Moissonnier Pierre, Meheust Pierre, Carozzo Claude
Ecole Nationale Vétérinaire d'Alfort, 7 Avenue du Gle. De Gaulle, 94704 Maisons-Alfort Cedex, France.
Vet Surg. 2004 Nov-Dec;33(6):620-8. doi: 10.1111/j.1532-950X.2004.04085.x.
To describe a technique for thoracolumbar lateral corpectomy and to evaluate its use for treatment of chronic thoracolumbar disk disease in dogs.
Retrospective study.
Fifteen dogs with signs of chronic thoracolumbar disk herniation.
After a dorsal or lateral approach to the spine, a lateral slot was created in 2 adjacent vertebral bodies on either side of the herniated disk and extruded/protruded material was removed. Data collected included history, duration of clinical signs, presurgical assessment of neurologic status, postsurgical neurologic status, complications, and outcome.
Ambulatory capacity was maintained or regained, and neurologic status improved by 1 grade (3 dogs), 2 grades (8), 3 grades (2), or 4 grades (2). Eleven dogs were considered free of disease. A seroma in 1 dog was the sole complication observed.
Lateral corpectomy permits relatively easy removal of protruded-extruded disk material from within the vertebral canal in chronic disk disease without further iatrogenic injury to the spinal cord.
Lateral corpectomy is an alternative to dorsal decompression for treatment of ventral and lateroventral thoracolumbar chronic disk disease in dogs.
描述一种胸腰椎侧方椎体切除术技术，并评估其在犬慢性胸腰椎间盘疾病治疗中的应用。
回顾性研究。
15只患有慢性胸腰椎间盘突出症体征的犬。
在采用脊柱背侧或外侧入路后，于椎间盘突出两侧的2个相邻椎体上制作一个侧方槽，并清除挤出/突出的物质。收集的数据包括病史、临床症状持续时间、术前神经状态评估、术后神经状态、并发症及结果。
维持或恢复了行走能力，神经状态改善1级（3只犬）、2级（8只）、3级（2只）或4级（2只）。11只犬被认为疾病已消除。仅观察到1只犬出现血清肿这一并发症。
侧方椎体切除术能相对容易地从椎管内清除慢性椎间盘疾病中突出-挤出的椎间盘物质，而不会对脊髓造成进一步的医源性损伤。
侧方椎体切除术是犬胸腰椎腹侧和外侧腹侧慢性椎间盘疾病背侧减压治疗的一种替代方法。
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