Unbound MEDLINE

Esophageal and vertebral artery injuries during complex cervical spine surgery--avoidance and management.

Abstract

Vertebral artery and esophageal injuries are rare but feared complications of cervical spine surgery. Appropriate understanding of treatment algorithms for prompt intervention in the event of a vertebral artery injury minimizes the risk of exsanguination and/or profound neurologic consequences. Esophageal injuries are often more subtle, and although intraoperative injuries can sometimes be diagnosed at the time of surgery, they frequently do not present until the week after surgery. They can additionally be seen as a late complication of instrumentation usage and/or failure. Expedient diagnosis and management of these injuries minimize their impact and allow for optimal treatment outcome.

Links

  • Publisher Full Text
  • Publisher Full Text
  • Authors

    Grabowski G, Cornett CA, Kang JD

    Institution

    Department of Orthopaedics and Sports Medicine, University of South Carolina School of Medicine, Two Medical Park, Suite 404, Columbia, SC 29203, USA. gregory.grabowski78@gmail.com

    Source

    The Orthopedic clinics of North America 43:1 2012 Jan pg 63-74, viii

    MeSH

    Adult
    Aged
    Arteries
    Atlanto-Axial Joint
    Cervical Vertebrae
    Combined Modality Therapy
    Decompression, Surgical
    Esophagus
    Female
    Follow-Up Studies
    Humans
    Incidence
    Intraoperative Complications
    Magnetic Resonance Angiography
    Male
    Middle Aged
    Orthopedic Procedures
    Risk Assessment
    Spinal Diseases
    Spinal Fusion
    Tomography, X-Ray Computed
    Treatment Outcome
    Vascular System Injuries
    Vertebral Artery

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    22082630