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袋狸(赤褐大袋鼠)颈椎骨折的手术矫正

SURGICAL CORRECTION OF A CERVICAL SPINAL FRACTURE IN A BENNETT'S WALLABY (MACROPUS RUFOGRISEUS).

作者信息

Kragness Brandy J, Graham Jennifer E, Bedenice Daniela, Restifo Melissa M, Boudrieau Randy J

出版信息

J Zoo Wildl Med. 2016 Mar;47(1):379-82. doi: 10.1638/2015-0101.1.

Abstract

Macropods are susceptible to trauma, and fractures of the cervical vertebrae due to collisions are relatively common. A 4-yr-old, intact male Bennett's wallaby (Macropus rufogriseus) was presented acutely nonambulatory and tetraparetic but with motor function present in all limbs. Cervical radiographs revealed a C4 vertebral fracture. Surgical stabilization was obtained through a ventral midline approach whereby the vertebral bodies were distracted and then secured with screws and polymethylmethacrylate (PMMA). Postoperative radiographs revealed restoration of the spinal canal and appropriate implant placement. The patient was discharged 4 days postoperatively and gradually recovered full neurologic function per the owner over the ensuing 10 wk. Subsequent radiographs obtained 10.5 mo postoperatively revealed a healed fracture with stable implants. The ventral spinal distraction and stabilization technique using screws and PMMA, as are used in the domestic dog, was successful in this wallaby despite its smaller vertebral size and comparable lack of soft-tissue support.

摘要

有袋目动物易受创伤,因碰撞导致的颈椎骨折相对常见。一只4岁、未去势的雄性贝内特小袋鼠(赤褐大袋鼠)被紧急送来,不能行走且四肢轻瘫,但所有肢体均有运动功能。颈椎X光片显示第4颈椎骨折。通过腹正中入路进行手术固定,撑开椎体,然后用螺钉和聚甲基丙烯酸甲酯(PMMA)固定。术后X光片显示椎管恢复正常且植入物位置合适。患者术后4天出院,据主人说在随后的10周内逐渐完全恢复了神经功能。术后10.5个月的后续X光片显示骨折愈合且植入物稳定。在家犬中使用的腹侧脊柱撑开和用螺钉及PMMA固定的技术,在这只小袋鼠身上取得了成功,尽管其椎体较小且缺乏类似的软组织支撑。

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