The management of vertebral artery injury in anterior cervical spine operation: a systematic review of published cases
European Spine Journal, 07/16/2012
Evidence Based Medicine
Park HK et al. – The review suggests the management of VA injury should be considered in order listed: (1) performing tamponade with a hemostatic agent, (2) direct repair, (3) postoperative endovascular procedures to prevent delayed complications. If tamponade fails to achieve proper hemostasis, additional procedures as endovascular embolization, clipping and ligation should be considered but carry the risk of neurological complications.