An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study

Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Nourbakhsh, Ali [verfasserIn] Yang, Jinping Ziran, Bruce Garges, Kim J.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	Cervical Vertebral artery Nerve root

Anmerkung:	© Nourbakhsh et al.; licensee BioMed Central. 2015

Übergeordnetes Werk:	Enthalten in: Patient safety in surgery - London : BioMed Central, 2007, 9(2015), 1 vom: 14. Mai
Übergeordnetes Werk:	volume:9 ; year:2015 ; number:1 ; day:14 ; month:05

Links:	Volltext

DOI / URN:	10.1186/s13037-015-0072-7

Katalog-ID:	SPR029573580

Internformat


LEADER	01000caa a22002652 4500
001	SPR029573580
003	DE-627
005	20230519144254.0
007	cr uuu---uuuuu
008	201007s2015 xx \|\|\|\|\|o 00\| \|\|eng c
024	7		\|a 10.1186/s13037-015-0072-7 \|2 doi
035			\|a (DE-627)SPR029573580
035			\|a (SPR)s13037-015-0072-7-e
040			\|a DE-627 \|b ger \|c DE-627 \|e rakwb
041			\|a eng
100	1		\|a Nourbakhsh, Ali \|e verfasserin \|4 aut
245	1	3	\|a An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study
264		1	\|c 2015
336			\|a Text \|b txt \|2 rdacontent
337			\|a Computermedien \|b c \|2 rdamedia
338			\|a Online-Ressource \|b cr \|2 rdacarrier
500			\|a © Nourbakhsh et al.; licensee BioMed Central. 2015
520			\|a Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse foramens of the cervical vertebrae. Case presentation The course of the vertebral artery in the dissected cadaver of a 79 year old female is presented. Dissection of the left vertebral artery showed that the $ 5^{th} $ nerve root passes in front of the vertebral artery in the $ 4^{th} $ intertransverse space. Further exploration showed that although vertebral artery at first passed at the back of the nerve root it curved downwards again and after passing underneath the $ 5^{th} $ nerve root entered the $ 4^{th} $ vertebral body. After making a loop in the left half of the vertebrae, vertebral artery ran anterior to the nerve root and after entering the $ 4^{th} $ transverse foramen showed up in the $ 3^{rd} $ intertransverse space. The shortest distance of the vertebral artery to the midline at the $ 4^{th} $ vertebrae level was 4.78 mm. Conclusions To our knowledge this case is the first report of a nerve root lying anterior to the vertebral artery in the intertransverse space of the cervical spine. Additionally vertebral artery has never been reported to be so close to the midline. This report signifies the importance of obtaining MRI or contrast enhanced CT scan prior to any cervical spine surgery in the vicinity of the vertebral artery including corpectomies and also careful approach to the intertransverse space during the operation.
650		4	\|a Cervical \|7 (dpeaa)DE-He213
650		4	\|a Vertebral artery \|7 (dpeaa)DE-He213
650		4	\|a Nerve root \|7 (dpeaa)DE-He213
700	1		\|a Yang, Jinping \|4 aut
700	1		\|a Ziran, Bruce \|4 aut
700	1		\|a Garges, Kim J. \|4 aut
773	0	8	\|i Enthalten in \|t Patient safety in surgery \|d London : BioMed Central, 2007 \|g 9(2015), 1 vom: 14. Mai \|w (DE-627)558389643 \|w (DE-600)2409244-7 \|x 1754-9493 \|7 nnns
773	1	8	\|g volume:9 \|g year:2015 \|g number:1 \|g day:14 \|g month:05
856	4	0	\|u https://dx.doi.org/10.1186/s13037-015-0072-7 \|z kostenfrei \|3 Volltext
912			\|a GBV_USEFLAG_A
912			\|a SYSFLAG_A
912			\|a GBV_SPRINGER
912			\|a SSG-OLC-PHA
912			\|a GBV_ILN_11
912			\|a GBV_ILN_20
912			\|a GBV_ILN_22
912			\|a GBV_ILN_23
912			\|a GBV_ILN_24
912			\|a GBV_ILN_31
912			\|a GBV_ILN_39
912			\|a GBV_ILN_40
912			\|a GBV_ILN_60
912			\|a GBV_ILN_62
912			\|a GBV_ILN_63
912			\|a GBV_ILN_65
912			\|a GBV_ILN_69
912			\|a GBV_ILN_73
912			\|a GBV_ILN_74
912			\|a GBV_ILN_95
912			\|a GBV_ILN_105
912			\|a GBV_ILN_110
912			\|a GBV_ILN_151
912			\|a GBV_ILN_161
912			\|a GBV_ILN_170
912			\|a GBV_ILN_206
912			\|a GBV_ILN_213
912			\|a GBV_ILN_230
912			\|a GBV_ILN_285
912			\|a GBV_ILN_293
912			\|a GBV_ILN_602
912			\|a GBV_ILN_2003
912			\|a GBV_ILN_2005
912			\|a GBV_ILN_2009
912			\|a GBV_ILN_2011
912			\|a GBV_ILN_2014
912			\|a GBV_ILN_2055
912			\|a GBV_ILN_2111
912			\|a GBV_ILN_4012
912			\|a GBV_ILN_4037
912			\|a GBV_ILN_4112
912			\|a GBV_ILN_4125
912			\|a GBV_ILN_4126
912			\|a GBV_ILN_4249
912			\|a GBV_ILN_4305
912			\|a GBV_ILN_4306
912			\|a GBV_ILN_4307
912			\|a GBV_ILN_4313
912			\|a GBV_ILN_4322
912			\|a GBV_ILN_4323
912			\|a GBV_ILN_4324
912			\|a GBV_ILN_4325
912			\|a GBV_ILN_4338
912			\|a GBV_ILN_4367
912			\|a GBV_ILN_4700
951			\|a AR
952			\|d 9 \|j 2015 \|e 1 \|b 14 \|c 05

Indexfelder

author_variant	a n an j y jy b z bz k j g kj kjg
matchkey_str	article:17549493:2015----::nnsacusoteetbaatrpseirohnreotnhitrrn
hierarchy_sort_str	2015
publishDate	2015
allfields	10.1186/s13037-015-0072-7 doi (DE-627)SPR029573580 (SPR)s13037-015-0072-7-e DE-627 ger DE-627 rakwb eng Nourbakhsh, Ali verfasserin aut An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Nourbakhsh et al.; licensee BioMed Central. 2015 Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse foramens of the cervical vertebrae. Case presentation The course of the vertebral artery in the dissected cadaver of a 79 year old female is presented. Dissection of the left vertebral artery showed that the $ 5^{th} $ nerve root passes in front of the vertebral artery in the $ 4^{th} $ intertransverse space. Further exploration showed that although vertebral artery at first passed at the back of the nerve root it curved downwards again and after passing underneath the $ 5^{th} $ nerve root entered the $ 4^{th} $ vertebral body. After making a loop in the left half of the vertebrae, vertebral artery ran anterior to the nerve root and after entering the $ 4^{th} $ transverse foramen showed up in the $ 3^{rd} $ intertransverse space. The shortest distance of the vertebral artery to the midline at the $ 4^{th} $ vertebrae level was 4.78 mm. Conclusions To our knowledge this case is the first report of a nerve root lying anterior to the vertebral artery in the intertransverse space of the cervical spine. Additionally vertebral artery has never been reported to be so close to the midline. This report signifies the importance of obtaining MRI or contrast enhanced CT scan prior to any cervical spine surgery in the vicinity of the vertebral artery including corpectomies and also careful approach to the intertransverse space during the operation. Cervical (dpeaa)DE-He213 Vertebral artery (dpeaa)DE-He213 Nerve root (dpeaa)DE-He213 Yang, Jinping aut Ziran, Bruce aut Garges, Kim J. aut Enthalten in Patient safety in surgery London : BioMed Central, 2007 9(2015), 1 vom: 14. Mai (DE-627)558389643 (DE-600)2409244-7 1754-9493 nnns volume:9 year:2015 number:1 day:14 month:05 https://dx.doi.org/10.1186/s13037-015-0072-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2015 1 14 05
spelling	10.1186/s13037-015-0072-7 doi (DE-627)SPR029573580 (SPR)s13037-015-0072-7-e DE-627 ger DE-627 rakwb eng Nourbakhsh, Ali verfasserin aut An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Nourbakhsh et al.; licensee BioMed Central. 2015 Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse foramens of the cervical vertebrae. Case presentation The course of the vertebral artery in the dissected cadaver of a 79 year old female is presented. Dissection of the left vertebral artery showed that the $ 5^{th} $ nerve root passes in front of the vertebral artery in the $ 4^{th} $ intertransverse space. Further exploration showed that although vertebral artery at first passed at the back of the nerve root it curved downwards again and after passing underneath the $ 5^{th} $ nerve root entered the $ 4^{th} $ vertebral body. After making a loop in the left half of the vertebrae, vertebral artery ran anterior to the nerve root and after entering the $ 4^{th} $ transverse foramen showed up in the $ 3^{rd} $ intertransverse space. The shortest distance of the vertebral artery to the midline at the $ 4^{th} $ vertebrae level was 4.78 mm. Conclusions To our knowledge this case is the first report of a nerve root lying anterior to the vertebral artery in the intertransverse space of the cervical spine. Additionally vertebral artery has never been reported to be so close to the midline. This report signifies the importance of obtaining MRI or contrast enhanced CT scan prior to any cervical spine surgery in the vicinity of the vertebral artery including corpectomies and also careful approach to the intertransverse space during the operation. Cervical (dpeaa)DE-He213 Vertebral artery (dpeaa)DE-He213 Nerve root (dpeaa)DE-He213 Yang, Jinping aut Ziran, Bruce aut Garges, Kim J. aut Enthalten in Patient safety in surgery London : BioMed Central, 2007 9(2015), 1 vom: 14. Mai (DE-627)558389643 (DE-600)2409244-7 1754-9493 nnns volume:9 year:2015 number:1 day:14 month:05 https://dx.doi.org/10.1186/s13037-015-0072-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2015 1 14 05
allfields_unstemmed	10.1186/s13037-015-0072-7 doi (DE-627)SPR029573580 (SPR)s13037-015-0072-7-e DE-627 ger DE-627 rakwb eng Nourbakhsh, Ali verfasserin aut An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Nourbakhsh et al.; licensee BioMed Central. 2015 Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse foramens of the cervical vertebrae. Case presentation The course of the vertebral artery in the dissected cadaver of a 79 year old female is presented. Dissection of the left vertebral artery showed that the $ 5^{th} $ nerve root passes in front of the vertebral artery in the $ 4^{th} $ intertransverse space. Further exploration showed that although vertebral artery at first passed at the back of the nerve root it curved downwards again and after passing underneath the $ 5^{th} $ nerve root entered the $ 4^{th} $ vertebral body. After making a loop in the left half of the vertebrae, vertebral artery ran anterior to the nerve root and after entering the $ 4^{th} $ transverse foramen showed up in the $ 3^{rd} $ intertransverse space. The shortest distance of the vertebral artery to the midline at the $ 4^{th} $ vertebrae level was 4.78 mm. Conclusions To our knowledge this case is the first report of a nerve root lying anterior to the vertebral artery in the intertransverse space of the cervical spine. Additionally vertebral artery has never been reported to be so close to the midline. This report signifies the importance of obtaining MRI or contrast enhanced CT scan prior to any cervical spine surgery in the vicinity of the vertebral artery including corpectomies and also careful approach to the intertransverse space during the operation. Cervical (dpeaa)DE-He213 Vertebral artery (dpeaa)DE-He213 Nerve root (dpeaa)DE-He213 Yang, Jinping aut Ziran, Bruce aut Garges, Kim J. aut Enthalten in Patient safety in surgery London : BioMed Central, 2007 9(2015), 1 vom: 14. Mai (DE-627)558389643 (DE-600)2409244-7 1754-9493 nnns volume:9 year:2015 number:1 day:14 month:05 https://dx.doi.org/10.1186/s13037-015-0072-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2015 1 14 05
allfieldsGer	10.1186/s13037-015-0072-7 doi (DE-627)SPR029573580 (SPR)s13037-015-0072-7-e DE-627 ger DE-627 rakwb eng Nourbakhsh, Ali verfasserin aut An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Nourbakhsh et al.; licensee BioMed Central. 2015 Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse foramens of the cervical vertebrae. Case presentation The course of the vertebral artery in the dissected cadaver of a 79 year old female is presented. Dissection of the left vertebral artery showed that the $ 5^{th} $ nerve root passes in front of the vertebral artery in the $ 4^{th} $ intertransverse space. Further exploration showed that although vertebral artery at first passed at the back of the nerve root it curved downwards again and after passing underneath the $ 5^{th} $ nerve root entered the $ 4^{th} $ vertebral body. After making a loop in the left half of the vertebrae, vertebral artery ran anterior to the nerve root and after entering the $ 4^{th} $ transverse foramen showed up in the $ 3^{rd} $ intertransverse space. The shortest distance of the vertebral artery to the midline at the $ 4^{th} $ vertebrae level was 4.78 mm. Conclusions To our knowledge this case is the first report of a nerve root lying anterior to the vertebral artery in the intertransverse space of the cervical spine. Additionally vertebral artery has never been reported to be so close to the midline. This report signifies the importance of obtaining MRI or contrast enhanced CT scan prior to any cervical spine surgery in the vicinity of the vertebral artery including corpectomies and also careful approach to the intertransverse space during the operation. Cervical (dpeaa)DE-He213 Vertebral artery (dpeaa)DE-He213 Nerve root (dpeaa)DE-He213 Yang, Jinping aut Ziran, Bruce aut Garges, Kim J. aut Enthalten in Patient safety in surgery London : BioMed Central, 2007 9(2015), 1 vom: 14. Mai (DE-627)558389643 (DE-600)2409244-7 1754-9493 nnns volume:9 year:2015 number:1 day:14 month:05 https://dx.doi.org/10.1186/s13037-015-0072-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2015 1 14 05
allfieldsSound	10.1186/s13037-015-0072-7 doi (DE-627)SPR029573580 (SPR)s13037-015-0072-7-e DE-627 ger DE-627 rakwb eng Nourbakhsh, Ali verfasserin aut An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Nourbakhsh et al.; licensee BioMed Central. 2015 Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse foramens of the cervical vertebrae. Case presentation The course of the vertebral artery in the dissected cadaver of a 79 year old female is presented. Dissection of the left vertebral artery showed that the $ 5^{th} $ nerve root passes in front of the vertebral artery in the $ 4^{th} $ intertransverse space. Further exploration showed that although vertebral artery at first passed at the back of the nerve root it curved downwards again and after passing underneath the $ 5^{th} $ nerve root entered the $ 4^{th} $ vertebral body. After making a loop in the left half of the vertebrae, vertebral artery ran anterior to the nerve root and after entering the $ 4^{th} $ transverse foramen showed up in the $ 3^{rd} $ intertransverse space. The shortest distance of the vertebral artery to the midline at the $ 4^{th} $ vertebrae level was 4.78 mm. Conclusions To our knowledge this case is the first report of a nerve root lying anterior to the vertebral artery in the intertransverse space of the cervical spine. Additionally vertebral artery has never been reported to be so close to the midline. This report signifies the importance of obtaining MRI or contrast enhanced CT scan prior to any cervical spine surgery in the vicinity of the vertebral artery including corpectomies and also careful approach to the intertransverse space during the operation. Cervical (dpeaa)DE-He213 Vertebral artery (dpeaa)DE-He213 Nerve root (dpeaa)DE-He213 Yang, Jinping aut Ziran, Bruce aut Garges, Kim J. aut Enthalten in Patient safety in surgery London : BioMed Central, 2007 9(2015), 1 vom: 14. Mai (DE-627)558389643 (DE-600)2409244-7 1754-9493 nnns volume:9 year:2015 number:1 day:14 month:05 https://dx.doi.org/10.1186/s13037-015-0072-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2015 1 14 05
language	English
source	Enthalten in Patient safety in surgery 9(2015), 1 vom: 14. Mai volume:9 year:2015 number:1 day:14 month:05
sourceStr	Enthalten in Patient safety in surgery 9(2015), 1 vom: 14. Mai volume:9 year:2015 number:1 day:14 month:05
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Cervical Vertebral artery Nerve root
isfreeaccess_bool	true
container_title	Patient safety in surgery
authorswithroles_txt_mv	Nourbakhsh, Ali @@aut@@ Yang, Jinping @@aut@@ Ziran, Bruce @@aut@@ Garges, Kim J. @@aut@@
publishDateDaySort_date	2015-05-14T00:00:00Z
hierarchy_top_id	558389643
id	SPR029573580
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR029573580</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519144254.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201007s2015 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s13037-015-0072-7</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR029573580</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s13037-015-0072-7-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Nourbakhsh, Ali</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="3"><subfield code="a">An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2015</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© Nourbakhsh et al.; licensee BioMed Central. 2015</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse foramens of the cervical vertebrae. Case presentation The course of the vertebral artery in the dissected cadaver of a 79 year old female is presented. Dissection of the left vertebral artery showed that the $ 5^{th} $ nerve root passes in front of the vertebral artery in the $ 4^{th} $ intertransverse space. Further exploration showed that although vertebral artery at first passed at the back of the nerve root it curved downwards again and after passing underneath the $ 5^{th} $ nerve root entered the $ 4^{th} $ vertebral body. After making a loop in the left half of the vertebrae, vertebral artery ran anterior to the nerve root and after entering the $ 4^{th} $ transverse foramen showed up in the $ 3^{rd} $ intertransverse space. The shortest distance of the vertebral artery to the midline at the $ 4^{th} $ vertebrae level was 4.78 mm. Conclusions To our knowledge this case is the first report of a nerve root lying anterior to the vertebral artery in the intertransverse space of the cervical spine. Additionally vertebral artery has never been reported to be so close to the midline. This report signifies the importance of obtaining MRI or contrast enhanced CT scan prior to any cervical spine surgery in the vicinity of the vertebral artery including corpectomies and also careful approach to the intertransverse space during the operation.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Cervical</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Vertebral artery</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nerve root</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Yang, Jinping</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Ziran, Bruce</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Garges, Kim J.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Patient safety in surgery</subfield><subfield code="d">London : BioMed Central, 2007</subfield><subfield code="g">9(2015), 1 vom: 14. Mai</subfield><subfield code="w">(DE-627)558389643</subfield><subfield code="w">(DE-600)2409244-7</subfield><subfield code="x">1754-9493</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:9</subfield><subfield code="g">year:2015</subfield><subfield code="g">number:1</subfield><subfield code="g">day:14</subfield><subfield code="g">month:05</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://dx.doi.org/10.1186/s13037-015-0072-7</subfield><subfield code="z">kostenfrei</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_SPRINGER</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-PHA</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_11</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_20</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_22</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_23</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_24</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_31</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_39</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_40</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_60</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_62</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_63</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_65</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_69</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_73</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_74</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_95</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_105</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_110</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_151</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_161</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_170</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_206</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_213</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_230</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_285</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_293</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_602</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2003</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2005</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2009</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2011</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2014</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2055</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2111</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4012</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4037</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4112</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4125</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4126</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4249</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4305</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4306</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4307</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4313</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4322</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4323</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4324</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4325</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4338</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4367</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4700</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">9</subfield><subfield code="j">2015</subfield><subfield code="e">1</subfield><subfield code="b">14</subfield><subfield code="c">05</subfield></datafield></record></collection>
author	Nourbakhsh, Ali
spellingShingle	Nourbakhsh, Ali misc Cervical misc Vertebral artery misc Nerve root An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study
authorStr	Nourbakhsh, Ali
ppnlink_with_tag_str_mv	@@773@@(DE-627)558389643
format	electronic Article
delete_txt_mv	keep
author_role	aut aut aut aut
collection	springer
remote_str	true
illustrated	Not Illustrated
issn	1754-9493
topic_title	An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study Cervical (dpeaa)DE-He213 Vertebral artery (dpeaa)DE-He213 Nerve root (dpeaa)DE-He213
topic	misc Cervical misc Vertebral artery misc Nerve root
topic_unstemmed	misc Cervical misc Vertebral artery misc Nerve root
topic_browse	misc Cervical misc Vertebral artery misc Nerve root
format_facet	Elektronische Aufsätze Aufsätze Elektronische Ressource
format_main_str_mv	Text Zeitschrift/Artikel
carriertype_str_mv	cr
hierarchy_parent_title	Patient safety in surgery
hierarchy_parent_id	558389643
hierarchy_top_title	Patient safety in surgery
isfreeaccess_txt	true
familylinks_str_mv	(DE-627)558389643 (DE-600)2409244-7
title	An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study
ctrlnum	(DE-627)SPR029573580 (SPR)s13037-015-0072-7-e
title_full	An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study
author_sort	Nourbakhsh, Ali
journal	Patient safety in surgery
journalStr	Patient safety in surgery
lang_code	eng
isOA_bool	true
recordtype	marc
publishDateSort	2015
contenttype_str_mv	txt
author_browse	Nourbakhsh, Ali Yang, Jinping Ziran, Bruce Garges, Kim J.
container_volume	9
format_se	Elektronische Aufsätze
author-letter	Nourbakhsh, Ali
doi_str_mv	10.1186/s13037-015-0072-7
title_sort	unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study
title_auth	An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study
abstract	Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse foramens of the cervical vertebrae. Case presentation The course of the vertebral artery in the dissected cadaver of a 79 year old female is presented. Dissection of the left vertebral artery showed that the $ 5^{th} $ nerve root passes in front of the vertebral artery in the $ 4^{th} $ intertransverse space. Further exploration showed that although vertebral artery at first passed at the back of the nerve root it curved downwards again and after passing underneath the $ 5^{th} $ nerve root entered the $ 4^{th} $ vertebral body. After making a loop in the left half of the vertebrae, vertebral artery ran anterior to the nerve root and after entering the $ 4^{th} $ transverse foramen showed up in the $ 3^{rd} $ intertransverse space. The shortest distance of the vertebral artery to the midline at the $ 4^{th} $ vertebrae level was 4.78 mm. Conclusions To our knowledge this case is the first report of a nerve root lying anterior to the vertebral artery in the intertransverse space of the cervical spine. Additionally vertebral artery has never been reported to be so close to the midline. This report signifies the importance of obtaining MRI or contrast enhanced CT scan prior to any cervical spine surgery in the vicinity of the vertebral artery including corpectomies and also careful approach to the intertransverse space during the operation. © Nourbakhsh et al.; licensee BioMed Central. 2015
abstractGer	Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse foramens of the cervical vertebrae. Case presentation The course of the vertebral artery in the dissected cadaver of a 79 year old female is presented. Dissection of the left vertebral artery showed that the $ 5^{th} $ nerve root passes in front of the vertebral artery in the $ 4^{th} $ intertransverse space. Further exploration showed that although vertebral artery at first passed at the back of the nerve root it curved downwards again and after passing underneath the $ 5^{th} $ nerve root entered the $ 4^{th} $ vertebral body. After making a loop in the left half of the vertebrae, vertebral artery ran anterior to the nerve root and after entering the $ 4^{th} $ transverse foramen showed up in the $ 3^{rd} $ intertransverse space. The shortest distance of the vertebral artery to the midline at the $ 4^{th} $ vertebrae level was 4.78 mm. Conclusions To our knowledge this case is the first report of a nerve root lying anterior to the vertebral artery in the intertransverse space of the cervical spine. Additionally vertebral artery has never been reported to be so close to the midline. This report signifies the importance of obtaining MRI or contrast enhanced CT scan prior to any cervical spine surgery in the vicinity of the vertebral artery including corpectomies and also careful approach to the intertransverse space during the operation. © Nourbakhsh et al.; licensee BioMed Central. 2015
abstract_unstemmed	Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse foramens of the cervical vertebrae. Case presentation The course of the vertebral artery in the dissected cadaver of a 79 year old female is presented. Dissection of the left vertebral artery showed that the $ 5^{th} $ nerve root passes in front of the vertebral artery in the $ 4^{th} $ intertransverse space. Further exploration showed that although vertebral artery at first passed at the back of the nerve root it curved downwards again and after passing underneath the $ 5^{th} $ nerve root entered the $ 4^{th} $ vertebral body. After making a loop in the left half of the vertebrae, vertebral artery ran anterior to the nerve root and after entering the $ 4^{th} $ transverse foramen showed up in the $ 3^{rd} $ intertransverse space. The shortest distance of the vertebral artery to the midline at the $ 4^{th} $ vertebrae level was 4.78 mm. Conclusions To our knowledge this case is the first report of a nerve root lying anterior to the vertebral artery in the intertransverse space of the cervical spine. Additionally vertebral artery has never been reported to be so close to the midline. This report signifies the importance of obtaining MRI or contrast enhanced CT scan prior to any cervical spine surgery in the vicinity of the vertebral artery including corpectomies and also careful approach to the intertransverse space during the operation. © Nourbakhsh et al.; licensee BioMed Central. 2015
collection_details	GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700
container_issue	1
title_short	An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study
url	https://dx.doi.org/10.1186/s13037-015-0072-7
remote_bool	true
author2	Yang, Jinping Ziran, Bruce Garges, Kim J.
author2Str	Yang, Jinping Ziran, Bruce Garges, Kim J.
ppnlink	558389643
mediatype_str_mv	c
isOA_txt	true
hochschulschrift_bool	false
doi_str	10.1186/s13037-015-0072-7
up_date	2024-07-04T01:32:09.590Z
_version_	1803610205292855296
fullrecord_marcxml	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR029573580</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519144254.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201007s2015 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s13037-015-0072-7</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR029573580</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s13037-015-0072-7-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Nourbakhsh, Ali</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="3"><subfield code="a">An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2015</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© Nourbakhsh et al.; licensee BioMed Central. 2015</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background The V2 segment of the vertebral artery is very vulnerable to injury during cervical spine surgery. The incidence of vertebral artery injury during anterior cervical spine procedures is reported to be 0.22–2.77 %. This is partially due to its variable course while running in the transverse foramens of the cervical vertebrae. Case presentation The course of the vertebral artery in the dissected cadaver of a 79 year old female is presented. Dissection of the left vertebral artery showed that the $ 5^{th} $ nerve root passes in front of the vertebral artery in the $ 4^{th} $ intertransverse space. Further exploration showed that although vertebral artery at first passed at the back of the nerve root it curved downwards again and after passing underneath the $ 5^{th} $ nerve root entered the $ 4^{th} $ vertebral body. After making a loop in the left half of the vertebrae, vertebral artery ran anterior to the nerve root and after entering the $ 4^{th} $ transverse foramen showed up in the $ 3^{rd} $ intertransverse space. The shortest distance of the vertebral artery to the midline at the $ 4^{th} $ vertebrae level was 4.78 mm. Conclusions To our knowledge this case is the first report of a nerve root lying anterior to the vertebral artery in the intertransverse space of the cervical spine. Additionally vertebral artery has never been reported to be so close to the midline. This report signifies the importance of obtaining MRI or contrast enhanced CT scan prior to any cervical spine surgery in the vicinity of the vertebral artery including corpectomies and also careful approach to the intertransverse space during the operation.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Cervical</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Vertebral artery</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nerve root</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Yang, Jinping</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Ziran, Bruce</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Garges, Kim J.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Patient safety in surgery</subfield><subfield code="d">London : BioMed Central, 2007</subfield><subfield code="g">9(2015), 1 vom: 14. Mai</subfield><subfield code="w">(DE-627)558389643</subfield><subfield code="w">(DE-600)2409244-7</subfield><subfield code="x">1754-9493</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:9</subfield><subfield code="g">year:2015</subfield><subfield code="g">number:1</subfield><subfield code="g">day:14</subfield><subfield code="g">month:05</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://dx.doi.org/10.1186/s13037-015-0072-7</subfield><subfield code="z">kostenfrei</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_SPRINGER</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-PHA</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_11</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_20</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_22</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_23</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_24</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_31</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_39</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_40</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_60</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_62</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_63</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_65</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_69</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_73</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_74</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_95</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_105</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_110</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_151</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_161</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_170</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_206</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_213</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_230</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_285</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_293</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_602</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2003</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2005</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2009</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2011</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2014</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2055</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2111</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4012</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4037</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4112</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4125</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4126</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4249</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4305</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4306</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4307</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4313</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4322</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4323</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4324</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4325</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4338</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4367</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4700</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">9</subfield><subfield code="j">2015</subfield><subfield code="e">1</subfield><subfield code="b">14</subfield><subfield code="c">05</subfield></datafield></record></collection>
score	7.399131

Nicht das Richtige dabei?

Schreiben Sie uns!

An unusual course of the vertebral artery posterior to the nerve root in the inter-transverse space: a cadaveric study

Nicht das Richtige dabei?

Zugang & Verfügbarkeit

Vorhandene Bände

Nicht das Richtige dabei?