By Donald Piermattei, Kenneth A. Johnson
Read or Download An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat 4th Edition PDF
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Extra info for An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat 4th Edition
Open reduction and ventral stabilization of fractures and luxations of C2-C7. PATIENT POSITIONING The animal, with tracheal catheter in place, is secured in the supine position. A sandbag is placed under the neck to cause definite extension of the cervical vertebral column. It is often useful to elevate the body by positioning the animal’s trunk in a V-shaped trough to gain more extension of the cervical spine (see Plate 14A). DESCRIPTION OF THE PROCEDURE A. The skin incision extends from the manubrium to the larynx.
PATIENT POSITIONING Dorsal recumbency with the neck slightly flexed and supported by a sandbag bolster or folded towel (see Plate 13A). DESCRIPTION OF THE PROCEDURE A. The skin incision is made on the dorsal midline starting at the level of the occipital protuberance, extending caudally to the level of the third or fourth cervical vertebra. B. Skin is undermined and retracted and subcutaneous fascia incised on the midline to expose the occipitalis, cervicoscutularis, and cervicoauricularis superficialis muscles.
For this the following books are highly recommended, although many others are suitable: Crouch JE: Text-atlas of cat anatomy, Philadelphia, 1969, Lea & Febiger. Evans HE: Miller’s anatomy of the dog, ed 3, Philadelphia, 1993, WB Saunders. An experienced surgeon who uses open approaches on a daily basis soon has the anatomy of each one well in mind, but the surgeon who is exposed only occasionally to a given region often will find difficulty in performing in it. A major problem for all, but more so for the less experienced, is the distortion of normal anatomy due to trauma.
An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat 4th Edition by Donald Piermattei, Kenneth A. Johnson