Maierl J, Zechmeister R, Schill W, Gerhards H, Liebich H G
Institut für Tieranatomie, Ludwig-Maximilians-Universität München.
Tierarztl Prax Ausg G Grosstiere Nutztiere. 1998 Nov;26(6):341-5.
Fractures of the first two cervical vertebrae, atlas and axis, may occur in foals for different reasons, e.g. in cases of a fall, going head over heels or when being hit by a hoof. The tentative clinical diagnosis can be confirmed by x-raying the standing animal, with aid of computed tomography in the anaesthetized foal respectively. The growth plates however, and their time of closure have to be considered when interpreting radiographs. In the atlas there are two ventrolateral plates and one dorsomedian cartilagineous plate. Only the dorsal plate, however, can be found in the dorsoventral projection up to an age of about 12 months. The ventrolateral growth plates which have closed at about six months of age cannot be seen in either ther dorsoventral or laterolateral projection. In transversely oriented CT-scans all of the three centres of ossification can easily be made visible in the atlas. In the axis the cartilagineous gaps between the dens axis and the cranial epiphysis as well as the cranial and caudal epiphyseal growth plate can be shown in normal x-radiographs in both planes of projection. Besides this there are growth plates between the corpus vertebrae and the arcus vertebrae in the axis which cannot be seen in either radiographic projection. They become clearly visible in transversal CT-scans and are ossified at the age of three to four months. At the end of the first year the growth plates between the dens axis and the cranial epiphysis have closed. The cranial and caudal epiphyseal plate are gone at an age of about four to five years.
马驹的第一、二颈椎(寰椎和枢椎)骨折可能由不同原因引起,例如摔倒、头朝下翻滚或被马蹄踢到。初步临床诊断可通过对站立动物进行X线检查来确认,对于麻醉后的马驹则分别借助计算机断层扫描。然而,在解读X光片时必须考虑生长板及其闭合时间。寰椎有两个腹外侧板和一个背正中软骨板。不过,在背腹位投照中,直到约12月龄时才能看到背侧的生长板。腹外侧生长板在约6月龄时闭合,在背腹位或侧位投照中均无法看到。在横向CT扫描中,寰椎的所有三个骨化中心都能轻易显示出来。在枢椎中,齿突与颅侧骨骺之间以及颅侧和尾侧骨骺生长板的软骨间隙在两个投照平面的正常X光片中都能显示。除此之外,枢椎椎体与椎弓之间还有生长板,在任何一种放射学投照中都看不到。它们在横向CT扫描中清晰可见,并在3至4月龄时骨化。在第一年末,齿突与颅侧骨骺之间的生长板已经闭合。颅侧和尾侧骨骺板在约4至5岁时消失。