Fitch R B, Kerwin S C, Hosgood G
Department of Veterinary Clinical Sciences, Louisiana State University, Baton Rouge 70803, USA.
J Am Anim Hosp Assoc. 2000 Jan-Feb;36(1):68-74. doi: 10.5326/15473317-36-1-68.
The clinical outcomes in 112 dogs weighing less than 35 pounds that were presented with cervical intervertebral disk protrusions were retrospectively evaluated. Although the second to third cervical (C2 to C3) intervertebral space was the most common site (27%) of disk protrusion, 57% of disk protrusions presented were caudal to the fourth cervical (C4) vertebra. Dogs with cranial intervertebral disk protrusions, including the C2 to C3 and C3 to C4 intervertebral disk spaces, responded favorably to ventral slot decompression. By comparison, caudal intervertebral disk protrusions (within the C4 to the seventh cervical [C7] intervertebral disk spaces) responded less favorably to ventral slot decompression, demonstrating significantly more severe clinical effects in motor function, comfort, recovery, and long-term outcome following surgery. Significant improvement in clinical results was seen in caudal disk protrusions when additional surgical distraction and stabilization were provided following ventral slot decompression.
对112只体重小于35磅且患有颈椎间盘突出症的犬的临床结果进行了回顾性评估。虽然第二至第三颈椎（C2至C3）椎间间隙是椎间盘突出最常见的部位（27%），但所呈现的椎间盘突出中有57%位于第四颈椎（C4）椎体以下。患有颅侧椎间盘突出症的犬，包括C2至C3和C3至C4椎间间隙，对腹侧开槽减压反应良好。相比之下，尾侧椎间盘突出症（在C4至第七颈椎[C7]椎间间隙内）对腹侧开槽减压的反应较差，在运动功能、舒适度、恢复情况和手术后的长期结果方面表现出明显更严重的临床影响。当在腹侧开槽减压后提供额外的手术牵引和稳定时，尾侧椎间盘突出症的临床结果有显著改善。
