• Title/Summary/Keyword: Odontoid and Axis Diagnosis

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Diagnosis and treatment of the odontoid process fracture of the axis in a dog (강아지 고리뼈의 치아돌기 골절 진단과 치료)

  • Hyoung Joon Park;ShinHo Lee;Chung Hui Kim;ChungKil Won;Jae-Hyeon Cho
    • Korean Journal of Veterinary Service
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    • v.46 no.1
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    • pp.87-92
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    • 2023
  • A 7-year-old dog weighing 3.9 kg visited the hospital with symptoms of inability to stand and quadriparesis. There were seizure symptoms 2 months before admission to the hospital, and the symptoms of stiffness and rigidity appeared. Radiographs showed normal vertebrae in cervical vertebral column. Magnetic resonance imaging (MRI) and computed tomography (CT) were performed immediately to diagnose vertebral lameness. As a result of the CT, it was possible to observe the fracture of the odontoid process of the axis, and the exact location of the damage was identified. The odontoid process was fractured and separated from the body of the 2nd cervical vertebra (axis), and fragment of the process was observed inside the vertebral arch of the first cervical vertebra (atlas), and the body of the axis was lifted to the dorsal side. The MRI examination reflected the CT findings and confirmed severe spinal cord compression due to the fracture of the odontoid process. The patient was applied by neck brace and medical management including Mycophenolate mofetil administration was performed. The patient was able to move legs and tail after 2 weeks, and was able to voluntarily defecate, urinate and stand up after 4 weeks of administration.

A Study on X-ray Radiography for the Diagnosis of Screw Insertion Operation of Odontoid Fracture Patients in Cervical (목뼈 치아돌기 골절 환자의 나사못 삽입수술 진단을 위한 X-Ray 촬영법 연구)

  • Byung-Ju-Ahn;In-Soo Kim;Jong-Nam Song;Jae-Bok Han
    • Journal of the Korean Society of Radiology
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    • v.18 no.3
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    • pp.309-315
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    • 2024
  • The Study In order to obtain a Clear Image of fractures in Atlas and Axis of Cervical Spin, this Study obtained Images examined using a Cervical Spin Pantom and a Radiation device, and then Commissioned five Radiologists and three Orthopedic Regent Doctors for Subjective Psychological ROC (Receiver, Operation, Characteristic) Evaluation. As aRresult, the X-ray Tube was Tilted 15° toward the leg to Receive a high score of 29 Points during the Eamination, and the Objective Evaluation Signal-to-noise Ratio (SNR) was 6.032 points, which was high. In Addition, by Tilting the X-ray tube 10° toward the head, it received a high score of 33 points during the Examination, and a high score of 7.840 Points in the objective evaluation. And as a result of Subjectively and Objectively Statistically Evaluating the Examined Images, the Cronbach Alpha value was Calculated as 0.791. Since the Cronbach Alpha value was 0.7 or higher, the Reliability could be Evaluated as 'very good', and the significance probability (p) was Statistically Significant at 0.042 points.