Peer-reviewed veterinary case report
Toy breed dogs with neck instability treated using Kishigami tension
By Pujol, Esteban et al.·Published in Veterinary surgery : VS·2010·Department of Small Animal Surgery, France·View original on PubMed →
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Original publication title: Use of the Kishigami Atlantoaxial Tension Band in eight toy breed dogs with atlantoaxial subluxation.
- Species:
- dog
Plain-English summary
Eight toy breed dogs with atlantoaxial instability, a condition where the first two neck vertebrae are misaligned, underwent surgery using a special technique called the Kishigami Atlantoaxial Tension Band. After the surgery, five of the dogs showed significant improvement in their ability to move and function normally. One dog did not show any change, while two were euthanized at the owner's request. The surgery was successful in stabilizing the neck in most cases, and no major complications were reported. This technique may be a good option for toy breed dogs when other surgical methods are difficult.
People also search for: dog neck surgery · toy breed atlantoaxial instability treatment · Kishigami Atlantoaxial Tension Band for dogs
Abstract
OBJECTIVE: To determine the applicability, complications, and long-term functional outcome of the Kishigami Atlantoaxial Tension Band (Kishigami AATB) for management of congenital and traumatic atlantoaxial (AA) instability in toy breed dogs. STUDY DESIGN; Case series. ANIMALS: Toy breed dogs (n=8) with congenital or traumatic AA instability. METHODS: The AA joint of each dog was surgically stabilized through a dorsal approach using the original or a modified version of the Kishigami AATB. Pre- and postoperative neurologic status, radiographs, and complications were reviewed. Follow-up examination was performed at 1 and 12 months. RESULTS: Functional improvement occurred in 5 dogs; 1 dog did not improve or worsen and 2 dogs were euthanatized at owner request. Adequate reduction and stabilization was achieved in 7 dogs based on immediate postoperative radiographs; failure of reduction was evident in 1 dog. No relevant complications occurred. CONCLUSIONS: Kishigami AATB may be acceptable as an alternative method for dorsal stabilization of AA subluxation in toy breed dogs in which use of ventral screws or pins is challenging. Experience with this technique in a larger population is necessary to compare our results to those reported by ventral approach. CLINICAL RELEVANCE; The surgical technique described is effective, safe, and simple in the surgical treatment of AA subluxation in toy breed dogs.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/20210942/