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三种手术方法治疗犬颈尾部脊髓病的临床评估

Clinical evaluation of three surgical methods for treatment of caudal cervical spondylomyelopathy of dogs.

作者信息

Bruecker K A, Seim H B, Withrow S J

机构信息

Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins.

出版信息

Vet Surg. 1989 May-Jun;18(3):197-203. doi: 10.1111/j.1532-950x.1989.tb01070.x.

Abstract

Sixty-four dogs with caudal cervical spondylomyelopathy (CCSM) caused by chronic degenerative disc disease were treated with ventral decompression (n = 20), linear traction and interbody screw stabilization (n = 7), or linear traction and plastic plate stabilization (n = 37). Interbody screw stabilization was ineffective in treating CCSM because of an unacceptably high rate of implant failures. Ventral decompression or linear traction and plastic plate stabilization were effective in the treatment of most patients with mild to moderate neurologic deficits (neck pain, paraparesis, or ambulatory tetraparesis). Although these techniques were also used successfully in some patients with severe neurologic deficits (weakly ambulatory tetraparesis or nonambulatory tetraparesis), variable success rates and prolonged postoperative recovery periods were noted.

摘要

64只因慢性退行性椎间盘疾病导致颈髓病(CCSM)的犬接受了腹侧减压(n = 20)、线性牵引和椎间螺钉固定(n = 7)或线性牵引和塑料板固定(n = 37)治疗。由于植入失败率高得令人无法接受,椎间螺钉固定治疗CCSM无效。腹侧减压或线性牵引和塑料板固定对大多数有轻度至中度神经功能缺损(颈部疼痛、轻瘫或可走动的四肢轻瘫)的患者有效。尽管这些技术也成功用于一些有严重神经功能缺损(轻度可走动的四肢轻瘫或不能走动的四肢轻瘫)的患者,但成功率各不相同,且术后恢复期延长。

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