The classical features of atlanto-axial subluxation in 24 dogs are des
cribed. The results of conservative and surgical therapy are reported
in 19 of these dogs. Fourteen dogs underwent an initial dorsal stabili
zation procedure using synthetic suture material or wire suture. Nine
of these dogs had an excellent long-term recovery. One dog died during
the initial surgery. Three dogs required a second surgery due to dete
rioration of signs. Two of these were were found to have breakage or l
oosening of the suture. One of these dogs died during the second surge
ry, and the remaining dog showed some improvement following dorsal sta
bilization. This dog had an excellent response. Six dogs had a neck wr
ap as the primary means of stabilization. Four of the six dogs showed
an excellent long-term response and the remaining two showed little im
provement.