Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Stabilization using Screws, Wire, and PMMA for Traumatic Cervical Fracture in a Maltese Dog

말티즈 견에서 Screw, Wire와 PMMA를 사용한 외상성 경추 골절의 안정화

  • Kim, KeunYung (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Kim, Minkyung (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Park, Ji-Hun (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Shin, Jeong-In (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Kim, Junsu (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Jang, Yun-Seol (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)
  • 김근영 (경상대학교 수의과대학) ;
  • 김민경 (경상대학교 수의과대학) ;
  • 박지훈 (경상대학교 수의과대학) ;
  • 신정인 (경상대학교 수의과대학) ;
  • 김준수 (경상대학교 수의과대학) ;
  • 장윤설 (경상대학교 수의과대학) ;
  • 이재훈 (경상대학교 수의과대학)
  • Accepted : 2014.10.10
  • Published : 2014.12.31
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Abstract

A 2-year-old, 2 kg Maltese dog was evaluated for progressive tetraparesis and neck pain. The dog had been treated with steroids for the preceding 2 weeks after unknown trauma but was deteriorating progressively and had become tetraparetic. The dog was presented with a non-ambulatory tetraparesis. Radiographic and computed tomographic examinations revealed a transverse C2 fracture with subluxation of the atlantoaxial joint and C2-C3. In addition, hydrocephalus was observed on magnetic resonance imaging. Stabilization of C1-C3 using screws, wires, and polymethyl methacrylate (PMMA) was performed. Application of ventral screws, wires, and PMMA resulted in improvement of the clinical signs after 4 weeks, and the dog could walk as before the tetraparesis 6 weeks after the operation. This stabilization method is an effective surgical treatment for management of cervical instability.

2년령 2 kg 말티즈가 진행성 사지마비와 목의 통증으로 내원하였다. 개는 알 수 없는 외상 이후 지난 2주간 스테로이드로 처치되었으나 점진적으로 상태가 악화되었고, 사지마비 상태가 되었다. 내원 시 개는 보행이 불가능한 사지마비 상태를 보였다. 방사선 사진과 CT 결과, C2의 가로골절과, 환추관절과 C2-C3의 불완전 탈구가 발견되었다. 추가적으로, MRI 상에서 뇌수종이 관찰되었다. Screw, Wire 와 PMMA를 사용한 C1-C3의 안정화가 시행되었다. 수술 후 4주에 임상 증상이 개선되었고, 개는 수술 6주 후에 이전과 마찬가지로 보행이 가능하였다. 본 증례의 Screw, Wire 와 PMMA를 안정화로 경추 골절을 효과적으로 치료하였다.

Keywords

References

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