title: Temporary vertebral artery occlusion after C3 fracture dislocation injury and spontaneous resolution following reduction and instrumented fusion: case report and literature review.
abstract: Vertebral artery injuries as a result of blunt trauma can result in vertebrobasilar strokes. Typical treatment of such an injury includes early anticoagulation to prevent cerebral ischemic events due to vessel occlusion or embolism. We present a case of cervical fracture-dislocation injury and compression/occlusion of the right vertebral artery, which spontaneously resolved following surgical reduction and fusion. Postoperative cerebral angiography showed no evidence of vertebral artery stenosis, and systemic anticoagulation was discontinued. This case shows that vertebral artery occlusion can resolve spontaneously after fracture reduction, and cerebral angiography should play a role in assessing these complicated traumatic injuries.
authors: Department of Neurological Surgery, Cerebrovascular Center, Icahn School of Medicine, Mount Sinai Hospital, New York, New York, USA.
authors: Kurt
authors: K
authors: Yaeger
authors: Department of Neurological Surgery, Cerebrovascular Center, Icahn School of Medicine, Mount Sinai Hospital, New York, New York, USA.
authors: Justin
authors: J
authors: Mascitelli
authors: Department of Neurological Surgery, Cerebrovascular Center, Icahn School of Medicine, Mount Sinai Hospital, New York, New York, USA.
authors: Christopher
authors: http://orcid.org/0000-0003-4604-8205
authors: C
authors: Kellner
authors: Department of Neurological Surgery, Elmhurst Hospital Trauma Center, Mount Sinai Medical System, New York, New York, USA.
authors: Zachary
authors: Z
authors: Hickman
authors: Department of Neurological Surgery, Cerebrovascular Center, Icahn School of Medicine, Mount Sinai Hospital, New York, New York, USA.
authors: J
authors: J
authors: Mocco
authors: Department of Neurological Surgery, Cerebrovascular Center, Icahn School of Medicine, Mount Sinai Hospital, New York, New York, USA.|Department of Neurological Surgery, Elmhurst Hospital Trauma Center, Mount Sinai Medical System, New York, New York, USA.
authors: Konstantinos
authors: K
authors: Margetis
mesh_terms: D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D002533:Cerebral Angiography / Q000639:trends; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D000072039:Fracture Dislocation / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012075:Remission, Spontaneous; D016103:Spinal Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion / Q000639:trends*; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Angiography; Cervical; Trauma