Pfeifer B A, Freidberg S R, Jewell E R
Department of Orthopaedic Surgery, Lahey Clinic, Burlington, Massachusetts.
Spine (Phila Pa 1976). 1994 Jul 1;19(13):1471-4. doi: 10.1097/00007632-199407000-00009.
A case report of treatment of injury to the vertebral artery in anterior cervical procedures is presented with a review of the literature.
The feasibility of direct surgical repair is suggested.
Currently, ligation or tamponade is accepted as the treatment of injury to the vertebral artery in anterior cervical surgery. Significant morbidity can result from this method. Direct repair should eliminate this morbidity.
A report is presented of a patient who sustained injury to the vertebral artery, and the technique of repair is discussed. The literature was reviewed.
The outcome was successful regarding both repair and the primary procedure.
Although it is impossible to make a recommendation based on a single incident, this technique is believed to minimize postoperative sequelae that can be associated with occlusion of the vertebral artery.
本文报告了1例颈椎前路手术中椎动脉损伤的治疗病例，并对相关文献进行了综述。
探讨直接手术修复的可行性。
目前，结扎或填塞被认为是颈椎前路手术中椎动脉损伤的治疗方法。这种方法可能导致严重的并发症。直接修复应可消除这种并发症。
报告1例椎动脉损伤患者，并讨论修复技术。同时对文献进行了综述。
修复及初次手术均获成功。
尽管仅根据1例病例无法给出推荐意见，但该技术被认为可将与椎动脉闭塞相关的术后后遗症降至最低。
