Fingeroth J M
Department of Surgery, Veterinary Specialists of Rochester, Animal Hospital of Pittsford, New York 14618.
Probl Vet Med. 1989 Jul-Sep;1(3):445-66.
Fenestration of canine intervertebral discs is a time-honored, yet controversial, procedure used by veterinarians in the management of degenerative disc disease. It has been touted for both its supposed therapeutic effects and for its purported role in preventing future episodes of disc-related clinical signs. In spite of its long-standing reputation and wide use by many, fenestration may lack a firm scientific basis for its continued incorporation in the repertoire of the veterinary spine surgeon. This chapter will explore the key issues that impinge on the role fenestration plays and discuss the pros and cons attendant with its use. The author feels that, with the ability to diagnose and treat intervertebral disc prolapse in more sophisticated and scientific ways, fenestration should largely be abandoned. The evidence for this conclusion and the limited role that may still be reserved for fenestration are discussed.
犬椎间盘开窗术是兽医在治疗退行性椎间盘疾病时使用的一项历史悠久但颇具争议的手术。它因其所谓的治疗效果以及在预防未来椎间盘相关临床症状发作方面的作用而受到吹捧。尽管它声誉悠久且被许多人广泛使用，但开窗术可能缺乏将其继续纳入兽医脊柱外科医生手术范围的坚实科学依据。本章将探讨影响开窗术作用的关键问题，并讨论其使用的利弊。作者认为，随着以更复杂和科学的方式诊断和治疗椎间盘突出症的能力的出现，开窗术在很大程度上应被摒弃。本章将讨论得出这一结论的证据以及开窗术可能仍保留的有限作用。
