Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Correction of Atlanto-axial Instability by Avulsion Fracture of the Axis in a Dog

중쇠뼈 찢김골절로 인한 고리중쇠 관절 불안정의 교정

  • Hwang, Yong-Hyun (Pet's all animal hospital) ;
  • Kim, Minkyung (Institute of animal medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Park, Jung-Hyun (Institute of animal medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Jin, So-Young (Institute of animal medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Park, Ki-Tae (Institute of animal medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Lee, Hee-Chun (Institute of animal medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Lee, Jae-Hoon (Institute of animal medicine, College of Veterinary Medicine, Gyeongsang National University)
  • Accepted : 2013.10.24
  • Published : 2013.12.31
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Abstract

An eight-year-old, castrated male, Poodle dog was presented with a bite wound in the neck region. Clinical examination revealed non-ambulatory signs of tetraparesis with deep pain, and upper motor neuron changes in all limbs. Fractures of the transverse process of C1 and the dorsal spinous process of C2 were observed on the radiographs and the computed tomography (CT). Conservative therapy was performed for 1 week. However the neurological problems were not alleviated until 7 days after injury. The owners agreed to perform surgical stabilization. The surgical stabilization was performed 7 days after presentation. Ventral stabilization was performed with screws, K-wires and bone cement. The dog stood up independently after 4 weeks and was able to walk 6 weeks postoperatively. In this report we suggest that using combined stabilization techniques are effective for this type of cervical fracture in which the dorsal and ventral structures of the vertebra are severely disrupted.

목 부위에 교상을 입은 8살의 중성화된 수컷 푸들이 내원하였다. 신체 검사에서, 보행이 불가능하였고 심부통증이 있는 사지의 불완전 마비로 UML 증상을 보였다. 방사선과 CT 검사에서 경추 1번의 횡돌기의 골절, 경추 2번의 가시돌기의 골절이 관찰 되었다. 보존적 처지를 1주일 실시 하였으나 증상이 완화 되지 않아 수술적 교정이 선택되었다. 수술적 안정은, 배쪽으로 접근하여 나사, K-wires 와 bone cement를 이용하여 내원 7일차에 실시 되었다. 수술 후 4주 이후 혼자 설 수 있었으며, 6주 이후 보행이 가능하였다. 본 증례에서는 등쪽과 배쪽 부위 중쇠뼈 골절을 교정하기 위하여 배쪽 복합 고정을 실시하였으며, 좋은 예후를 보였다.

Keywords

References

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