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患有胸腰椎椎间盘疾病的软骨发育不良犬行半椎板切除术后残留的椎间盘突出物。

Residual herniated disc material following hemilaminectomy in chondrodystrophic dogs with thoracolumbar intervertebral disc disease.

作者信息

Roach W J, Thomas M, Weh J M, Bleedorn J, Wells K

机构信息

Nashville Veterinary Specialists, 2971 Sidco Dr., Nashville, TN 37205, USA.

出版信息

Vet Comp Orthop Traumatol. 2012;25(2):109-15. doi: 10.3415/VCOT-11-05-0075. Epub 2012 Jan 27.

Abstract

OBJECTIVE

To evaluate the presence of residual disc material within the vertebral canal following hemilaminectomy in chondrodystrophic dogs with thoracolumbar intervertebral disc disease.

METHODS

Forty dogs were treated by hemilaminectomy. Computed tomography was performed preoperatively and immediately postoperatively. The vertebral canal height, width, area, and herniated disc material area were measured. Maximum filling percentage (MFP), residual disc percentage (RDP), maximum residual filling percentage (MRFP), and residual filling percentage (RFP) were calculated. Clinical outcome was determined by telephone interviews.

RESULTS

Residual disc material was present in 100% of the dogs. Mean MFP = 55.4% (range 25.9-82.3%; median 56.9%). Mean RDP = 50.3% (range 2.6-155.8%; median 47.9%). Mean MRFP = 30.8% (range 4.9-60%; median 30.1%). Mean RFP = 19.8% (range 4.8-45%; median 19.0%). All dogs were ambulatory with voluntary urination at the long-term follow-up (range: 88-735 days).

CLINICAL SIGNIFICANCE

Residual disc was present in all dogs following hemilaminectomy for intervertebral disc disease. Residual disc was not associated with failure to achieve functional recovery in these cases.

摘要

目的

评估胸腰椎椎间盘疾病的软骨发育不良犬行半椎板切除术后椎管内残余椎间盘物质的存在情况。

方法

40只犬接受半椎板切除术。术前及术后即刻进行计算机断层扫描。测量椎管高度、宽度、面积及突出椎间盘物质面积。计算最大填充百分比(MFP)、残余椎间盘百分比(RDP)、最大残余填充百分比(MRFP)及残余填充百分比(RFP)。通过电话访谈确定临床结果。

结果

所有犬均存在残余椎间盘物质。平均MFP = 55.4%(范围25.9 - 82.3%;中位数56.9%)。平均RDP = 50.3%(范围2.6 - 155.8%;中位数47.9%)。平均MRFP = 30.8%(范围4.9 - 60%;中位数30.1%)。平均RFP = 19.8%(范围4.8 - 45%;中位数19.0%)。所有犬在长期随访(范围:88 - 735天)时均可自主行走并自主排尿。

临床意义

椎间盘疾病行半椎板切除术后所有犬均存在残余椎间盘。在这些病例中,残余椎间盘与未能实现功能恢复无关。

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