Anatomical Variations of the Vertebral Artery: Analysis by Three‐Dimensional Computed Tomography Angiography in Chinese Population

Objective To analyze the anatomical variations of V3 and V2 segments of the vertebral artery in the Chinese population. Methods The current retrospective study was an observational, anatomical, radiological research. Between 1 January 2018 to 31 December 2019, the data of 589 continuous head‐and‐nec...

Full description

Bibliographic Details
Main Authors: Shuang Wang, Wei‐jian Ren, Liang Zheng, Shao‐tong Sun, Bo‐hua Zhang, Yu Chen, Liang‐bi Xiang
Format: Article
Language:English
Published: Wiley 2021-07-01
Series:Orthopaedic Surgery
Subjects:
Online Access:https://doi.org/10.1111/os.13047
_version_ 1818655541834022912
author Shuang Wang
Wei‐jian Ren
Liang Zheng
Shao‐tong Sun
Bo‐hua Zhang
Yu Chen
Liang‐bi Xiang
author_facet Shuang Wang
Wei‐jian Ren
Liang Zheng
Shao‐tong Sun
Bo‐hua Zhang
Yu Chen
Liang‐bi Xiang
author_sort Shuang Wang
collection DOAJ
description Objective To analyze the anatomical variations of V3 and V2 segments of the vertebral artery in the Chinese population. Methods The current retrospective study was an observational, anatomical, radiological research. Between 1 January 2018 to 31 December 2019, the data of 589 continuous head‐and‐neck three‐dimensional computed tomography angiography were observed and analyzed using the open‐source software of Horos. There were 415 males and 174 females with an average age of 44.63 ± 2.5(18–74) years. The variations of the V3 segment were defined as persistent first intersegmental artery (PFIA) and paracondylar processes (PP). The variations of V2 segments were unusual vertebral artery entrance transverse foreman (UE‐V2S) and midline migration (MM). The incidences of all variations were summarized and the gender, side characters were compared. Results Among the patients, 4.34% (18/415) males and 4.60% (8/174) females were with the variation of PFIA. Meanwhile, 12.29% (51/415) males and 10.92% (19/174) females were with the variation of PP. Then 18.80% (78/415) males and 16.67% (29/174) females were with UE‐V2S. All the variations above were not different in genders. As for the variation of MM, 3.86% (16/415) males and 8.62% (15/174) females were identified, and the difference of genders was significant for this type of variation (P < 0.05). The differences between each side were also observed and analyzed for all variations and no differences were found. Conclusion There are several variations of V3 and V2 segments of the vertebral artery are associated with the cervical surgeries, most were without differences in genders and sides, except the variation of MM.
first_indexed 2024-12-17T03:11:20Z
format Article
id doaj.art-92de5894fbb44d2fb04479fd415a4c47
institution Directory Open Access Journal
issn 1757-7853
1757-7861
language English
last_indexed 2024-12-17T03:11:20Z
publishDate 2021-07-01
publisher Wiley
record_format Article
series Orthopaedic Surgery
spelling doaj.art-92de5894fbb44d2fb04479fd415a4c472022-12-21T22:05:49ZengWileyOrthopaedic Surgery1757-78531757-78612021-07-011351556156210.1111/os.13047Anatomical Variations of the Vertebral Artery: Analysis by Three‐Dimensional Computed Tomography Angiography in Chinese PopulationShuang Wang0Wei‐jian Ren1Liang Zheng2Shao‐tong Sun3Bo‐hua Zhang4Yu Chen5Liang‐bi Xiang6Department of Orthopedics General Hospital of Northern Theater Command Shenyang ChinaDepartment of Orthopedics General Hospital of Northern Theater Command Shenyang ChinaDepartment of Orthopedics General Hospital of Northern Theater Command Shenyang ChinaDepartment of Orthopedics General Hospital of Northern Theater Command Shenyang ChinaDepartment of Orthopedics General Hospital of Northern Theater Command Shenyang ChinaDepartment of Orthopedics General Hospital of Northern Theater Command Shenyang ChinaDepartment of Orthopedics General Hospital of Northern Theater Command Shenyang ChinaObjective To analyze the anatomical variations of V3 and V2 segments of the vertebral artery in the Chinese population. Methods The current retrospective study was an observational, anatomical, radiological research. Between 1 January 2018 to 31 December 2019, the data of 589 continuous head‐and‐neck three‐dimensional computed tomography angiography were observed and analyzed using the open‐source software of Horos. There were 415 males and 174 females with an average age of 44.63 ± 2.5(18–74) years. The variations of the V3 segment were defined as persistent first intersegmental artery (PFIA) and paracondylar processes (PP). The variations of V2 segments were unusual vertebral artery entrance transverse foreman (UE‐V2S) and midline migration (MM). The incidences of all variations were summarized and the gender, side characters were compared. Results Among the patients, 4.34% (18/415) males and 4.60% (8/174) females were with the variation of PFIA. Meanwhile, 12.29% (51/415) males and 10.92% (19/174) females were with the variation of PP. Then 18.80% (78/415) males and 16.67% (29/174) females were with UE‐V2S. All the variations above were not different in genders. As for the variation of MM, 3.86% (16/415) males and 8.62% (15/174) females were identified, and the difference of genders was significant for this type of variation (P < 0.05). The differences between each side were also observed and analyzed for all variations and no differences were found. Conclusion There are several variations of V3 and V2 segments of the vertebral artery are associated with the cervical surgeries, most were without differences in genders and sides, except the variation of MM.https://doi.org/10.1111/os.13047Anatomic variationsAnatomyCervical spineCT angiographyVertebral artery
spellingShingle Shuang Wang
Wei‐jian Ren
Liang Zheng
Shao‐tong Sun
Bo‐hua Zhang
Yu Chen
Liang‐bi Xiang
Anatomical Variations of the Vertebral Artery: Analysis by Three‐Dimensional Computed Tomography Angiography in Chinese Population
Orthopaedic Surgery
Anatomic variations
Anatomy
Cervical spine
CT angiography
Vertebral artery
title Anatomical Variations of the Vertebral Artery: Analysis by Three‐Dimensional Computed Tomography Angiography in Chinese Population
title_full Anatomical Variations of the Vertebral Artery: Analysis by Three‐Dimensional Computed Tomography Angiography in Chinese Population
title_fullStr Anatomical Variations of the Vertebral Artery: Analysis by Three‐Dimensional Computed Tomography Angiography in Chinese Population
title_full_unstemmed Anatomical Variations of the Vertebral Artery: Analysis by Three‐Dimensional Computed Tomography Angiography in Chinese Population
title_short Anatomical Variations of the Vertebral Artery: Analysis by Three‐Dimensional Computed Tomography Angiography in Chinese Population
title_sort anatomical variations of the vertebral artery analysis by three dimensional computed tomography angiography in chinese population
topic Anatomic variations
Anatomy
Cervical spine
CT angiography
Vertebral artery
url https://doi.org/10.1111/os.13047
work_keys_str_mv AT shuangwang anatomicalvariationsofthevertebralarteryanalysisbythreedimensionalcomputedtomographyangiographyinchinesepopulation
AT weijianren anatomicalvariationsofthevertebralarteryanalysisbythreedimensionalcomputedtomographyangiographyinchinesepopulation
AT liangzheng anatomicalvariationsofthevertebralarteryanalysisbythreedimensionalcomputedtomographyangiographyinchinesepopulation
AT shaotongsun anatomicalvariationsofthevertebralarteryanalysisbythreedimensionalcomputedtomographyangiographyinchinesepopulation
AT bohuazhang anatomicalvariationsofthevertebralarteryanalysisbythreedimensionalcomputedtomographyangiographyinchinesepopulation
AT yuchen anatomicalvariationsofthevertebralarteryanalysisbythreedimensionalcomputedtomographyangiographyinchinesepopulation
AT liangbixiang anatomicalvariationsofthevertebralarteryanalysisbythreedimensionalcomputedtomographyangiographyinchinesepopulation