Common carotid artery medialization and fracture dislocation of the cervical spine.
Anatomical variation
Cervical spine
Cervical vertebrae
Common carotid artery
Journal
Surgical and radiologic anatomy : SRA
ISSN: 1279-8517
Titre abrégé: Surg Radiol Anat
Pays: Germany
ID NLM: 8608029
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
28
04
2022
accepted:
21
05
2022
pubmed:
21
7
2022
medline:
18
8
2022
entrez:
20
7
2022
Statut:
ppublish
Résumé
To describe the management of the discovery of a retropharyngeal carotid artery in the context of a cervical dislocation. A 68-year-old female presented acute neck pain and incomplete tetraplegia following a fall on the stairs. Radiographs, contrast-enhanced computed tomography scan and magnetic resonance of the cervical spine revealed a C5-C6 bi-articular dislocation. A detailed preoperative assessment of the images discovered a medialization of the left common carotid artery. An external reduction and a left anterior cervical approach allowed a careful management of the vascular variation and an anterior C5-C6 arthrodesis. At six months, a full neurological recovery was assessed and radiographs demonstrated successful fusion of the cervical arthrodesis. Anatomical features such as medialization of the common carotid artery may affect patients with traumatic cervical spine injuries. The severity of the traumatic bone lesions should not overshadow the preoperative analysis of the adjacent anatomical structures encountered during the surgical approach, even in an emergency situation.
Identifiants
pubmed: 35857085
doi: 10.1007/s00276-022-02965-0
pii: 10.1007/s00276-022-02965-0
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1073-1077Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
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