A modified ventral fixation for surgical management of atlantoaxial subluxation in 19 dogs

Veterinary Surgery : VS
Simon R PlattAlan Cross

Abstract

To describe a modified ventral stabilization technique for surgical management of atlantoaxial subluxation in dogs and to evaluate the outcome. Retrospective clinical study. Nineteen client-owned dogs. Medical records of 19 dogs with a radiographic diagnosis of atlantoaxial subluxation surgically managed by a modified ventral fixation technique (cortical screws, Kirschner wires, polymethylmethacrylate) were reviewed. Data on pre- and post-operative neurologic status, surgical technique, and complications were retrieved. Follow-up evaluation was performed at approximately 1 month. Telephone interview of the owner was used for long-term assessment (median follow-up for 17 surviving dogs was 10.5 months). Adequate reduction and stabilization was achieved in all dogs based on radiographic assessment immediately after surgery. Improved neurologic outcome occurred in 16 dogs at 1 month and in 15 dogs at follow-up; 2 dogs died of post-operative complications within 24 hours of surgery. One dog was euthanatized at the owners' request because of recurrent neck pain associated with implant failure after 1 month. Two dogs required surgery to remove broken and migrated implants, but further stabilization was not necessary. Adequate stabili...Continue Reading

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Citations

Feb 18, 2011·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·M DickomeitF Forterre
May 15, 2012·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·F ForterreD Spreng
Mar 3, 2010·Journal of the American Animal Hospital Association·Marc KentSimon R Platt
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Dec 3, 2014·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·C StalinJ Penderis
Oct 2, 2013·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·D Sánchez-MasianJ Mascort
Dec 11, 2007·Veterinary Surgery : VS·Andy Shores, Laura C Tepper
Jun 27, 2012·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·G MiddletonL Gaschen
Sep 7, 2016·The Journal of Veterinary Medical Science·Fumitaka TakahashiYasushi Hara

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