title: Use of the Kishigami Atlantoaxial Tension Band in eight toy breed dogs with atlantoaxial subluxation.
abstract: 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.
  
  
  METHODS
  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.
authors.affiliation: Department of Small Animal Surgery, Centre Hospitalier Vétérinaire Frégis, Arcueil, France. estebanpujol@gmail.com
authors.forename: Esteban
authors.initials: E
authors.lastname: Pujol
authors.forename: Bernard
authors.initials: B
authors.lastname: Bouvy
authors.forename: Miguel
authors.initials: M
authors.lastname: Omaña
authors.forename: Mar
authors.initials: M
authors.lastname: Fortuny
authors.forename: Luis
authors.initials: L
authors.lastname: Riera
authors.forename: Pedro
authors.initials: P
authors.lastname: Pujol
mesh_terms: D000818:Animals; D001268:Atlanto-Axial Joint / Q000601:surgery*; D001864:Bone Wires / Q000662:veterinary; D004283:Dog Diseases / Q000601:surgery*; D004285:Dogs; D005260:Female; D016268:Internal Fixators / Q000662:veterinary*; D004204:Joint Dislocations / Q000601:surgery / Q000662:veterinary*; D008297:Male; D016896:Treatment Outcome