Böttcher Peter, Flegel Thomas, Böttcher Irene C, Grevel Vera, Oechtering Gerhard
Department of Small Animal Medicine, University of Leipzig, Leipzig, Germany.
J Feline Med Surg. 2008 Jul;10(3):291-5. doi: 10.1016/j.jfms.2008.03.001. Epub 2008 May 1.
A 7-year-old, female spayed, domestic shorthair cat was presented for ambulatory paraparesis. No trauma history was reported. Myelography and subsequent computed tomography revealed multiple ventrally located extradural spinal cord compressive lesions possibly due to intervertebral disc disease. Compression at the level of Th3-Th4 intervertebral disc space was considered responsible for the paraparesis. The lesion was approached via a right-sided lateral partial corpectomy as described for dogs. Complete spinal decompression was achieved, as documented intraoperatively by visual inspection and palpation of the spinal canal. No surgery related complications were encountered and the cat improved gradually within 8 weeks after the procedure. At 1 year follow-up only a slight proprioceptive deficit in the right hind limb could be noted. This is the first report of partial lateral corpectomy in a cat and should encourage the use of this technique even in small patients.
一只7岁已绝育的雌性家养短毛猫因行走性轻截瘫前来就诊。未报告有外伤史。脊髓造影及随后的计算机断层扫描显示多个位于腹侧的硬膜外脊髓压迫性病变,可能是由于椎间盘疾病所致。胸3 - 4椎间盘间隙水平的压迫被认为是导致轻截瘫的原因。按照犬类手术的描述,通过右侧外侧部分椎体切除术对病变进行处理。术中通过直视和触摸椎管证实实现了完全脊髓减压。未遇到与手术相关的并发症,术后8周内猫的病情逐渐好转。在1年的随访中,仅发现右后肢有轻微的本体感觉缺陷。这是猫行部分外侧椎体切除术的首例报告,应鼓励即使在小型动物患者中也使用该技术。