Journal of Korean Neurosurgical Society
- 제29권2호
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- Pages.280-285
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- 2000
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
환축추체 후방 나사고정술 후 생긴 동정맥루
Arteriovenous Fistula after C1-2 Posterior Transarticular Screw Fixation - Case Report -
- 이혁기 (대구파티마병원 신경외과) ;
- 조재훈 (대구파티마병원 신경외과) ;
- 이성락 (대구파티마병원 신경외과) ;
- 강동기 (대구파티마병원 신경외과) ;
- 김상철 (대구파티마병원 신경외과) ;
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김용선
(경북대학교 의과대학 진단방사선과학교실)
- Lee, Hyuk Gi (Department of Neurosurgery, Fatima Hospital) ;
- Cho, Jae Hoon (Department of Neurosurgery, Fatima Hospital) ;
- Lee, Sung Lak (Department of Neurosurgery, Fatima Hospital) ;
- Kang, Dong Gee (Department of Neurosurgery, Fatima Hospital) ;
- Kim, Sang Chul (Department of Neurosurgery, Fatima Hospital) ;
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Kim, Yong Sun
(Department of Radiology, Kyungpook National University)
- 투고 : 1999.07.05
- 심사 : 1999.09.10
- 발행 : 2000.02.28
초록
Posterior transarticular screw fixation for atlantoaxial instability due to trauma or rheumatoid arthritis provides immediate rigid fixation of the C1-2 vertebral segment while preserving motion between the occiput and C1. This technique provides more resistance to translational and rotational forces than wiring technique. However, the technique of transarticular screw fixation is inherently demanding because of the complex anatomy of the occipitocervical region and vertebral artery(VA) at risk for arterial damage. VA injury may lead to serious subsequent neurological deficits and possibly death from bilateral VA injury. We report a case of a vertebral artery-to-epidural venous plexus fistula after posterior transarticular screw fixation which was treated with balloon occlusion.