Research Article
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Year 2023, Volume: 40 Issue: 3, 562 - 567, 30.09.2023

Abstract

References

  • 1. Alosh H, Parker SL, McGirt MJ, Gokaslan ZL, Witham TF, Bydon A, et al. Preoperative radiographic factors and surgeon experience are associated with cortical breach of C2 pedicle screws. J Spinal Disord Tech. 2010; 23(1):9-14.
  • 2. Wang J, Xia H, Ying Q, Lu Y, Wu Z, Ai F, et al. An anatomic consideration of C2 vertebrae artery groove variation for individual screw implantation in axis. Eur Spine J. 2013;22(7):1547-52.
  • 3. Pruthi N, Dawn R, Ravindranath Y, Maiti TK, Ravindranath R, Philip M. Computed tomography-based classification of axis vertebra: choice of screw placement. Eur Spine J. 2014; 23(5):1084-91.
  • 4. Liu J, Napolitano JT, Ebraheim NA. Systematic review of cervical pedicle dimensions and projections. Spine (Phila Pa 1976). 2010;35(24):E1373-80.
  • 5. Yusof MI, Ming LK, Abdullah MS, Yusof AH. Computerized tomographic measurement of the cervical pedicles diameter in a Malaysian population and the feasibility for transpedicular fixation. Spine (Phila Pa 1976). 2006;31(8):E221-4.
  • 6. Çokluk C, Aydın K. The Use Of Postnatal Developmental Cartilaginous Lines In The Classification Of C2 Fractures. Journal of Experimental and Clinical Medicine.2010;27(1):E13-5.
  • 7. Park JB, Kim SK, Seo HY, Ko JH, Hong TM. Proposal of Treatment Strategy for Pedicle Fractures of the C2: An Analysis of 49 Cases. J Clin Med. 2021;10(17):3987.
  • 8. German JW, Hart BL, Benzel EC. Nonoperative management of vertical C2 body fractures. Neurosurgery. 2005;56(3):516-21; discussion 516-21.
  • 9. Cokluk C, Takayasu M, Yoshida J. Pedicle fracture of the axis: report of two cases and a review of literature. Clin Neurol Neurosurg. 2005;107(2):136-9.
  • 10. Sim HB, Lee JW, Park JT, Mindea SA, Lim J, Park J. Biomechanical evaluations of various c1-c2 posterior fixation techniques. Spine (Phila Pa 1976). 2011;36(6):E401-7. 11) Chen JF, Wu CT, Lee SC, Lee ST. Posterior atlantoaxial transpedicular screw and plate fixation. Technical note. J Neurosurg Spine. 2005;2(3):386-92.
  • 11. Shen FH, Samartzis D, Jenis LG, An HS. Rheumatoid arthritis: evaluation and surgical management of the cervical spine. Spine J. 2004;4(6):689-700.
  • 12. Yoshida M, Neo M, Fujibayashi S, Nakamura T. Comparison of the anatomical risk for vertebral artery injury associated with the C2-pedicle screw and atlantoaxial transarticular screw. Spine (Phila Pa 1976). 2006;31(15):E513-7.
  • 13. Klepinowski T, Limanówka B, Sagan L. Management of post-traumatic craniovertebral junction dislocation: A PRISMA-compliant systematic review and meta-analysis of casereports. Neurosurg Rev. 2021;44(3):1391-1400.
  • 14. Maki S, Koda M, Iijima Y, Furuya T, Inada T, Kamiya K, et al. Medially-shifted rather than high-riding vertebral arteries preclude safe pedicle screw insertion. J Clin Neurosci. 2016;29:169-72.
  • 15. Lee SH, Park DH, Kim SD, Huh DS, Kim KT. Analysis of 3-dimensional course of the intra-axial vertebral artery for C2 pedicle screw trajectory: a computed tomographic study. Spine (Phila Pa 1976). 2014;39(17):E1010-4.
  • 16. Sciubba DM, Noggle JC, Vellimana AK, Conway JE, Kretzer RM, Long DM, Garonzik IM. Laminar screw fixation of the axis. J Neurosurg Spine. 2008; 8(4):327-34.
  • 17. Wang Y, Wang C, Yan M. Clinical Outcomes of Atlantoaxial Dislocation Combined with High-Riding Vertebral Artery Using C2 Translaminar Screws. World Neurosurg. 2019;122:e1511-18.
  • 18. Yeom JS, Buchowski JM, Park KW, Chang BS, Lee CK, Riew KD. Undetected vertebral artery groove and foramen violations during C1 lateral mass and C2 pedicle screw placement. Spine (Phila Pa 1976). 2008;33(25):E942-9.
  • 19. Patwardhan AR, Nemade PS, Bhosale SK, Srivastava SK. Computed tomography-based morphometric analysis of cervical pedicles in Indian population: a pilot study to assess feasibility of transpedicular screw fixation. J Postgrad Med. 2012;58(2):119-22.

Evaluation of type differences of arteria vertebralis with C2 vertebral artery groove variation origin

Year 2023, Volume: 40 Issue: 3, 562 - 567, 30.09.2023

Abstract

Vertebral artery Groove (VAG) variations at the C2 vertebral level are one of the most important factors determining the risks of C2 pedicle screw surgery. However, there are no accepted guidelines for radiographic parameters that can predict C2 screw placement and probabilty of fracture risk. In our study, we evaluated the type differences in the C2 pedicle caused by the C2 VAG variation of the arteria vertebralis, which is specific to our population, with three-dimensional computed tomography angiography (3D-CTA). Therefore, we aimed to easily estimate the risks of C2 pedicle screw placement by type in patients scheduled for surgery. Measurements were made on a total of 200 patients in 100 female and 100 male patients who underwent cervical 3D-CTA. C2 level VAG variations were categorized into four groups as Type I, Type II, Type III and Type IV. Female, male, right pedicle and left pedicle type comparisons were statistically analysed. It was predicted that screw placement was possible with low risk in Type I, with high risk in Type III and Type IV, and impossible in Type II. Type I pedicle was the most common variation with a rate of 66.5% in men and 48 iin women. There was no significant difference between men and women in the distribution of Type I C2 pedicles in our population (p=0.067, p=0.138). There were statistically significant differences between men and women in the distribution of Type II, Type III and Type IV variations (p=0.008, p=0.037, p=0.0069). Type II pedicle variation was 5% in men and 15% in women. We think that the evaluation of the type differences of the C2 VAG variation origin of the arteria vertebralis in our population will be a guide for surgical interventions in this region.

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References

  • 1. Alosh H, Parker SL, McGirt MJ, Gokaslan ZL, Witham TF, Bydon A, et al. Preoperative radiographic factors and surgeon experience are associated with cortical breach of C2 pedicle screws. J Spinal Disord Tech. 2010; 23(1):9-14.
  • 2. Wang J, Xia H, Ying Q, Lu Y, Wu Z, Ai F, et al. An anatomic consideration of C2 vertebrae artery groove variation for individual screw implantation in axis. Eur Spine J. 2013;22(7):1547-52.
  • 3. Pruthi N, Dawn R, Ravindranath Y, Maiti TK, Ravindranath R, Philip M. Computed tomography-based classification of axis vertebra: choice of screw placement. Eur Spine J. 2014; 23(5):1084-91.
  • 4. Liu J, Napolitano JT, Ebraheim NA. Systematic review of cervical pedicle dimensions and projections. Spine (Phila Pa 1976). 2010;35(24):E1373-80.
  • 5. Yusof MI, Ming LK, Abdullah MS, Yusof AH. Computerized tomographic measurement of the cervical pedicles diameter in a Malaysian population and the feasibility for transpedicular fixation. Spine (Phila Pa 1976). 2006;31(8):E221-4.
  • 6. Çokluk C, Aydın K. The Use Of Postnatal Developmental Cartilaginous Lines In The Classification Of C2 Fractures. Journal of Experimental and Clinical Medicine.2010;27(1):E13-5.
  • 7. Park JB, Kim SK, Seo HY, Ko JH, Hong TM. Proposal of Treatment Strategy for Pedicle Fractures of the C2: An Analysis of 49 Cases. J Clin Med. 2021;10(17):3987.
  • 8. German JW, Hart BL, Benzel EC. Nonoperative management of vertical C2 body fractures. Neurosurgery. 2005;56(3):516-21; discussion 516-21.
  • 9. Cokluk C, Takayasu M, Yoshida J. Pedicle fracture of the axis: report of two cases and a review of literature. Clin Neurol Neurosurg. 2005;107(2):136-9.
  • 10. Sim HB, Lee JW, Park JT, Mindea SA, Lim J, Park J. Biomechanical evaluations of various c1-c2 posterior fixation techniques. Spine (Phila Pa 1976). 2011;36(6):E401-7. 11) Chen JF, Wu CT, Lee SC, Lee ST. Posterior atlantoaxial transpedicular screw and plate fixation. Technical note. J Neurosurg Spine. 2005;2(3):386-92.
  • 11. Shen FH, Samartzis D, Jenis LG, An HS. Rheumatoid arthritis: evaluation and surgical management of the cervical spine. Spine J. 2004;4(6):689-700.
  • 12. Yoshida M, Neo M, Fujibayashi S, Nakamura T. Comparison of the anatomical risk for vertebral artery injury associated with the C2-pedicle screw and atlantoaxial transarticular screw. Spine (Phila Pa 1976). 2006;31(15):E513-7.
  • 13. Klepinowski T, Limanówka B, Sagan L. Management of post-traumatic craniovertebral junction dislocation: A PRISMA-compliant systematic review and meta-analysis of casereports. Neurosurg Rev. 2021;44(3):1391-1400.
  • 14. Maki S, Koda M, Iijima Y, Furuya T, Inada T, Kamiya K, et al. Medially-shifted rather than high-riding vertebral arteries preclude safe pedicle screw insertion. J Clin Neurosci. 2016;29:169-72.
  • 15. Lee SH, Park DH, Kim SD, Huh DS, Kim KT. Analysis of 3-dimensional course of the intra-axial vertebral artery for C2 pedicle screw trajectory: a computed tomographic study. Spine (Phila Pa 1976). 2014;39(17):E1010-4.
  • 16. Sciubba DM, Noggle JC, Vellimana AK, Conway JE, Kretzer RM, Long DM, Garonzik IM. Laminar screw fixation of the axis. J Neurosurg Spine. 2008; 8(4):327-34.
  • 17. Wang Y, Wang C, Yan M. Clinical Outcomes of Atlantoaxial Dislocation Combined with High-Riding Vertebral Artery Using C2 Translaminar Screws. World Neurosurg. 2019;122:e1511-18.
  • 18. Yeom JS, Buchowski JM, Park KW, Chang BS, Lee CK, Riew KD. Undetected vertebral artery groove and foramen violations during C1 lateral mass and C2 pedicle screw placement. Spine (Phila Pa 1976). 2008;33(25):E942-9.
  • 19. Patwardhan AR, Nemade PS, Bhosale SK, Srivastava SK. Computed tomography-based morphometric analysis of cervical pedicles in Indian population: a pilot study to assess feasibility of transpedicular screw fixation. J Postgrad Med. 2012;58(2):119-22.
There are 19 citations in total.

Details

Primary Language English
Subjects Brain and Nerve Surgery (Neurosurgery)
Journal Section Research Article
Authors

Dilek Arslan 0000-0001-7463-4389

Early Pub Date October 6, 2023
Publication Date September 30, 2023
Submission Date June 16, 2023
Acceptance Date August 23, 2023
Published in Issue Year 2023 Volume: 40 Issue: 3

Cite

APA Arslan, D. (2023). Evaluation of type differences of arteria vertebralis with C2 vertebral artery groove variation origin. Journal of Experimental and Clinical Medicine, 40(3), 562-567.
AMA Arslan D. Evaluation of type differences of arteria vertebralis with C2 vertebral artery groove variation origin. J. Exp. Clin. Med. September 2023;40(3):562-567.
Chicago Arslan, Dilek. “Evaluation of Type Differences of Arteria Vertebralis With C2 Vertebral Artery Groove Variation Origin”. Journal of Experimental and Clinical Medicine 40, no. 3 (September 2023): 562-67.
EndNote Arslan D (September 1, 2023) Evaluation of type differences of arteria vertebralis with C2 vertebral artery groove variation origin. Journal of Experimental and Clinical Medicine 40 3 562–567.
IEEE D. Arslan, “Evaluation of type differences of arteria vertebralis with C2 vertebral artery groove variation origin”, J. Exp. Clin. Med., vol. 40, no. 3, pp. 562–567, 2023.
ISNAD Arslan, Dilek. “Evaluation of Type Differences of Arteria Vertebralis With C2 Vertebral Artery Groove Variation Origin”. Journal of Experimental and Clinical Medicine 40/3 (September 2023), 562-567.
JAMA Arslan D. Evaluation of type differences of arteria vertebralis with C2 vertebral artery groove variation origin. J. Exp. Clin. Med. 2023;40:562–567.
MLA Arslan, Dilek. “Evaluation of Type Differences of Arteria Vertebralis With C2 Vertebral Artery Groove Variation Origin”. Journal of Experimental and Clinical Medicine, vol. 40, no. 3, 2023, pp. 562-7.
Vancouver Arslan D. Evaluation of type differences of arteria vertebralis with C2 vertebral artery groove variation origin. J. Exp. Clin. Med. 2023;40(3):562-7.