scholarly journals Bilateral Vertebral Artery Injury in a Patient with Upper Cervical Spine Fractures Leading to Fatal Vertebrobasilar Infarction: A Case Report

2015 ◽  
Vol 7 (3) ◽  
pp. 281-285 ◽  
Author(s):  
Nicholas S Golinvaux ◽  
Bryce A Basques ◽  
Daniel D Bohl ◽  
Maxwell S H Laurans ◽  
Jonathan N Grauer
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Vertebral Artery ◽  
Vertebral Artery Injury ◽  
Upper Cervical Spine ◽  
Spine Fractures ◽  
Artery Injury ◽  
Upper Cervical ◽  
Cervical Spine Fractures ◽  
Vertebrobasilar Infarction

scholarly journals The pattern and prevalence of vertebral artery injury in patients with cervical spine fractures

2013 ◽  
Vol 17 (2) ◽  
pp. 52-55
Author(s):  
Farzanah Ismail ◽  
Silas Motsitsi ◽  
Nausheen Khan ◽  
Inger Fabris-Rotelli
Keyword(s):  
Cervical Spine ◽  
Vertebral Artery ◽  
Facet Joint ◽  
Transverse Process ◽  
Vertebral Artery Injury ◽  
Inclusion Criteria ◽  
Artery Injury ◽  
Upper Cervical ◽  
Vertebral Bodies ◽  
Cervical Spine Fractures

Aim: It is not uncommon for vertebral artery injury to occur when there are fractures through the transverse foraminae of the first to the sixth vertebral bodies. Other important risk factors for vertebral artery injury include facet joint dislocations and fractures of the first to the third cervical vertebral bodies. The aim of this study was to determine the pattern and prevalence of vertebral artery injury on CT angiography (CTA) in patients with cervical spine fractures.Method: A retrospective review of patients who had undergone CTA of the vertebral arteries was undertaken. Reports were reviewed to determine which patients met the inclusion criteria of having had both cervical spine fractures and CTA of the vertebral arteries. Images of patients who met the inclusion criteria were analysed by a radiologist.Results: The prevalence of vertebral artery injury was 33%. Four out of the 11 patients who had vertebral artery injury, had post-traumatic spasm of the artery, with associated thrombosis or occlusion of the vessel. In terms of blunt carotid vertebral injury (BCVI) grading, most of the patients sustained grade IV injuries. Four patients who had vertebral artery injury had fractures of the upper cervical vertebrae, i.e. C1 to C3. Fifteen transverse process fractures were associated with vertebral artery injury. No vertebral artery injury was detected in patients who had facet joint subluxations.Conclusion: Patients with transverse process fractures of the cervical spine and upper cervical vertebral body fractures should undergo CTA to exclude vertebral artery injury.

Mortality related to and functional outcomes of upper cervical spine fractures in the elderly

2021 ◽  
Author(s):  
Shintaro Honda ◽  
Eijiro Onishi ◽  
Takumi Hashimura ◽  
Satoshi Ota ◽  
Satoshi Fujita ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Functional Outcomes ◽  
The Elderly ◽  
Upper Cervical Spine ◽  
Spine Fractures ◽  
Upper Cervical ◽  
Cervical Spine Fractures

Unsuspected upper cervical spine fractures associated with significant head trauma: Role of CT

1990 ◽  
Vol 8 (2) ◽  
pp. 183-198 ◽  
Author(s):  
Kevin J. Kirshenbaum ◽  
S.R. Nadimpalli ◽  
Richard Fantus ◽  
Robert P. Cavallino
Keyword(s):  
Cervical Spine ◽  
Head Trauma ◽  
Upper Cervical Spine ◽  
Spine Fractures ◽  
Upper Cervical ◽  
Cervical Spine Fractures

Usefulness of MRI in Isolated Upper Cervical Spine Fractures in Adults

1998 ◽  
Vol 11 (4) ◽  
pp. 289???293 ◽  
Author(s):  
Alexander R. Vaccaro ◽  
Ken O. Kreidl ◽  
Wayne Pan ◽  
Jerome M. Cotler ◽  
Mark E. Schweitzer
Keyword(s):  
Cervical Spine ◽  
Upper Cervical Spine ◽  
Spine Fractures ◽  
Upper Cervical ◽  
Cervical Spine Fractures
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