在椎手术中复杂的脊椎动脉解剖学的管理:一个病例报告
Yasir Hassan Elhassan1, Asheesh Tandon2, Yasser Seddeg Abdulghani3
1Department of Basic Medical Sciences, Tiabah University, Madinah, Saudi Arabia.
Surgical neurology international
|December 6, 2024
概括
椎结节的手术对脊椎动脉 (VA) 构成风险,特别是在解剖学变异的情况下. 术内多普勒超声波对于在这些复杂的手术过程中尽量减少血管损伤至关重要.
科学领域:
- 神经外科 神经外科
- 血管解剖学 血管解剖学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 椎结合手术涉及复杂的技术.
- 解剖学变异增加了脊椎动脉 (VA) 损伤的风险.
- 宫减压和仪器仪表是特别高风险的程序.
研究的目的:
- 为了呈现一个带有复杂VA异常的椎关形病例.
- 突出高级成像和手术内监测在处理此类病例中的重要性.
- 强调在手术期间尽量减少VA损伤的策略.
主要方法:
- 一名60岁的女性患有基底发育,C1同化和os odontoideum进行了手术.
- 术前评估包括VA解剖学的详细成像.
- 手术方法使用C臂光学,多普勒超声波和神经生理学监测.
主要成果:
- 这位患者呈现出进展性骨髓病变.
- 确定了显著的VA异常,包括一个曲的,低可塑的左VA和一个右VA与一个高骑的中间环.
- 后部手术方法成功实现了形固定和解压.
结论:
- 计算机断层扫描血管造影对于术前的VA评估至关重要.
- 术内多普勒超声波对于在异常解剖的患者中预防VA损伤是无价的.
- 仔细的手术规划和监测对于安全的椎结手术至关重要.
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