Short-term clinical outcomes of 220 dogs with thoraco-lumbar disc disease treated by mini-hemilaminectomy

dc.contributor.authorElliott, Ross Christopher
dc.contributor.authorMoon, Chantel
dc.contributor.authorZeiler, Gareth Edward
dc.contributor.authorLobetti, Remo
dc.date.accessioned2021-06-07T06:54:51Z
dc.date.available2021-06-07T06:54:51Z
dc.date.issued2020-12-21
dc.description.abstractThoraco-lumbar intervertebral disc extrusion is a common condition seen in veterinary practice. Although there are different surgical techniques described for decompression, most of these techniques are based on the surgeon’s preference or experience rather than clinical research. Our objective was to determine the clinical outcomes, using return to ambulation and micturition, as well as complication rates, in a large cohort of dogs by using a minihemilaminectomy for decompression of the thoraco-lumbar spinal cord with Hansen type I thoraco-lumbar intervertebral disc extrusions (IVDE). A retrospective study was performed on dogs presented for acute thoraco-lumbar IVDE undergoing surgical decompression. In total, 252 spinal decompression surgeries were performed. The recovery rates for patients graded with a modified Frankel score (MFS) of 5 to 0 were 100%, 99%, 100%, 96%, 86% and 64%, respectively. The mean days to micturition across all the MFS 5–0 were 1.5 (standard deviation [SD] ± 0.7), 1.8 (SD ± 1), 4.3 (SD ± 1.7), 6.4 (SD ± 2.2), 9.3 (SD 3) and 11.9 (SD ± 2.2), respectively. The mean days to ambulation across all the groups 5–0 were 2 (SD ± 0.7), 2.6 (SD ± 1), 7.6 (SD ± 4.4), 10.1 (SD ± 2.5), 16.1 (SD ± 2.9) and 19.3 (SD ± 2.6), respectively. Postoperative complications were seen in 32 of the surgeries, with a complication rate of 13%. Minor complications accounted for 38% of all complications, and major complications constituted 62% of all complications. In total, 15 dogs died or were euthanised as a direct result of thoraco-lumbar disc extrusion or the surgical procedure, with a mortality rate of 6% across all groups. A mini-hemilaminectomy provides similar clinical outcomes described in the literature for other methods of spinal cord decompressive surgery, and it also provides patients with similar short-term outcomes to other described decompressive surgical techniques in the dog, which have been described in the literature.en_ZA
dc.description.departmentCompanion Animal Clinical Studiesen_ZA
dc.description.librarianam2021en_ZA
dc.description.urihttp://www.jsava.co.zaen_ZA
dc.identifier.citationElliott, R.C., Moon, C., Zeiler, G. & Lobetti, R., 2020, ‘Short-term clinical outcomes of 220 dogs with thoracolumbar disc disease treated by mini-hemilaminectomy’, Journal of the South African Veterinary Association 91(0), a2008. https://DOI.org/10.4102/jsava.v91i0.2008.en_ZA
dc.identifier.issn1019-9128 (print)
dc.identifier.issn2224-9435 (online)
dc.identifier.other10.4102/jsava.v91i0.2008
dc.identifier.urihttp://hdl.handle.net/2263/80220
dc.language.isoenen_ZA
dc.publisherAOSIS OpenJournalsen_ZA
dc.rights© 2020. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.en_ZA
dc.subjectSpinalen_ZA
dc.subjectSurgeryen_ZA
dc.subjectSmall animalsen_ZA
dc.subjectMini-hemilaminectomyen_ZA
dc.subjectDisc extrusionen_ZA
dc.subjectDogs (Canis familiaris)en_ZA
dc.subjectIntervertebral disc extrusions (IVDE)en_ZA
dc.titleShort-term clinical outcomes of 220 dogs with thoraco-lumbar disc disease treated by mini-hemilaminectomyen_ZA
dc.typeArticleen_ZA

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