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24 Mar 2020

Paralysed puppy Ping walks again

Referral team uses CT images to design 3D-printed guides to enable precise placement of tiny 1mm diameter screws.

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David Woodmansey

Job Title



Paralysed puppy Ping walks again

Ping after surgery, happy and on the road to a full recovery.

Prior to surgery, Ping had to be hand-fed while he was hospitalised with his neck brace.
Prior to surgery, Ping had to be hand-fed while he was hospitalised with his neck brace.

A vet team has given a tiny paralysed puppy the ability to walk again after using a 3D printer and a set of small screws to fix a life-threatening spinal cord defect.

Ping, a five-month-old male Chihuahua that weighs less than a bag of sugar, presented at Hamilton Specialist Referrals in High Wycombe after suddenly becoming paralysed.

Atlantoaxial subluxation

CT and MRI scans showed the bones in Ping’s neck had not formed correctly from birth, leading to atlantoaxial subluxation on the spinal cord in his neck.

Veterinary neurologist John Parker said: “The first two bones in the neck were partially dislocated. The second neck bone – the axis – hadn’t formed completely and the area needed stabilising to provide Ping any chance of recovery.

“However, Ping was so small – he weighed barely a kilogram – and in such a tiny space, traditional orthopaedic implants would be too large to place safely.”

Precise placement

Ping after surgery, happy and on the road to a full recovery.
Ping after surgery, happy and on the road to a full recovery.

The team at Hamilton worked with Vet3D, 3D printing specialists who used the practice’s CT images to design bespoke 3D-printed guides and enable precise placement of tiny 1mm diameter screws.

While waiting for the guides to be made, Ping was hospitalised in a neck brace.

Remarkable recovery

Surgery took place six days later, with Mr Parker and surgery specialist Michael Hamilton stabilising the unstable region of Ping’s neck using the guided screws and encasing them in bone cement.

Ping made a remarkable recovery and one week later he was able to walk out of the hospital for a pain-free, happy, normal life.

The x-ray after surgery shows the atlas and axis bones in line, stabilised with bone screws and cement.
The x-ray after surgery shows the atlas and axis bones in line, stabilised with bone screws and cement.