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Atlanto-axial approach for cervical myelography in a Thoroughbred horse with complete fusion of the atlanto-occipital bones
Authors:Monica Aleman  Abigail N Dimock  Erik R Wisner  Jamie W Prutton  John E Madigan
Institution:Departments of Medicine and Epidemiology (Aleman, Madigan), Surgical and Radiological Sciences (Wisner), and The William R. Pritchard Veterinary Medical Teaching Hospital (Dimock, Prutton), School of Veterinary Medicine; University of California, Davis, California, USA.
Abstract:A 2-year-old Thoroughbred gelding with clinical signs localized to the first 6 spinal cord segments (C1 to C6) had complete fusion of the atlanto-occipital bones which precluded performing a routine myelogram. An ultrasound-assisted myelogram at the intervertebral space between the atlas and axis was successfully done and identified a marked extradural compressive myelopathy at the level of the atlas and axis, and axis and third cervical vertebrae.
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