Distance between midline and vertebral artery groove of atlas – a real aid to the neurosurgeon

The knowledge of the relationship of the vertebral artery with the atlas is very important, in order to avoid any injury to the vertebral artery, during surgeries in the craniovertebral region. Different researchers have measured the distance of the vertebral artery from the midline along the poster...

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Main Authors:	Mukesh S, Prabhat G, Mohd Salahuddin A, Kumar SR
Format:	Article
Language:	English
Published:	Department of Surgery, UKM Medical Centre 2014
Online Access:	http://journalarticle.ukm.my/7691/ http://journalarticle.ukm.my/7691/ http://journalarticle.ukm.my/7691/1/06._MS1151_%2826-29%29.pdf

id	ukm-7691
recordtype	eprints
spelling	ukm-76912016-12-14T06:44:53Z http://journalarticle.ukm.my/7691/ Distance between midline and vertebral artery groove of atlas – a real aid to the neurosurgeon Mukesh S, Prabhat G, Mohd Salahuddin A, Kumar SR, The knowledge of the relationship of the vertebral artery with the atlas is very important, in order to avoid any injury to the vertebral artery, during surgeries in the craniovertebral region. Different researchers have measured the distance of the vertebral artery from the midline along the posterior arch of atlas (oblique distance), but some authors have measured the perpendicular distance of vertebral artery from the midline. Usually, it is the perpendicular distance along which the surgeons are exploring in this region. Hence, the present study was planned to study and compare both oblique and perpendicular distances of the vertebral artery from the midline and find out statistical differences between these two parameters. It was carried out on 30 atlas vertebrae of Indian origin. The oblique and perpendicular distances of vertebral artery groove from midline and the thickness of vertebral artery groove were measured. The results suggest that dissection on the posterior aspect of the arch of atlas should remain 17.00 mm lateral to the midline and dissection on the superior aspect of the arch of atlas should remain 8.00 mm from the midline to prevent injury to the vertebral artery. It was also observed that “oblique distances of vertebral artery groove from the midline to the medial margin of inner and outer cortex are larger than the corresponding perpendicular distances from the midline”. Although, the differences of oblique and perpendicular distances are not statistically significant but it may be clinically significant for the surgeons operating in the craniovertebral region. Hence, it is concluded that the surgeon should be aware of both the distances while operating in the craniovertebral region to avoid any iatrogenic injury to the vertebral artery. Department of Surgery, UKM Medical Centre 2014-01-01 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/7691/1/06._MS1151_%2826-29%29.pdf Mukesh S, and Prabhat G, and Mohd Salahuddin A, and Kumar SR, (2014) Distance between midline and vertebral artery groove of atlas – a real aid to the neurosurgeon. Journal of Surgical Academia, 4 (1). pp. 26-29. ISSN 2231-7481 http://jsurgacad.com/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	The knowledge of the relationship of the vertebral artery with the atlas is very important, in order to avoid any injury to the vertebral artery, during surgeries in the craniovertebral region. Different researchers have measured the distance of the vertebral artery from the midline along the posterior arch of atlas (oblique distance), but some authors have measured the perpendicular distance of vertebral artery from the midline. Usually, it is the perpendicular distance along which the surgeons are exploring in this region. Hence, the present study was planned to study and compare both oblique and perpendicular distances of the vertebral artery from the midline and find out statistical differences between these two parameters. It was carried out on 30 atlas vertebrae of Indian origin. The oblique and perpendicular distances of vertebral artery groove from midline and the thickness of vertebral artery groove were measured. The results suggest that dissection on the posterior aspect of the arch of atlas should remain 17.00 mm lateral to the midline and dissection on the superior aspect of the arch of atlas should remain 8.00 mm from the midline to prevent injury to the vertebral artery. It was also observed that “oblique distances of vertebral artery groove from the midline to the medial margin of inner and outer cortex are larger than the corresponding perpendicular distances from the midline”. Although, the differences of oblique and perpendicular distances are not statistically significant but it may be clinically significant for the surgeons operating in the craniovertebral region. Hence, it is concluded that the surgeon should be aware of both the distances while operating in the craniovertebral region to avoid any iatrogenic injury to the vertebral artery.
format	Article
author	Mukesh S, Prabhat G, Mohd Salahuddin A, Kumar SR,
spellingShingle	Mukesh S, Prabhat G, Mohd Salahuddin A, Kumar SR, Distance between midline and vertebral artery groove of atlas – a real aid to the neurosurgeon
author_facet	Mukesh S, Prabhat G, Mohd Salahuddin A, Kumar SR,
author_sort	Mukesh S,
title	Distance between midline and vertebral artery groove of atlas – a real aid to the neurosurgeon
title_short	Distance between midline and vertebral artery groove of atlas – a real aid to the neurosurgeon
title_full	Distance between midline and vertebral artery groove of atlas – a real aid to the neurosurgeon
title_fullStr	Distance between midline and vertebral artery groove of atlas – a real aid to the neurosurgeon
title_full_unstemmed	Distance between midline and vertebral artery groove of atlas – a real aid to the neurosurgeon
title_sort	distance between midline and vertebral artery groove of atlas – a real aid to the neurosurgeon
publisher	Department of Surgery, UKM Medical Centre
publishDate	2014
url	http://journalarticle.ukm.my/7691/ http://journalarticle.ukm.my/7691/ http://journalarticle.ukm.my/7691/1/06._MS1151_%2826-29%29.pdf
first_indexed	2023-09-18T19:50:23Z
last_indexed	2023-09-18T19:50:23Z
_version_	1777406179754901504

Distance between midline and vertebral artery groove of atlas – a real aid to the neurosurgeon

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