{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T04:03:19Z","timestamp":1768276999476,"version":"3.49.0"},"reference-count":7,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T00:00:00Z","timestamp":1675641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Vertebral artery dissection (VAD) is a rare vascular cause of acute stroke. Although VAD may be classified as spontaneous or traumatic, it is increasingly recognized that trivial mechanical stress typically precipitates this potentially dangerous condition. Herein, we report a rare case of VAD and acute stroke following anterior cervical decompression and artificial disc replacement (ADR). To our knowledge, there have been no other cases of acute vertebrobasilar stroke caused by VAD following anterior cervical decompression and ADR. This case highlights that, although rare, acute vertebrobasilar stroke may occur after the anterior cervical approach.<\/jats:p>","DOI":"10.3390\/diagnostics13040595","type":"journal-article","created":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T04:25:28Z","timestamp":1675657528000},"page":"595","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Vertebral Artery Dissection Following Anterior Cervical Decompression and Artificial Disc Replacement"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4778-491X","authenticated-orcid":false,"given":"Seong Hwan","family":"Ahn","sequence":"first","affiliation":[{"name":"Department of Neurology, College of Medicine, Chosun University, Gwangju 61453, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haksung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, College of Medicine, Chosun University, Gwangju 61453, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3636-002X","authenticated-orcid":false,"given":"Dae Kyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, College of Medicine, Chosun University, Gwangju 61453, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seok Won","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, College of Medicine, Chosun University, Gwangju 61453, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1016\/j.spinee.2004.11.015","article-title":"Iatrogenic vertebral artery injury during anterior cervical spine surgery","volume":"5","author":"Burke","year":"2005","journal-title":"Spine J."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/S0090-3019(03)00113-7","article-title":"Vertebral artery complications in anterior approaches to the cervical spine: Report of two cases and review of literature","volume":"59","author":"Daentzer","year":"2003","journal-title":"Surg. Neurol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"34","DOI":"10.13004\/kjnt.2022.18.e20","article-title":"Epidemiology and Management of Iatrogenic Vertebral Artery Injury Associated With Cervical Spine Surgery","volume":"18","author":"Yi","year":"2022","journal-title":"Korean J Neurotrauma"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.1161\/01.STR.0000169919.73219.30","article-title":"A systematic review of the risk factors for cervical artery dissection","volume":"36","author":"Rubenstein","year":"2005","journal-title":"Stroke"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"E658","DOI":"10.1097\/01.brs.0000184557.81864.19","article-title":"Atraumatic vertebral artery dissection after cervical corpectomy: A traction injury?","volume":"30","author":"Dickerman","year":"2005","journal-title":"Spine"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"rjx014","DOI":"10.1093\/jscr\/rjx014","article-title":"Vertebral artery dissection following a posterior cervical foraminotomy","volume":"2017","author":"Sheth","year":"2017","journal-title":"J. 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Care Resusc."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/4\/595\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:25:24Z","timestamp":1760120724000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/4\/595"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,6]]},"references-count":7,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["diagnostics13040595"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics13040595","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,6]]}}}