When veterinarians diagnosed Blueberry, a 2-year-old Chihuahua, with atlantoaxial luxation and corresponding spinal cord hemorrhage, they knew the standard surgical treatments would be difficult given his tiny stature. Instead, they surgically placed a Kishigami atlantoaxial tension band, devised 25 years ago by a Japanese veterinarian but not often used. The technique proved to provide a near-perfect repair for Blueberry.

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