Document Detail


Osseous and vascular anatomical variations within the C1-C2 complex: a radiographical study using computed tomography angiography.
MedLine Citation:
PMID:  18481823     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: One of the limiting factors of C1-C2 fixation is the location of the vertebral artery (VA). The authors sought to assess the potential variations in atlanto-axial VA anatomy using computed tomography angiography (CTA). METHODS: Detailed measurements were made on digital images of 106 patients undergoing CTA at our institution (54 males, 52 females; mean age 56, range 20-86). Distances, diameters and angles of osseous and vascular elements of the atlanto-axial complex were measured. RESULTS: Optimal C1 and C2 screw trajectories demonstrated wide variations among patients. The size of the VA groove or foramen was not predictive of exact arterial location or size. CONCLUSIONS: The size, location and path of the VA cannot be precisely predicted by the appearance of osseous structures such as the transverse foramina and/or the VA groove. CTA provides additional information regarding the atlanto-axial complex, and should be considered as a useful adjunct in the preoperative evaluation of select patients.
Authors:
Parham Moftakhar; Nestor R Gonzalez; Larry T Khoo; Langston T Holly
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The international journal of medical robotics + computer assisted surgery : MRCAS     Volume:  4     ISSN:  1478-596X     ISO Abbreviation:  -     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-22     Completed Date:  2008-08-07     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  101250764     Medline TA:  Int J Med Robot     Country:  England    
Other Details:
Languages:  eng     Pagination:  158-64     Citation Subset:  IM    
Copyright Information:
(c) 2008 John Wiley & Sons, Ltd.
Affiliation:
Division of Neurosurgery, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Angiography
Atlanto-Axial Joint / blood supply,  radiography
Axis / blood supply*,  radiography
Bone Screws
Cervical Atlas / blood supply*,  radiography
Female
Humans
Internal Fixators
Male
Middle Aged
Models, Anatomic
Tomography, X-Ray Computed
Vertebral Artery / anatomy & histology*

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


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