eCommons

 

Atlanto Axial Instability Repair

Other Titles

Abstract

The patient was a 9 month old intact male Yorkshire Terrier who presented to Cornell's Neurology Service for possible atlanto-axial instability. After failure with conservative treatment consisting of a padded neck bandage, prednisone, and Torbutrol, the patient's owners elected for further diagnostic imaging and potential surgical fixation. On presentation the patient was bright, alert, responsive and was wearing a padded bandage that surrounded his neck and extended around his thoracic limbs. His vital parameters were all within normal limits. His general physical examination revealed no significant abnormalities. His neurological exam was normal except for moderate cervical pain. A CT scan and MRI imaging revealed subluxation of the atlantoaxial joint and moderate spinal cord compression at the level of Cl -C2. Surgical fixation of the atlantoaxial joint was conducted followed by visualization of the fixation via computed tomography. The patient was hospitalized for a further 3 days and given pain medication, sedation, a broad spectrum antibiotic and a muscle relaxant. The patient was discharged on oral antibiotics, pain medication and stiict cage rest. This paper will discuss the etiology, diagnosis and treatment of atlantoaxial subluxation.

Journal / Series

Volume & Issue

Description

Sponsorship

Date Issued

2014-11-05

Publisher

Keywords

instability, axis, atlas, dens

Location

Effective Date

Expiration Date

Sector

Employer

Union

Union Local

NAICS

Number of Workers

Committee Chair

Committee Co-Chair

Committee Member

Degree Discipline

Degree Name

Degree Level

Related Version

Related DOI

Related To

Related Part

Based on Related Item

Has Other Format(s)

Part of Related Item

Related To

Related Publication(s)

Link(s) to Related Publication(s)

References

Link(s) to Reference(s)

Previously Published As

Government Document

ISBN

ISMN

ISSN

Other Identifiers

Rights

Rights URI

Types

case study

Accessibility Feature

Accessibility Hazard

Accessibility Summary

Link(s) to Catalog Record