Anil Kumar SharmaAll India Institute of Medical Sciences, India
Title: C1–2 reduction and fixation: How to deal with anomalous vertebral artery
Though Vertebral Artery (VA) injury may occur in approximately 4.1% patients during surgery at the Craniovertebral Junction (CVJ), little has been discussed about safeguarding such vessels during dissection of the C1-2 joint.
In this presentation (along with surgical video demonstration) we discuss the operative steps to safeguard the anomalous vertebral artery and strategy eliminates reduce the chances of injury without compromising the C1–2 joint dissection posteriorly, required for reduction and achieving a good bony fusion.
Material and Methods:
Preoperative morphometric assessment of the VA for its size, anatomical course, and relationship to the adjacent bony landmarks at CVJ is the well-identified crucial factor for surgical safety and was done in all cases
With the technique discussed, we were able to safeguard the anomalous VA in all our cases. We have described various anomalies of the VA and the operative steps to safeguard it without compromising the C1–2 joint dissection. In the modern neurosurgical era, the VA is no longer identified as a hindrance to approach the atlantoaxial joint.
Anil Kumar Sharma is a Associate Professor and Head Department of Neurosurgery in AIIMS, Raipur. He published more than 50 articles in national and international journals of repute. His presentation/ speaker in more than 35 national and international conferences. Reviewer and editorial board member in various Journals