Flegel Thomas, Böttcher Peter, Alef Michaele, Kiefer Ingmar, Ludewig Eberhard, Thielebein Jens, Grevel Vera
Department of Small Animal Medicine, University of Leipzig, An den Tierkliniken 23, 04103 Leipzig, Germany.
J Zoo Wildl Med. 2008 Sep;39(3):468-71. doi: 10.1638/2007-0104.1.
A 13-yr-old Amur tiger (Panthera tigris altaica) was presented for an acute onset of paraplegia. Spinal imaging that included plain radiographs, myelography, and computed tomography performed under general anesthesia revealed lateralized spinal cord compression at the intervertebral disc space L4-5 caused by intervertebral disc extrusion. This extrusion was accompanied by an extensive epidural hemorrhage from L3 to L6. Therefore, a continuous hemilaminectomy from L3 to L6 was performed, resulting in complete decompression of the spinal cord. The tiger was ambulatory again 10 days after the surgery. This case suggests that the potential benefit of complete spinal cord decompression may outweigh the risk of causing clinically significant spinal instability after extensive decompression.
一只13岁的东北虎(Panthera tigris altaica)因急性截瘫前来就诊。在全身麻醉下进行的包括平片、脊髓造影和计算机断层扫描在内的脊柱成像显示,椎间盘突出导致L4 - 5椎间盘间隙处脊髓侧向受压。这种突出伴有从L3到L6的广泛硬膜外出血。因此,实施了从L3到L6的连续半椎板切除术,使脊髓完全减压。术后10天,这只老虎又能行走了。该病例表明,脊髓完全减压的潜在益处可能超过广泛减压后导致临床上显著脊柱不稳定的风险。