{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T17:55:00Z","timestamp":1791309300187,"version":"4.3.1"},"reference-count":14,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe the repair of a fractured cranial articular process (AP) of the sixth cervical vertebra (C6) with cortex screws placed in lag fashion using computer\u2010assisted surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animal<\/jats:title><jats:p>A 12\u2010year\u2010old Swiss Warmblood gelding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Case report.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The gelding was presented with neck pain and ataxia after a fall. A fracture of the right cranial AP of C6 was identified on radiographs. The fracture was repaired by internal fixation with two 4.5\u2009mm cortex screws of 58 and 48\u2009mm length placed in lag fashion using computer\u2010assisted surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During general anesthesia, it was suspected that the gelding developed brain edema that prolonged the recovery process. Postoperatively, the horse showed transient ataxia and myopathy of the left triceps muscle. Except for focal muscular atrophy of the right supraspinatus muscle, all complications resolved. Radiographs confirmed healing of the fracture with minimal callus formation. One year after surgery, the gelding had returned to ridden exercise and was performing well.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Computer\u2010assisted surgery facilitates lag screw fixation of AP fractures and makes this a potential alternative to intervertebral body fusion, which is recommended for this type of fracture to avoid excessive callus formation and subsequent spinal cord or cervical spinal nerve compression.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.14273","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T06:25:24Z","timestamp":1747981524000},"page":"920-929","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Internal fixation of a fractured cranial articular process of the sixth cervical vertebra by means of computer\u2010assisted surgery in a Warmblood gelding"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0786-2759","authenticated-orcid":false,"given":"Melanie J.","family":"K\u00e4fer\u2010Karrer","sequence":"first","affiliation":[{"name":"Division of Equine Surgery, Department of Clinical Veterinary Medicine, Vetsuisse Faculty University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4357-6096","authenticated-orcid":false,"given":"Mathieu","family":"de Preux","sequence":"additional","affiliation":[{"name":"Division of Equine Surgery, Department of Clinical Veterinary Medicine, Vetsuisse Faculty University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1818-4285","authenticated-orcid":false,"given":"Elke","family":"Van der Vekens","sequence":"additional","affiliation":[{"name":"Division of Clinical Radiology, Department of Clinical Veterinary Medicine, Vetsuisse Faculty University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa I.","family":"Mattei","sequence":"additional","affiliation":[{"name":"Section of Anesthesiology and Pain Therapy, Department of Clinical Veterinary Medicine, Vetsuisse Faculty University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jovana","family":"Kuhlmann","sequence":"additional","affiliation":[{"name":"Division of Equine Surgery, Department of Clinical Veterinary Medicine, Vetsuisse Faculty University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mica\u00ebl D.","family":"Klopfenstein Bregger","sequence":"additional","affiliation":[{"name":"Division of Equine Surgery, Department of Clinical Veterinary Medicine, Vetsuisse Faculty University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremiah 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