General session abstracts RESULTS OF LAMINECTOMY WITHOUT METHYLPREDNISOLONE SODIUM SUCCINATE (MPSS) FOR ACUTE THORACOLUMBAR DISK DISEASE IN 51 NON-AMBULATORY DOGS

Autor: CM Kamprad, Christina S Barr, Robert J. Murtaugh, Deena M. Tiches, William W. Bush
Rok vydání: 2004
Předmět:
Zdroj: Journal of Veterinary Emergency and Critical Care. 14:S1-S17
ISSN: 1476-4431
1479-3261
Popis: The administration of MPSS is advocated both for limiting spinal cord injury from Hansen Type I intervertebral disk protrusion (T1-IVD) and from the potential surgical trauma associated with laminectomy. Recent studies suggest that treatment with MPSS does not significantly alter functional outcome and is associated with significant complications including gastrointestinal bleeding, pancreatic necrosis, and increased rates of infection. The purpose of this prospective study was to report the results of laminectomy without MPSS treatment in non-ambulatory dogs with T1-IVD. The study group involved dogs weighing less than 15 kg that had a laminectomy between T11-T12 and L4-L5 for T1-IVD. Dogs included had not been treated with MPSS, were unable to walk but able to sense “deep pain”. The dogs were evaluated post-operatively for the ability to walk (stand and advance pelvic limbs), pain (reaction to paraspinal palpation or movement), and incontinence (dribbling urine/feces or failure to completely void urine). Fifty-one dogs met the inclusion criteria. Prior to surgery 0% of the dogs could walk (26 paralyzed, 25 paretic), and 98% were painful. Incontinence was not assessed or was unknown in most cases. Ten days following surgery, 90% were walking, 98% were pain-free, and 82% were fully continent. By 6 weeks, 100% were walking, 6% were painful, and 86% fully continent. By 16 weeks, 96% were pain-free, and 88% were fully continent. These results obtained with laminectomy alone are comparable or superior to reports of those with MPSS administration and suggest that MPSS is not necessary for a successful outcome in dogs receiving laminectomy for T1-IVD.
Databáze: OpenAIRE
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