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Updated: Jun 16, 2025

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Anterior Cervical Discectomy and Fusion in the Ovine Model
Published on: October 5, 2009
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Vertebral Artery Variation and Imposed Risks Associated with Anterior Cervical Discectomy and Fusion Procedures - A
Jacob Tiell1, Robert Ryu2, Larry Todd3
1Department of Biomedical Sciences, Ohio University Heritage College of Osteopathic Medicine, Dublin, Ohio, United States.
Journal of Orthopaedic Case Reports
|August 19, 2024
Summary
Anterior cervical discectomy and fusion (ACDF) carries a risk of vertebral artery (VA) injury due to anatomical anomalies. This case highlights a rare VA variant near an ACDF plate, emphasizing the need for surgical awareness.
Area of Science:
- Neurosurgery
- Anatomy
- Spine Surgery
Background:
- Anterior cervical discectomy and fusion (ACDF) is a common procedure with potential risks, including vertebral artery (VA) injury.
- VA injuries during ACDF, though rare (0.5%), can lead to severe complications due to the artery's proximity to the surgical site.
- Anatomical variations in the VA's course can increase the risk of injury during ACDF.
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