Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy
Objective Vertebral artery injuries during posterior cervical foraminotomy are rare, but can be fatal. Therefore, we investigated the anatomical correlation between the lateral recess and the vertebral artery. Methods On axial cuts of cervical magnetic resonance imaging from 108 patients, we measure...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Spinal Neurosurgery Society
2019-03-01
|
| Series: | Neurospine |
| Subjects: | |
| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-1836304-152.pdf |
| _version_ | 1797330546965086208 |
|---|---|
| author | Sung Woon Oh Ravindra Singh Nitin Maruti Adsul Jung Hoon Noh Jun Hwan Park Hyeun-Sung Kim Il-Tae Jang Seong Hoon Oh |
| author_facet | Sung Woon Oh Ravindra Singh Nitin Maruti Adsul Jung Hoon Noh Jun Hwan Park Hyeun-Sung Kim Il-Tae Jang Seong Hoon Oh |
| author_sort | Sung Woon Oh |
| collection | DOAJ |
| description | Objective Vertebral artery injuries during posterior cervical foraminotomy are rare, but can be fatal. Therefore, we investigated the anatomical correlation between the lateral recess and the vertebral artery. Methods On axial cuts of cervical magnetic resonance imaging from 108 patients, we measured the distance between the vertebral arteries and the medial border of the facet joints. The anatomical vertebro-facet distance (AVFD), surgical vertebro-facet distance (SVFD), and vertebro-facet angle (VFA) were measured. Results The mean AVFD values on the right side at the C3–4, C4–5, C5–6, and C6–7 levels showed statistically significant differences. On the right side, the mean SVFD values were equivalent to the AVFD values. The mean values of the VFA on the right side at all levels showed statistically significant differences. For all measurements, the greatest differences were seen between the C5–6 and C6–7 levels, and higher levels were associated with smaller distances from the lateral recess. The mean values of the AVFD on the right and left sides showed statistically significant differences at all levels, and the distances on the left were smaller than those on the right. Conclusion The vertebral artery is closer to the lateral recess at higher cervical levels than at lower cervical levels. The largest distances were found at the C5–6 and C6–7 levels, and the left vertebral arteries were closer to the lateral recess than the right vertebral arteries. |
| first_indexed | 2024-03-08T07:21:19Z |
| format | Article |
| id | doaj.art-683f36383bd34e3197d9f6b87b96ba02 |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:21:19Z |
| publishDate | 2019-03-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-683f36383bd34e3197d9f6b87b96ba022024-02-02T23:20:58ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912019-03-01161344010.14245/ns.1836304.152854Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical ForaminotomySung Woon Oh0Ravindra Singh1Nitin Maruti Adsul2Jung Hoon Noh3Jun Hwan Park4Hyeun-Sung Kim5Il-Tae Jang6Seong Hoon Oh7 Department of Neurosurgery, Nanoori Gangnam Hospital, Seoul, Korea Department of Neurosurgery, Nanoori Gangnam Hospital, Seoul, Korea Department of Ortho-Spine Surgery, Sir Ganga Ram Hospital, Delhi, India Department of Neurosurgery, Nanoori Gangnam Hospital, Seoul, Korea Medical School University of Debrecen, Debrecen, Hungary Department of Neurosurgery, Nanoori Gangnam Hospital, Seoul, Korea Department of Neurosurgery, Nanoori Gangnam Hospital, Seoul, Korea Department of Neurosurgery, Nanoori Incheon Hospital, Incheon, KoreaObjective Vertebral artery injuries during posterior cervical foraminotomy are rare, but can be fatal. Therefore, we investigated the anatomical correlation between the lateral recess and the vertebral artery. Methods On axial cuts of cervical magnetic resonance imaging from 108 patients, we measured the distance between the vertebral arteries and the medial border of the facet joints. The anatomical vertebro-facet distance (AVFD), surgical vertebro-facet distance (SVFD), and vertebro-facet angle (VFA) were measured. Results The mean AVFD values on the right side at the C3–4, C4–5, C5–6, and C6–7 levels showed statistically significant differences. On the right side, the mean SVFD values were equivalent to the AVFD values. The mean values of the VFA on the right side at all levels showed statistically significant differences. For all measurements, the greatest differences were seen between the C5–6 and C6–7 levels, and higher levels were associated with smaller distances from the lateral recess. The mean values of the AVFD on the right and left sides showed statistically significant differences at all levels, and the distances on the left were smaller than those on the right. Conclusion The vertebral artery is closer to the lateral recess at higher cervical levels than at lower cervical levels. The largest distances were found at the C5–6 and C6–7 levels, and the left vertebral arteries were closer to the lateral recess than the right vertebral arteries.http://www.e-neurospine.org/upload/pdf/ns-1836304-152.pdfVertebral arteryLateral recessPosterior cervical foraminotomy |
| spellingShingle | Sung Woon Oh Ravindra Singh Nitin Maruti Adsul Jung Hoon Noh Jun Hwan Park Hyeun-Sung Kim Il-Tae Jang Seong Hoon Oh Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy Neurospine Vertebral artery Lateral recess Posterior cervical foraminotomy |
| title | Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy |
| title_full | Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy |
| title_fullStr | Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy |
| title_full_unstemmed | Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy |
| title_short | Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy |
| title_sort | anatomical relationship of the vertebral artery with the lateral recess clinical importance for posterior cervical foraminotomy |
| topic | Vertebral artery Lateral recess Posterior cervical foraminotomy |
| url | http://www.e-neurospine.org/upload/pdf/ns-1836304-152.pdf |
| work_keys_str_mv | AT sungwoonoh anatomicalrelationshipofthevertebralarterywiththelateralrecessclinicalimportanceforposteriorcervicalforaminotomy AT ravindrasingh anatomicalrelationshipofthevertebralarterywiththelateralrecessclinicalimportanceforposteriorcervicalforaminotomy AT nitinmarutiadsul anatomicalrelationshipofthevertebralarterywiththelateralrecessclinicalimportanceforposteriorcervicalforaminotomy AT junghoonnoh anatomicalrelationshipofthevertebralarterywiththelateralrecessclinicalimportanceforposteriorcervicalforaminotomy AT junhwanpark anatomicalrelationshipofthevertebralarterywiththelateralrecessclinicalimportanceforposteriorcervicalforaminotomy AT hyeunsungkim anatomicalrelationshipofthevertebralarterywiththelateralrecessclinicalimportanceforposteriorcervicalforaminotomy AT iltaejang anatomicalrelationshipofthevertebralarterywiththelateralrecessclinicalimportanceforposteriorcervicalforaminotomy AT seonghoonoh anatomicalrelationshipofthevertebralarterywiththelateralrecessclinicalimportanceforposteriorcervicalforaminotomy |