inoue N., Otsuka Y. et al. Biomechanical and Anatomical Validity of the Short Posterior Arch Screw. Neurospine. 2019;16(2):347–353. Doi: 10.14245/ns.1836156.078. PMID: 30653910.
14. Hardacker J. W., Shuford R. F., Capicotto P. N. et al. Radiographic Standing Cervical Segmental Alignment in Adult Volunteers Without Neck Symptoms. Spine. 1997;22(13):1472–1479. Doi: 10.1097/00007632-199707010-00009. PMID: 9231966.
15. Kassar-Pullichino V. N., Imhof H. Spinal injury in the light of diagnostic imaging. Moscow: MEDpress-inform; 2009. 264 p. (In Russ.). EDN: QLTRXX.
16. Holly L. T. Management ofcervical spondylotic myelopathy with insightsfrom metabolic imaging ofthespinal cord and brain. Current Opinion in Neurology. 2009;(22):575–581. Doi: 10.1097/WCO.0b013e3283325ea7. PMID: 19741530.
17. Glassman S. D., Bridwell K., Dimar J. R. et al. The impact of positive sagittal balance in adult spinal deformity. Spine. 2005;30(18):2024–2029. Doi: 10.1097/01.brs.0000179086.30449.96. PMID: 16166889.
18. Mummaneni P. V., Deutsch H., Mummaneni V. P. Cervicothoracic kyphosis. Neurosurgery Clinics of North America. 2006;17(3):277–287. Doi: 10.1016/j.nec.2006.05.007. PMID: 16876028.
19. Shimizu K., Nakamura M., Nishikawa Y. et al. Spinal Kyphosis Causes Demyelination and Neuronal Loss in the Spinal Cord: A New Model of Kyphotic Deformity. Spine. 2005;30(21):2388–2392. Doi: 10.1097/01.brs.0000184378.67465.5c. PMID: 16261114.
20. Matz P. G., Anderson P. A., Holly L. T. et al. The natural history of cervical spondylotic myelopathy. Journalof Neurosurgery: Spine. 2009;11(2):104–111. Doi: 10.3171/2009.1.SPINE08716. PMID: 19769489.
21. Simmons R. L., Owen S., Abbott C. J. et al. Naproxen sodium and paracetamol/dextropropoxyphene in sports injuries – a multicentre comparative study. British Journal of Sports Medicine. 1982;16(2):91–95. Doi: 10.1136/bjsm.16.2.91.
22. Ames C. P., Smith J. S., Scheer J. K. et al. A standardized nomenclature for cervical spine soft-tissue release and osteotomy for deformity correction. Journal of Neurosurgery: Spine SPI. 2013;19(3):269–278. Doi: 10.3171/2013.5.SPINE121067. PMID: 23829287.
23. Grosso M. J., Hwang R., Krishnaney A. A. et al. Complications and outcomes for surgical approaches to cervical kyphosis. J Spinal Disord Tech. 2015;28(7):385–393. Doi: 10.1097/BSD.0b013e318299953f. PMID: 23732179.
24. Etame A. B., Wang A. C., Than K. D. Outcomes after surgery for cervical spine deformity: review of the literature. Neurosurgical Focus. 2010;28(3): Available from: https://doi.org/10.3171/2010.1.FOCUS09278 [Accessed 16 June 2023].
25. Traynelis V. C., Marano G. D., Dunker R. O. et al. Traumatic atlantooccipital dislocation. Case report. Neurosurg. 1986;(65):863–870. Doi: 10.3171/jns.1986.65.6.0863. PMID: 3772485.
26. Kim L. J., Klopfenstein J. D., Zabramski J. M. et al. Analysis of pain resolution after surgical resection of intramedullary spinal cord cavernous malformations. Neurosurgery. 2006;58(1):106–111. Doi: 10.1227/01.neu.0000192161.95893.d7. PMID: 16385334.
27. Westerveld L., Verlaan J. J., Oner F. C. Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications. European Spine Journal. 2009;(18):145–156. Doi: 10.1007/s00586-008-0764-0. PMID: 18791749.
28. Smith J., Singh M., Klineberg E. et al. Surgical treatment of pathological loss of lumbar lordosis (flatback) in patients with normal sagittal vertical axis achieves similar clinical improvement as surgical treatment of elevated sagittal vertical axis. J Neurosurg Spine. 2014;(21):160–170. Doi: 10.3171/2014.3.SPINE13580. PMID: 24766290.
29. Schwab F., Ungar B., Blondel B. et al. Scoliosis Research Society—Schwab Adult Spinal Deformity Classification: A Validation Study. Spine. 2012;37(12):1077–1082. Doi: 10.1097/BRS.0b013e31823e15e2. PMID: 22045006.
Review
For citations:
Biragov D.V., Gulyaev D.A., Godanyuk D.S., Polyakov Yu.Yu., Sharifov R.M., Aldatov T.S., Zhdanovich K.V. Vertebral artery injury during anterior cervical spine surgery (review). Russian Neurosurgical Journal named after Professor A. L. Polenov. 2024;16(3):133-140. (In Russ.) https://doi.org/10.56618/2071-2693_2024_16_3_133. EDN: GRWUMX
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