Summary
This study evaluates clinical application of the ComPact UniLock™ systema for ventral stabilization of the cervical spine. Patient material included 13 consecutive
cases, 12 dogs and one cat, with cervical spinal instabilities secondary to disc-associated
wobbler syndrome (six dogs), traumatic, iatrogenic, and disc-associated cervical spinal
instability of small dogs (four cases), cervical spinal fractures (one dog and one
cat), and congenital atlantoaxial instability (one dog). The 2.0 system was used in
smaller patients and the 2.4 system was applied in large dogs. Implant failure was
observed on follow-up radiographs in one dog with a healed C2 fracture and screw pullout
occurred in one dog with caudal cervical spondylomyelopathy, necessitating revision
surgery. Implants remained stable throughout the follow-up period in the other cases.
‘Good’ or ‘ excellent’ clinical outcome was achieved in 12 patients, including the
dog with revision surgery. One dog had to be euthanatized due to postoperative deterioration
of neurological status and development of pneumonia. The ComPact UniLock system was
found to be a suitable implant for treating cervical instabilities of different origin
in both small and large patients with lesions from C1/C2 to C6/C7. Some problems were
encountered in the dogs with disc-associated Wobbler syndrome, such as lack or slow
rate of vertebral fusion and partial collapse of the distracted intervertebral space
on follow-up radiographs. A lack of adequate fusion was most likely related to grafting
techniques used.
Keywords
Unilock - cervical spine