Follow up 4 months post treatment (October 2018)
Physical examination findings included no evidence of neurologic
abnormalities within either the fore or hind limbs and no cranial nerve
deficits. A reduced range of motion within the neck both laterally and
dorso-ventrally remained, although this was improved compared to
previous examinations.
A standing sedated CT examination was performed of the poll region which
found continued remodelling of the comminuted fracture of the atlas and
similar degenerative joint disease within the left atlanto-occiptal
joint.
Repeat ultrasound guided injection of the atlanto-occiptal joint was
performed with 80mg methylprednisolone (Depo-Medrone 40mg/ml Injection,
Pfizer) under standing-sedation.
The horse resumed ridden exercise and remains on a controlled ascending
exercise regime.