Nuchal ligament and cervical epaxial reconstruction in a dog with trauma‐induced cervical ventroflexion

Abstract A 1‐year‐old, female, entire, crossbreed dog weighing 7 kg was referred for further assessment and treatment of extensive dorsal cervical injuries following a dog attack. Clinical examination revealed marked cervical ventroflexion, an inability to lift the head, and multiple open wounds over the neck and shoulders. Computed tomography identified full‐thickness tears of the splenius, rhomboideus and trapezius muscles, as well as a complete tear of the nuchal ligament. The dog was diagnosed with acute mechanical disruption of the dorsal cervical support system. Surgical reconstruction of the damaged structures was carried out. A negative‐pressure wound therapy unit was placed following muscle and tendon reconstruction. Two inflatable collars were placed around the neck to prevent ventroflexion during recovery. The negative‐pressure wound therapy unit was removed 3 days later, and primary closure of the skin was performed. The dog regained full head carriage and functional mobility within 2 months.