Delayed Hemorrhage from an Iatrogenic Vertebral Artery Injury During Anterior Cervical Discectomy and Successful Endovascular Treatment-Report of a Rare Case and Literature Review

摘要

BACKGROUND: Anterior cervical discectomy (ACD) is one of the most common spinal surgeries. Although rare, iatrogenic vertebral artery injuries (VAIs) are potentially life-threatening. Risk factors are anatomic, operative, and pathologic. We report a rare case of iatrogenic VAI during ACD and successful endovascular treatment with no long-term complications. We also review the literature on all VAIs associated with ACD and fusions. Risk factors and the safety and effectiveness of various management modalities are discussed.