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一只患有尾侧颈椎病的斑点犬两个相邻椎间空间的撑开稳定术

Distraction-stabilisation of two adjacent intervertebral spaces in a Dalmatian dog with caudal cervical spondylomyelopathy.

作者信息

Beranek J, Tomek A, Lorinson D

机构信息

Rutland House Referrals, St Helens, United Kingdom.

出版信息

Schweiz Arch Tierheilkd. 2013 May;155(5):299-303. doi: 10.1024/0036-7281/a000461.

DOI:10.1024/0036-7281/a000461
PMID:23644293
Abstract

A 4-year-old, 40-kg, male, entire Dalmatian was presented for evaluation of chronic neck pain and pelvic limb ataxia. Myelography revealed ventrodorsal (hourglass) extradural compression over the intervertebral space between the 5th and 6th cervical vertebra and ventral extradural compression between the 6th and 7th cervical vertebra. Cranial compression disappeared and caudal compression markedly diminished after performing cervical traction. MRI scan confirmed protrusion of intervertebral discs and spinal cord compression in previously mentioned intervertebral spaces. Surgical distraction-stabilization of both intervertebral spaces was performed using threaded pins and polymethylmethacrylate. The convalescence from surgery was uneventful and the dog was walking without any signs of paresis until 5 months after surgery when radiography revealed implants loosening. The dog recovered fully of the implant removal and remained asymptomatic for more than 30 months.

摘要

一只4岁、体重40千克的雄性纯种达尔马提亚犬因慢性颈部疼痛和后肢共济失调前来就诊。脊髓造影显示第5和第6颈椎间隙腹背侧(沙漏样)硬膜外压迫以及第6和第7颈椎间隙腹侧硬膜外压迫。进行颈部牵引后,头侧压迫消失,尾侧压迫明显减轻。MRI扫描证实上述椎间隙存在椎间盘突出和脊髓压迫。使用螺纹针和聚甲基丙烯酸甲酯对两个椎间隙进行手术撑开固定。术后恢复顺利,这只狗术后一直行走正常,没有任何轻瘫迹象,直到术后5个月,影像学检查显示植入物松动。取出植入物后,这只狗完全康复,并且在30多个月里一直没有症状。

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