Document Detail

Occlusion of the vertebral artery in cervical spine dislocations.
MedLine Citation:
PMID:  2380226     Owner:  NLM     Status:  MEDLINE    
We studied 12 consecutive patients with facet joint dislocation in the cervical spine to assess the incidence, site and clinical sequelae of occlusion of the extracranial vertebral artery. Intra-arterial digital subtraction angiography was performed after the orthopaedic management of the dislocations. This demonstrated vertebral artery occlusion (one bilateral) in five of the seven patients with bilateral dislocations and in four of the five patients with unilateral dislocations. Two of the nine patients with vertebral artery occlusion had neurological deficits above the level of the injury, all of which resolved spontaneously within two months. In our experience, a distraction-flexion injury appears to be the most common cause of closed traumatic vertebral artery occlusion.
J A Louw; N A Mafoyane; B Small; C P Neser
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  72     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  1990 Jul 
Date Detail:
Created Date:  1990-09-11     Completed Date:  1990-09-11     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  679-81     Citation Subset:  AIM; IM    
Kalafong Hospital, South Africa.
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MeSH Terms
Angiography, Digital Subtraction
Cervical Vertebrae / injuries*,  radiography
Dislocations / complications*,  radiography
Middle Aged
Prospective Studies
Thrombosis / etiology*
Vertebral Artery* / radiography

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