椎动脉高跨及其对上颈椎手术的影响

High-riding vertebral artery and its influence on upper cervical spine surgery

椎动脉在枢椎椎动脉沟内的走形变异中最常见的是椎动脉高跨,其对上颈椎手术内固定方式的选择有影响,且可能导致椎动脉损伤甚至死亡等严重并发症。近年来,关于椎动脉高跨概念、发生率、诊断技术、分型及对上颈椎手术方式影响的研究有了较大的进展。该综述对上述内容进行总结,以期提高临床医生对椎动脉高跨的认识,为椎动脉高跨的及时诊断和相应制定合理的上颈椎手术固定方案并减少手术并发症提供参考。

In the variation of vertebral artery in artery groove,high-riding vertebral artery is the most common.High-riding vertebral artery can affect the choice of internal fixation device for upper cervical spine surgery,and may lead to serious complications such as vertebral artery injury and even death.In recent years,great progress has been made in the concept,incidence,diagnostic techniques,classification and impact on upper cervical spine surgery of high-riding vertebral artery.This review summarizes the above contents in order to improve clinicians’understanding of high-riding vertebral artery,and provide a reference for timely diagnosis of high-riding vertebral artery,make an appropriate plan for upper cervical cervical spine surgical fixation,and reduce surgical complications.