Freeman P, Jeffery N D
Department of Veterinary Medicine, University of Cambridge, Cambridge, CB3 0ES, UK.
Department of Small Animal Clinical Sciences, Texas A&M University, College Station, TX, 77843, USA.
J Small Anim Pract. 2017 Apr;58(4):199-204. doi: 10.1111/jsap.12653.
Acute thoracolumbar intervertebral disc herniation in dogs is a common cause of "back" pain, pelvic limb paresis or paralysis and incontinence. Treatment of this condition has long been a source of controversy, especially since the introduction of surgical interventions in the 1950s. Unfortunately, formal clinical trials to compare efficacy of conservative and surgical interventions have never been carried out and the current lack of clinical equipoise on this subject now precludes such a trial on ethical grounds. In this article we re-examine and discuss earlier published data on recovery associated with the various therapies, focusing on evidence suggesting that decompressive surgery and fenestration may be equally efficacious.
犬急性胸腰椎间盘突出症是“背部”疼痛、盆腔肢体轻瘫或瘫痪以及大小便失禁的常见原因。长期以来，这种疾病的治疗一直存在争议，尤其是自20世纪50年代引入手术干预以来。不幸的是，从未进行过比较保守治疗和手术治疗疗效的正式临床试验，目前在这个问题上缺乏临床平衡，这使得基于伦理原因无法进行这样的试验。在本文中，我们重新审视并讨论了早期发表的有关各种治疗方法恢复情况的数据，重点关注表明减压手术和开窗术可能同样有效的证据。
