Pumberger Matthias, Druschel Claudia, Disch Alexander C
Spine Department, Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Clin J Sport Med. 2015 May;25(3):e59-61. doi: 10.1097/JSM.0000000000000140.
In any cervical spine trauma involving dislocation of the facet joints or transverse foramen, a concomitant injury of the vertebral arteries must be excluded. Early diagnosis of an arterial occlusion is important because therapeutic intervention can prevent further complications, such as irreversible vertebrobasilar ischemia. Conservative and surgical treatment strategies are chosen depending on patient symptoms, fracture morphology, and grade of vascular injury. The benefit of anticoagulant medication after blunt injuries of the vertebral arteries in preventing thromboembolic events remains a matter of debate in the current literature. We present a case report of a professional biathlete with a unilateral vertebral artery injury. Adequate interpretation of both initial clinical and radiological findings is essential to detect this injury and to determine appropriate therapeutic intervention to optimize clinical outcome.
在任何涉及小关节脱位或横突孔的颈椎创伤中，必须排除椎动脉的伴随损伤。动脉闭塞的早期诊断很重要，因为治疗干预可以预防进一步的并发症，如不可逆的椎基底动脉缺血。根据患者症状、骨折形态和血管损伤程度选择保守和手术治疗策略。椎动脉钝性损伤后使用抗凝药物预防血栓栓塞事件的益处，在当前文献中仍存在争议。我们报告一例职业冬季两项运动员单侧椎动脉损伤的病例。对初始临床和影像学检查结果进行充分解读，对于检测这种损伤以及确定适当的治疗干预以优化临床结果至关重要。
