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01-08-2017 | Case Report - Spine

Resolution of traumatic vertebral artery dissection and occlusion after repositioning and posterior C1-ring osteosynthesis of a displaced Jefferson burst fracture

Authors: Andy Ottenbacher, Martin Bettag

Published in: Acta Neurochirurgica | Issue 8/2017

Abstract

A 70-year-old male sustained a Jefferson burst fracture with unilateral vertebral artery dissection and occlusion by displaced fragments. We performed reduction and posterior C1-ring osteosynthesis. We present a description of the intraoperative manual assessment of atlantoaxial stability. The vertebral artery was found with a good anterograde flow posteroperatively, and MRA showed reperfusion of the vessel. The patient was free of pain with preserved C1–C2 rotation after 6 weeks. Function-preserving posterior C1-ring osteosynthesis after reduction in a displaced Jefferson burst fracture complicated by vertebral artery dissection and occlusion may restore blood flow.

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Title: Resolution of traumatic vertebral artery dissection and occlusion after repositioning and posterior C1-ring osteosynthesis of a displaced Jefferson burst fracture
Authors: Andy Ottenbacher
Martin Bettag
Publication date: 01-08-2017
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 8/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-017-3241-x

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Springer Medicine

Resolution of traumatic vertebral artery dissection and occlusion after repositioning and posterior C1-ring osteosynthesis of a displaced Jefferson burst fracture

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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