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This is a Literature Review study.

September 10, 2025

Vertebral Artery Injury in Cervical Spine Surgery: Anatomy, Risk Factors, and Modern Management Strategies

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Vertebral artery injury, though rare, can lead to severe neurological outcomes or even death, necessitating careful management.
Most injuries occur at the C1–C2 anatomical locations, with imaging crucial for prompt diagnosis and intervention.
Management strategies include anticoagulation or surgical interventions, tailored according to injury severity.
Preoperative imaging and strategic planning significantly reduce the risk of iatrogenic vertebral artery injury.

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Literature review addresses vertebral artery injury risk factors in cervical spine surgery, suggesting improved management strategies.

Kelhofer et al. (2025) studied this question.

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