{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T17:19:13Z","timestamp":1762017553614},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2011,12,20]],"date-time":"2011-12-20T00:00:00Z","timestamp":1324339200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To (1) describe a surgical distraction technique for C1\u20102 cervical fractures\/luxations or atlantoaxial (<jats:styled-content style=\"fixed-case\">AA<\/jats:styled-content>) subluxations using the base of the skull (basion of the foramen magnum) and either C2\u20103 or C3\u20104 for the purchase points of intraoperative axial distraction and (2) report outcome in 13 dogs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Dogs (<jats:styled-content style=\"fixed-case\">n<\/jats:styled-content> = 13).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Medical records (<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>eptember 1995\u2013<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2005) of dogs with fracture\/luxation of the cervical spine, or <jats:styled-content style=\"fixed-case\">AA<\/jats:styled-content> subluxations, were reviewed. Only dogs that had intraoperative linear distraction using the base of the skull as a purchase point for a self\u2010retaining retractor were included. Signalment, presenting neurologic deficits, fracture location, and concurrent injury were recorded. Both short\u2010term in\u2010hospital follow\u2010up, including healing and any complications, and long\u2010term telephone follow\u2010up were obtained.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Realignment of the spinal vertebrae, reestablishing the normal properties of the spinal canal, was achieved after distraction in all dogs. Screws and small pins incorporated into polymethylmethacrylate cement were used to span the fracture ventrally and achieve rigid internal fixation. Eight dogs had a complete neurologic recovery, 2 dogs had slight residual ataxia, 2 dogs died, and 1 dog was lost to follow\u2010up. Healing was good (mean, 7.5 weeks) or excellent (mean, 5.1 months) based on in\u2010hospital follow\u2010up (mean, 5.1 months). On final telephone follow\u2010up (mean, 7.7 years), no dogs were reported to have had any associated problems or additional surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This surgical distraction technique was a reliable, relatively simple method to obtain reduction of fracture\/luxations of C1\u20102 to re\u2010align the spinal canal. Mortality in this series appears lower than that previously reported and supports surgical management of these injuries.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1532-950x.2011.00916.x","type":"journal-article","created":{"date-parts":[[2011,12,20]],"date-time":"2011-12-20T16:47:33Z","timestamp":1324399653000},"page":"235-247","source":"Crossref","is-referenced-by-count":12,"title":["Reduction and Fixation of Cranial Cervical Fracture\/Luxations using Screws and Polymethylmethacrylate (<scp>PMMA<\/scp>) Cement: A Distraction Technique Applied to the Base of the Skull in Thirteen Dogs"],"prefix":"10.1111","volume":"41","author":[{"given":"Fred S.","family":"Pike","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences Cummings School of Veterinary Medicine at Tufts University  North Grafton MA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. S. 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