Presented in part at the 16th Annual Scientific meeting ECVS 2007, Dublin, Ireland.
Use of the Kishigami Atlantoaxial Tension Band in Eight Toy Breed Dogs with Atlantoaxial Subluxation
Article first published online: 6 JAN 2010
© Copyright 2010 by The American College of Veterinary Surgeons
Volume 39, Issue 1, pages 35–42, January 2010
How to Cite
PUJOL, E., BOUVY, B., OMAÑA, M., FORTUNY, M., RIERA, L. and PUJOL, P. (2010), Use of the Kishigami Atlantoaxial Tension Band in Eight Toy Breed Dogs with Atlantoaxial Subluxation. Veterinary Surgery, 39: 35–42. doi: 10.1111/j.1532-950X.2009.00613.x
- Issue published online: 6 JAN 2010
- Article first published online: 6 JAN 2010
- Submitted July 2008; Accepted February 2009
Objective— To determine the applicability, complications, and long-term functional outcome of the Kishigami Atlantoaxial Tension Band (Kishigami AATB) for management of congenital and traumatic atlantoaxial (AA) instability in toy breed dogs.
Study Design— Case series.
Animals— Toy breed dogs (n=8) with congenital or traumatic AA instability.
Methods— The AA joint of each dog was surgically stabilized through a dorsal approach using the original or a modified version of the Kishigami AATB. Pre- and postoperative neurologic status, radiographs, and complications were reviewed. Follow-up examination was performed at 1 and 12 months.
Results— Functional improvement occurred in 5 dogs; 1 dog did not improve or worsen and 2 dogs were euthanatized at owner request. Adequate reduction and stabilization was achieved in 7 dogs based on immediate postoperative radiographs; failure of reduction was evident in 1 dog. No relevant complications occurred.
Conclusions— Kishigami AATB may be acceptable as an alternative method for dorsal stabilization of AA subluxation in toy breed dogs in which use of ventral screws or pins is challenging. Experience with this technique in a larger population is necessary to compare our results to those reported by ventral approach.
Clinical Relevance— The surgical technique described is effective, safe, and simple in the surgical treatment of AA subluxation in toy breed dogs.