Transarticular facet screw stabilization and dorsal laminectomy in 26 dogs with degenerative lumbosacral stenosis with instability.

Autor: Hankin EJ; Veterinary Specialist Group (VSG®) at UNITEC, Auckland, New Zealand. elyshia.hankin@tufts.edu, Jerram RM, Walker AM, King MD, Warman CG
Jazyk: angličtina
Zdroj: Veterinary surgery : VS [Vet Surg] 2012 Jul; Vol. 41 (5), pp. 611-9. Date of Electronic Publication: 2012 May 18.
DOI: 10.1111/j.1532-950X.2012.01002.x
Abstrakt: Objective: To describe outcome after transarticular facet screw stabilization and dorsal laminectomy for treatment of dynamic degenerative lumbosacral stenosis (DLS) in 26 dogs.
Study Design: Retrospective case series.
Animals: Dogs (n = 26) with dynamic DLS.
Methods: Medical records (2004-2009) of dogs treated with transarticular facet screw stabilization and dorsal laminectomy were reviewed. Dogs (n = 26) were available for immediate postoperative follow-up, 21 dogs at 6 weeks, and 15 at greater than 6 months. Dogs were evaluated by radiographic assessment and owner questionnaire. Lumbosacral (LS) intervertebral disc (IVD) spaces were measured on pre and postoperative 6-week and 6-month radiographs.
Results: In 23 dogs, improvement in clinical signs occurred within 7 days of surgery. Overall postsurgical complication rate directly related to the surgical procedure was 15.4%. LS IVD space measurements taken immediately postoperatively, at 6 weeks, and ≥ 6 months were all significantly increased compared with preoperative measurements. All working dogs (4) returned to full work within 14 months. Most owners (85%) reported their dog was ambulating normally at 6 months with no perceptible lameness during normal activity. All owners perceived their dog's ability to walk, run, and jump after surgery to be improved.
Conclusions: Transarticular facet screw stabilization and dorsal laminectomy maintains distraction of the LS IVD space for medium-to-large breed dogs with dynamic DLS with a high degree of owner satisfaction, and is comparable to other reported surgical techniques for DLS.
(© Copyright 2012 by The American College of Veterinary Surgeons.)
Databáze: MEDLINE
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