Management Approach of Penetrating Vertebral Artery Injury With Concomitant Cervical Nerve Root Injury in Regional Hospital: Report of Two Cases

We present two cases of penetrating vertebral artery injury with concomitant cervical nerve root injury managed in our centre. The first case was a young gentleman who suffered from neck injury by broken metal fragment. Cervical nerve root injury was suspected preoperatively. Massive bleeding from vertebral artery was encountered during wound exploration. It was managed by ligation, followed by retrograde endovascular embolisation. The second case was a young lady being assaulted with knife and fork over the neck. She was also suspected to have cervical nerve root injury preoperatively. Vascular control of vertebral artery was achieved with endovascular intervention. Subsequent operation for foreign body removal and nerve root repair was performed with minimal bleeding intraoperatively. Management approach of penetrating vertebral artery injury with concomitant cervical nerve root injury and the role of endovascular intervention were discussed.中文摘要穿透性椎動脈損傷不常見，但可以致命。我們報告兩個穿透性椎動脈損傷，并伴有頸椎神經根損傷的案例。第一案例是一名年輕男士被金屬碎片割傷頸部。術前懷疑頸神經根損傷。傷口探查過程中遇到椎動脈大量出血，血管結紮後進行逆行血管內栓塞術作進一步處理。第二案例是一名年輕女士被人以刀叉襲擊頸部。手術前亦懷疑有頸神經根損傷。她先接受了血管介入性治療，隨後進行異物取出和神...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - Category: Orthopaedics Source Type: research