دورية أكاديمية
Vertebral artery injury following combination Jefferson fracture of C1 and Type II odontoid fracture: A case report
| العنوان: | Vertebral artery injury following combination Jefferson fracture of C1 and Type II odontoid fracture: A case report |
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| المؤلفون: | Yichen Meng, Chenglin Zhang, Tengfei Song, Rui Gao, Xuhui Zhou |
| المصدر: | Clinical Case Reports, Vol 12, Iss 7, Pp n/a-n/a (2024) |
| بيانات النشر: | Wiley, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine LCC:Medicine (General) |
| مصطلحات موضوعية: | coil embolization, Jefferson fracture, odontoid process fracture, traumatic posterior atlantoaxial dislocation, vertebral artery injury, Medicine, Medicine (General), R5-920 |
| الوصف: | Key Clinical Message Traumatic posterior atlantoaxial dislocation combined with Jefferson fracture and odontoid process fracture with vertebral artery injury is rare. The management of such injury raises controversial issues and is still open to debate. A 74‐year‐old Chinese male presented with sustained neck pain and stiffness after falling from height. The patient was neurologically intact. Preoperative radiographs demonstrated a Jefferson burst fracture with a posterior dislocation of the atlantoaxial joints and odontoid process Anderson and D'alonzo type II fracture. A computed tomography angiography (CTA) showed an occluded left vertebral artery. Coil embolization in the proximal portion of the occluded vertebral artery was performed to prevent further cerebral infarction due to distal embolization of the thrombus. Then a second stage occipito‐cervical fusion was performed to reconstruct cervical spine stability. A systematic screening of blunt trauma vertebral artery injuries through CTA is required when dealing with upper cervical fracture. For cases with vertebral artery occlusion secondary to cervical spine injury, endovascular treatment preceding cervical spine surgery is a feasible and a safe treatment. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2050-0904 |
| Relation: | https://doaj.org/toc/2050-0904 |
| DOI: | 10.1002/ccr3.9173 |
| URL الوصول: | https://doaj.org/article/848e0f56aedd49f4b9e91d54f78d251c |
| رقم الأكسشن: | edsdoj.848e0f56aedd49f4b9e91d54f78d251c |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20500904 |
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| DOI: | 10.1002/ccr3.9173 |