Atlanto Axial Instability Repair
| dc.contributor.author | Narbus, Christopher | |
| dc.date.accessioned | 2019-06-04T16:27:22Z | |
| dc.date.available | 2019-06-04T16:27:22Z | |
| dc.date.issued | 2014-11-05 | |
| dc.description.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. | en_US |
| dc.identifier.uri | https://hdl.handle.net/1813/66193 | |
| dc.language.iso | en_US | en_US |
| dc.subject | instability, axis, atlas, dens | en_US |
| dc.title | Atlanto Axial Instability Repair | en_US |
| dc.type | case study | en_US |
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