Tanaka Hiroshi, Nakayama Masanari, Takase Katsuaki
Nakayama Veterinary Hospital, Nara, Japan.
J Vet Med Sci. 2005 Jul;67(7):679-83. doi: 10.1292/jvms.67.679.
Hemilaminectomy was performed to treat cervical disc disease in 18 small dogs. Cervical spinal cord compression was characterized by ventral and/or lateral compression on myelograms. The duration of follow-up examinations ranged from 2 to 72 months. The optimal response time after surgery ranged from 2 days to 3 months. The outcome was determined to be excellent if clinical signs resolved and the dog had completely improved. The outcome was determined to be good if the dog improved, but was not clinically normal or if the degree of the owner's satisfaction was insufficient. Fourteen dogs achieved complete neurologic recovery without complications. One dog was initially neurologically worse after surgery, but ultimately improved to normal neurologic status. These outcomes were judged to be excellent. In the remaining 3 dogs, 2 dogs had relapse of neck pain and one dog remained mildly ataxic. These outcomes were judged to be good. These results suggest that hemilaminectomy is an effective option for surgical treatment of spinal cord compression secondary to cervical disc disease in small dogs.
对18只小型犬进行了半椎板切除术以治疗颈椎间盘疾病。颈椎脊髓压迫在脊髓造影上表现为腹侧和/或外侧压迫。随访检查的持续时间为2至72个月。术后最佳反应时间为2天至3个月。如果临床症状消失且犬只完全康复，则判定结果为优秀。如果犬只有所改善但未恢复到临床正常状态，或者主人的满意度不够，则判定结果为良好。14只犬实现了完全神经功能恢复且无并发症。1只犬术后最初神经功能恶化，但最终改善至正常神经状态。这些结果被判定为优秀。在其余3只犬中，2只犬出现颈部疼痛复发，1只犬仍有轻度共济失调。这些结果被判定为良好。这些结果表明，半椎板切除术是手术治疗小型犬颈椎间盘疾病继发脊髓压迫的有效选择。
