Surgical treatment of cervical spine tumors involving vertebral artery in children: analysis of small sample siz

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Mushkin A.Yu.

Saint-Petersburg Research Institute of Phthisiopulmonology;
Pavlov St. Petersburg First State Medical University

Glukhov D.A.

Saint-Petersburg Research Institute of Phthisiopulmonology

Zorin V.I.

Saint-Petersburg Research Institute of Phthisiopulmonology;
Mechnikov North-Western State Medical University

Shlomin V.V.

St. Petersburg City Multi-Field Hospital No. 2

Snishchuk V.P.

Leningrad Regional Pediatric Hospital

Surgical treatment of cervical spine tumors involving vertebral artery in children: analysis of small sample siz

Authors:

Mushkin A.Yu., Glukhov D.A., Zorin V.I., Shlomin V.V., Snishchuk V.P.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(11): 56‑65

DOI: 10.17116/hirurgia202111156

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To cite this article:

Mushkin AYu, Glukhov DA, Zorin VI, Shlomin VV, Snishchuk VP. Surgical treatment of cervical spine tumors involving vertebral artery in children: analysis of small sample siz. Pirogov Russian Journal of Surgery. 2021;(11):56‑65. (In Russ.)
https://doi.org/10.17116/hirurgia202111156

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

OBJECTIVE

To analyze the features of cervical spine tumors involving vertebral artery in pediatric patients.

MATERIAL AND METHODS

A single center 2-year retrospective cohort includes 7 children with cervical spine tumors involving vertebral artery. Demographic data, duration of diagnostic process, clinical and radiological manifestations, features of surgical treatment, morphology, and postoperative outcomes were studied. We analyzed the features of vascular imaging, pre- and intraoperative manipulations on the vertebral artery.

RESULTS

Mean age of patients was 13.3 years, duration of diagnostic process — 13.1 months. Cervicalgia was the most common complaint. Malignant process was found in 2 cases. Preoperative temporary balloon occlusion test and subsequent endovascular embolization of vertebral artery were performed in 1 case, intraoperative ligation — in 1 patient. Injury and subsequent tamponade were noted in another patient. There were not neurological complications associated with arterial occlusion in postoperative period.

CONCLUSION

Our group was compared with the data from 14 manuscripts comprising 21 children with similar cervical spine lesions. The decision making algorithm for surgical treatment of patients with cervical spine tumors involving vertebral artery is proposed.

Keywords:

tumor

cervical spine

vertebral artery

children

surgery

Authors:

Mushkin A.Yu.

Saint-Petersburg Research Institute of Phthisiopulmonology;
Pavlov St. Petersburg First State Medical University

Glukhov D.A.

Saint-Petersburg Research Institute of Phthisiopulmonology

Zorin V.I.

Saint-Petersburg Research Institute of Phthisiopulmonology;
Mechnikov North-Western State Medical University

Shlomin V.V.

St. Petersburg City Multi-Field Hospital No. 2

Snishchuk V.P.

Leningrad Regional Pediatric Hospital

Received:

22.12.2020

Accepted:

20.01.2021

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References:

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