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19 year old figure skater fell during skating practice which resulted in a neck injury requiring surgery. The radiograph on the far left shows the orthopedic fixation
that was required to stabilize her cervical spinal fracture-dislocation. Unfortunately, the orthopedic procedure was complicated by unexpected bleeding following
placement of pedicle fixation screws. Initial arteriography (middle image) demonstrates a pseudoaneurysm, or false aneurysm (arrow), of the right vertebral artery near
the site of the original injury. Endovascular occlusion of the pseudoaneurysm (far right image, black arrow) resulted in a complete cure, and the patient remains
neurologically normal and has resumed her skating career. |
