Cited 25 times in
Epidemiology of Iatrogenic Vertebral Artery Injury in Cervical Spine Surgery: 21 Multicenter Studies
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이성 | - |
dc.date.accessioned | 2022-08-16T08:27:37Z | - |
dc.date.available | 2022-08-16T08:27:37Z | - |
dc.date.issued | 2019-06 | - |
dc.identifier.issn | 1878-8750 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/189007 | - |
dc.description.abstract | Background: The overall incidence of iatrogenic vertebral artery injury (IVAI) in cervical spine surgeries (CSSs) is reported to be 0.07%-1.4%. Although IVAI occurred during C1-2 fusion, there is no accurate information regarding the surgery-specific risk of IVAI. This study aimed to stratify incidence of IVAI by surgical method and evaluate the correlation between IVAI and its sequelae. Methods: This retrospective, multicenter study involved clinical and radiologic evaluations for IVAI. All CSSs performed between 2012 and 2016 were included; neck mass excision and pain intervention were excluded. Patient characteristics, diagnosis, surgical technique, complications, and presence of IVAI were collected. In IVAI cases, technique details, characteristics, and sequelae were investigated. Results: This study included 14,722 patients with 15,582 CSSs in 21 centers. IVAIs were identified in 13 (0.08%) patients. Surgery-specific incidence of IVAI was 1.35% in cases involving C1-2 posterior fixation and 0.20% in cases involving C3-6 posterior fixation. Common injury mechanisms were screw-in (31%) and high-speed drilling (23%). Screw-related IVAI occurred in 9 (69%) patients, and IVAI of the C1 lateral mass and C2 pedicle screws occurred in 4 and 3 patients, respectively. Of 13 cases of IVAI, 3 (23%) involved cerebellar or stem infarction; the infarction had no substantial correlation with injury grade or dominancy. Conclusions: Overall incidence of IVAI in CSSs was 0.08%. C1-2 posterior fixation had the highest incidence of IVAI (1.35%). Although clinical results of IVAI can be highly variable, controlling risk factors of IVAI is important. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | WORLD NEUROSURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Cervical Vertebrae | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Iatrogenic Disease / epidemiology* | - |
dc.subject.MESH | Incidence | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Spinal Fusion / adverse effects* | - |
dc.subject.MESH | Vertebral Artery / injuries* | - |
dc.subject.MESH | Young Adult | - |
dc.title | Epidemiology of Iatrogenic Vertebral Artery Injury in Cervical Spine Surgery: 21 Multicenter Studies | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학교실) | - |
dc.contributor.googleauthor | Chang-Hyun Lee | - |
dc.contributor.googleauthor | Jae Taek Hong | - |
dc.contributor.googleauthor | Dong Ho Kang | - |
dc.contributor.googleauthor | Ki-Jeong Kim | - |
dc.contributor.googleauthor | Sang-Woo Kim | - |
dc.contributor.googleauthor | Seok Won Kim | - |
dc.contributor.googleauthor | Young Jin Kim | - |
dc.contributor.googleauthor | Chun Kee Chung | - |
dc.contributor.googleauthor | Jun Jae Shin | - |
dc.contributor.googleauthor | Jae Keun Oh | - |
dc.contributor.googleauthor | Seong Yi | - |
dc.contributor.googleauthor | Jung Kil Lee | - |
dc.contributor.googleauthor | Jun Ho Lee | - |
dc.contributor.googleauthor | Ho Jin Lee | - |
dc.contributor.googleauthor | Hyoung-Joon Chun | - |
dc.contributor.googleauthor | Dae-Chul Cho | - |
dc.contributor.googleauthor | Yong Jun Jin | - |
dc.contributor.googleauthor | Kyung-Chul Choi | - |
dc.contributor.googleauthor | In Ho Han | - |
dc.contributor.googleauthor | Seung-Jae Hyun | - |
dc.contributor.googleauthor | Jung-Woo Hur | - |
dc.contributor.googleauthor | Geun Sung Song | - |
dc.identifier.doi | 10.1016/j.wneu.2019.03.042 | - |
dc.contributor.localId | A02864 | - |
dc.relation.journalcode | J02806 | - |
dc.identifier.eissn | 1878-8769 | - |
dc.identifier.pmid | 30878743 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S1878875019306680 | - |
dc.subject.keyword | Cervical spine | - |
dc.subject.keyword | Complication | - |
dc.subject.keyword | Epidemiology | - |
dc.subject.keyword | Iatrogenic | - |
dc.subject.keyword | Surgery | - |
dc.subject.keyword | Vertebral artery injury | - |
dc.contributor.alternativeName | Yi, Seong | - |
dc.contributor.affiliatedAuthor | 이성 | - |
dc.citation.volume | 126 | - |
dc.citation.startPage | e1050 | - |
dc.citation.endPage | e1054 | - |
dc.identifier.bibliographicCitation | WORLD NEUROSURGERY, Vol.126 : e1050-e1054, 2019-06 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.