CC BY 4.0 · VCOT Open 2025; 08(01): e35-e38
DOI: 10.1055/a-2513-9814
Brief Communication

Acquisition of Autologous Cancellous Bone Graft using the Manubrium in Dogs undergoing Atlantoaxial Surgical Stabilization

Marc Kent
1   Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, Georgia, United States
,
Renee M. Barber
1   Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, Georgia, United States
,
Eric N. Glass
2   Department of Neurology and Neurosurgery, Red Bank Veterinary Hospital, Tinton Fall, New Jersey, United States
› Institutsangaben

Funding None.

Abstract

Objective

The aim of this study was to describe the feasibility of obtaining autologous cancellous bone graft from the manubrium in toy breed dogs undergoing ventral stabilization for naturally occurring atlantoaxial subluxation

Study Design

A retrospective descriptive study involved four dogs with naturally occurring atlantoaxial subluxation, which underwent ventral stabilization. In all dogs, the manubrium was surgically exposed and cancellous bone graft was harvested.

Results

In all dogs, the surgical approach to the manubrium subjectively was judged to be easy. Additional instrumentation other than that used for ventral stabilization of the atlantoaxial joint was not needed. In all dogs, the manubrium provided sufficient cancellous bone graft to fill the ventral region of the atlantoaxial joint cavity. No intraoperative or short-term complications were observed.

Clinical Significance

The manubrium provided for an acceptable donor site for autologous cancellous bone graft in dogs undergoing atlantoaxial stabilization. The manubrium may serve as an easily accessible alternative graft donor site in lieu of the proximal humerus. Future investigation into the robustness of the bone forming potential of cancellous bone from the manubrium may be warranted.

Authors Contributions

All authors substantially contributed to the conception and drafting of the manuscript. All authors have approved the manuscript for submission.




Publikationsverlauf

Eingereicht: 04. Dezember 2023

Angenommen: 17. Dezember 2024

Artikel online veröffentlicht:
25. März 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 
  • References

  • 1 Stalin C, Gutierrez-Quintana R, Faller K, Guevar J, Yeamans C, Penderis J. A review of canine atlantoaxial joint subluxation. Vet Comp Orthop Traumatol 2015; 28 (01) 1-8
  • 2 Slanina MC. Atlantoaxial instability. Vet Clin North Am Small Anim Pract 2016; 46 (02) 265-275
  • 3 Havig ME, Cornell KK, Hawthorne JC, McDonnell JJ, Selcer BA. Evaluation of nonsurgical treatment of atlantoaxial subluxation in dogs: 19 cases (1992-2001). J Am Vet Med Assoc 2005; 227 (02) 257-262
  • 4 Beaver DP, Ellison GW, Lewis DD, Goring RL, Kubilis PS, Barchard C. Risk factors affecting the outcome of surgery for atlantoaxial subluxation in dogs: 46 cases (1978-1998). J Am Vet Med Assoc 2000; 216 (07) 1104-1109
  • 5 Stout Steele MW, Hodshon AW, Hopkins AL. et al. Multi-center retrospective evaluation of screw and polymethylmethacrylate constructs for atlantoaxial fixation in dogs. Vet Surg 2016; 45 (07) 909-915
  • 6 Riedinger B, Bürki A, Stahl C, Howard J, Forterre F. Biomechanical evaluation of the stabilizing function of three atlantoaxial implants under shear loading: a canine cadaveric study. Vet Surg 2015; 44 (08) 957-963
  • 7 Sorjonen DC, Shires PK. Atlantoaxial instability: a ventral surgical technique for decompression, fixation, and fusion. Vet Surg 1981; 10: 22-29
  • 8 Martinez SA, Walker T. Bone grafts. Vet Clin North Am Small Anim Pract 1999; 29 (05) 1207-1219
  • 9 Platt SR, Chambers JN, Cross A. A modified ventral fixation for surgical management of atlantoaxial subluxation in 19 dogs. Vet Surg 2004; 33 (04) 349-354
  • 10 Aikawa T, Shibata M, Fujita H. Modified ventral stabilization using positively threaded profile pins and polymethylmethacrylate for atlantoaxial instability in 49 dogs. Vet Surg 2013; 42 (06) 683-692
  • 11 Johnson KA, Bellenger CR. The effects of autologous bone grafting on bone healing after carpal arthrodesis in the dog. Vet Rec 1980; 107 (06) 126-132
  • 12 Takahashi F, Hakozaki T, Kanno N. et al. Influence of ventral fixation techniques on atlantoaxial joint fusion in canine models with dens partial resection. J Vet Med Sci 2022; 84 (05) 694-699
  • 13 Ferguson JF. Fracture of the humerus after cancellous bone graft harvesting in a dog. J Small Anim Pract 1996; 37 (05) 232-234
  • 14 Palmisano MP, Schrader SC. Premature closure of the proximal physis of the humerus in a dog as a result of harvesting a cancellous bone graft. J Am Vet Med Assoc 1999; 215 (10) 1460-1462 , 1447
  • 15 Richardson GL, Pool RR, Pascoe JR. et al. Autogenous cancellous bone grafts from the sternum in horses comparison with other donor sites and results of use in orthopedic surgery. Vet Surg 1986; 15: 9-15
  • 16 DeVries WJ, Runyon CL, Martinez SA, Ireland WP. Effect of volume variations on osteogenic capabilities of autogenous cancellous bone graft in dogs. Am J Vet Res 1996; 57 (10) 1501-1505
  • 17 McDuffee LA, Anderson GI. In vitro comparison of equine cancellous bone graft donor sites and tibial periosteum as sources of viable osteoprogenitors. Vet Surg 2003; 32 (05) 455-463
  • 18 Takahashi F, Hakozaki T, Kanno N, Harada Y, Yamaguchi S, Hara Y. Biomechanical evaluation of three ventral fixation methods for canine atlantoaxial instability: a cadaveric study. J Vet Med Sci 2017; 78 (12) 1897-1902