Work

Two Vertebral Arteries Running Above the Articular Pillars of the Cervical Vertebrae: A Case Report

Year: 2025

Type: article

Abstract: Purpose: This report discusses a rare case of a vertebral artery that runs above the articular pillars of the cervical vertebrae. Methods: A 19-year-old male patient presented after a fall due to paroxysmal dizziness and gait abnormalities, and underwent cervical computed tomography angiography (CTA) for preoperative assessment before posterior cervical surgery. Results: Through cervical CTA imaging, we unexpectedly discovered two variant vertebral arteries positioned superficial to the articular pillars of the cervical vertebrae. Conclusion: This rare case emphasizes the importance of vascular evaluation prior to cervical surgery. CTA imaging is necessary before patients requiring posterior cervical surgery. This unusual vertebral artery may have contributed to the patient's symptoms.

Source: Orthopedic Research and Reviews

DOI: 10.2147/orr.s534910

Authors: Shilei Li, Hongqi Zhang, Guanteng Yang, Mingxing Tang, Qile Gao

Institutions: Central South University, Xiangya Hospital Central South University

Language: English

Topic: Cerebrovascular and Carotid Artery Diseases

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,320