Does ponticulus posticus affect vertebral artery diameter

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dc.authoridAtik, Irfan/0000-0002-9026-2076
dc.authoridGul, Enes/0000-0002-5562-2697
dc.contributor.authorGul, Enes
dc.contributor.authorAtik, Irfan
dc.date.accessioned2024-10-26T18:04:02Z
dc.date.available2024-10-26T18:04:02Z
dc.date.issued2024
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractPurpose Ponticulus Posticus, atlantooccipital ligament ossification-induced anomaly, surrounds the vertebral artery and the first cervical nerve root. It is believed to wrap around the first cervical nerve root and the vertebral artery, causing compression. We hypothesized that it would also reduce the diameter of the vertebral artery. Methods Between January 1, 2022, and December 31, 2022, cervical spine CT scans taken for any reason were retrospectively reviewed. The images of 1365 patients suitable for evaluation were evaluated by two expert radiologists in 3 dimensions. Among patients with PP, those who underwent cervical angiography were identified for vertebral artery diameter measurement. Results The average age of the 1365 individuals included in the study (732 males, 633 females) was 55.78 (+/- 18.85) with an age range of 1-96. Among this group, PP was detected in 288 individuals, resulting in a total prevalence of 21.1%. Right and left vertebral artery diameters were significantly lower in patients with complete PP compared to the absent group (p < 0,001, p < 0,001, respectively). Additionally, it was observed that width and height diameters and artery diameters were positively correlated in patients with Complete PP. Conclusions Ponticulus posticus can cause vertebrobasilar insufficiency by reducing the diameter of the vertebral artery. Therefore, imaging and detailed evaluation of this region are important in symptomatic patients.
dc.identifier.doi10.1007/s00276-024-03430-w
dc.identifier.endpage1524
dc.identifier.issn0930-1038
dc.identifier.issn1279-8517
dc.identifier.issue9
dc.identifier.pmid38976052
dc.identifier.scopus2-s2.0-85197697469
dc.identifier.scopusqualityQ2
dc.identifier.startpage1517
dc.identifier.urihttps://doi.org/10.1007/s00276-024-03430-w
dc.identifier.urihttps://hdl.handle.net/20.500.12418/28709
dc.identifier.volume46
dc.identifier.wosWOS:001265406500001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer France
dc.relation.ispartofSurgical and Radiologic Anatomy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCervical vertebra
dc.subjectPonticulus posticus
dc.subjectComputed tomography
dc.subjectMorphometry
dc.subjectVertebral artery diameter
dc.titleDoes ponticulus posticus affect vertebral artery diameter
dc.typeArticle

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