The anterior spinal artery origin

A microanatomical study

U. Er, K. Fraser, G. Lanzino

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Backround: Detailed knowledge of the pattern of origin of the anterior spinal artery is critical as surgical and endovascular procedures involving the area of the ventral medulla and the vertebrobasilar junction are commonplace. We conducted a detailed microanatomical study to elucidate the site and pattern of origin of this critically important artery. Method: Nine adult cadaveric heads (18 sides) were examined after injection of colored silicon. In every specimen, the site of origin of the rami of the anterior spinal artery, their course, branching pattern and anastomoses, external diameters, and the distance from neighbor critical vessels were recorded. The dissections were performed with the aid of both the surgical microscope and a 0 degree endoscope. Findings: The pattern and site of origin of the anterior spinal artery show great variability. Also the distance of the origin of the two rami (right and left) forming the anterior spinal artery from the vertex of the vertebrobasilar junction and from the origin of the posterior inferior cerebellar artery is highly variable. Conclusions: Knowledge of the different pattern of origin and course of the proximal portion of the anterior spinal artery is critically important when planning and executing endovascular and surgical procedures involving the distal vertebral artery, the vertebrobasilar junction and the ventral medulla. On the basis of our and other authors' findings, we propose an overall classification of the pattern of origin and distribution of the proximal anterior spinal artery, which has clinical repercussions.

Original languageEnglish (US)
Pages (from-to)45-49
Number of pages5
JournalSpinal Cord
Volume46
Issue number1
DOIs
StatePublished - Jan 2008
Externally publishedYes

Fingerprint

Arteries
Endovascular Procedures
Vertebral Artery
Endoscopes
Silicon
Dissection
Head
Injections

Keywords

  • Anterior spinal artery
  • Endovascular obliteration
  • Medulla oblongata
  • Microsurgery
  • Microsurgical anatomy
  • Vertebral artery

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

The anterior spinal artery origin : A microanatomical study. / Er, U.; Fraser, K.; Lanzino, G.

In: Spinal Cord, Vol. 46, No. 1, 01.2008, p. 45-49.

Research output: Contribution to journalArticle

Er, U. ; Fraser, K. ; Lanzino, G. / The anterior spinal artery origin : A microanatomical study. In: Spinal Cord. 2008 ; Vol. 46, No. 1. pp. 45-49.
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