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Surgical considerations in posterior C1-2 instrumentation in the presence of vertebral artery anomalies: case illustration and review of literature

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BRITISH JOURNAL OF NEUROSURGERY
卷 33, 期 4, 页码 422-424

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TAYLOR & FRANCIS LTD
DOI: 10.1080/02688697.2017.1346170

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Cervical spine; posterior spinal instrumentation; C1-2 fusion; first intersegmental artery; fenestrated vertebral artery; high-riding vertebral artery

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Vascular anomalies involving the V3 segment of the vertebral artery are common and may complicate posterior atlantoaxial instrumentation. We report a patient with a fenestrated vertebral artery that underwent successful C1-2 instrumentation and fusion. Various vertebral artery anomalies are discussed with a review of pertinent literature.

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