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1、椎动脉高跨和颈2椎板螺钉(High-Riding Vertebral Artery/C2 laminar screws),俞武良 2018-3-21,C2 pedicle screw,vertebral artery(VA),VA injury,4.1%to 8.2%for posterior atlantoaxial transarticular screw fixation 5.3%21%for C2 pedicular screw,Factors contribute to VA injury VA groove(VAG)anomalyhigh-riding vertebral arte
2、ry 14.5%18%narrow C2 pedicle 9.5%32%insertion of the screw extremely close to the VA,HRVA defined as having an isthmus height of 5 mm and/or an internal height of 2 mm on the sagittal image 23 mm lateral to the cortical border of the spinal canal at C2.,narrow C2 pedicle defined as having the largest pedicular width of 4 mm on the axial image,high-riding vertebral artery(HRVA),椎动脉在枢椎上关节突的下方有一个向外的弯曲,如果椎动脉弯曲过于向后、内或位置过高,则提示枢椎峡部狭窄,这种情况称为椎动脉高跨,C2 laminar screw(Wright 2004),我们最近的病例,