Document Detail


Long-term evaluation of vertebral artery injuries following cervical spine trauma using magnetic resonance angiography.
MedLine Citation:
PMID:  9563109     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: A prospective study to determine the long-term outcome of traumatically induced vertebral artery injuries. Magnetic resonance angiography was performed at the time of cervical injury and at a follow-up office visit. OBJECTIVE: To determine the long-term outcome in terms of arterial flow competency of traumatically induced vertebral artery injuries. SUMMARY OF BACKGROUND DATA: Vertebral artery injury associated with cervical spine trauma has been well documented; however its healing or nonhealing potential has not been elucidated. METHODS: During the 7-month period from July 1993 to January 1994, all patients admitted to the authors' institution with cervical spine injuries underwent magnetic resonance imaging and magnetic resonance angiography of the cervical spine to determine the patency of their vertebral arteries. Magnetic resonance angiography was performed at the time of injury and at a follow-up office visit. Twelve of 61 patients were found to have a lack of signal flow within one of their vertebral vessels during this study period. RESULTS: Eighty-three percent of the patients (five of six) who were available for follow-up observation in this study did not manifest flow reconstitution of their vertebral arteries after an average 25.8-month follow-up period. CONCLUSIONS: According to these data, most patients with vertebral artery injuries after nonpenetrating cervical spine trauma do not reconstitute flow in the injured vertebral arteries. This lack of flow must be considered if future surgery in this region of the cervical spine is contemplated.
Authors:
A R Vaccaro; G R Klein; A E Flanders; T J Albert; R A Balderston; J M Cotler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Spine     Volume:  23     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-06-04     Completed Date:  1998-06-04     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  789-94; discussion 795     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cerebrovascular Circulation
Cervical Vertebrae / blood supply*,  injuries*
Female
Follow-Up Studies
Humans
Magnetic Resonance Angiography*
Magnetic Resonance Imaging
Male
Middle Aged
Prospective Studies
Spinal Fractures / diagnosis*,  therapy
Treatment Outcome
Vertebral Artery / injuries*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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