Jeffery Nick D, Freeman Paul M
Department of Small Animal Clinical Sciences, Texas A&M University, 4474 TAMU, College Station, TX 77843, USA.
Department of Veterinary Medicine, University of Cambridge, Cambridge CB3 0ES, UK.
Vet Clin North Am Small Anim Pract. 2018 Jan;48(1):187-200. doi: 10.1016/j.cvsm.2017.08.012. Epub 2017 Oct 23.
Fenestration offers the advantages of prophylaxis without the need for specialized instrumentation and imaging. Currently there is a lack of equipoise regarding the efficacy of fenestration relative to decompression for treatment of acute canine intervertebral disk herniation; most veterinary spinal surgeons do not consider the 2 procedures equivalently efficacious. Therapeutic fenestration should perhaps be given greater consideration, especially if advanced imaging shows only mild to moderate spinal cord compression or there are restrictions on the duration of surgery, when it might be better to spend the time on fenestration rather than decompression.
开窗术具有预防的优势，无需专门的器械和成像。目前，关于开窗术相对于减压术治疗急性犬椎间盘突出症的疗效，尚无定论；大多数兽医脊柱外科医生并不认为这两种手术具有同等疗效。或许应更多地考虑治疗性开窗术，特别是当先进成像仅显示轻度至中度脊髓压迫，或手术时间有限制时，此时花时间进行开窗术可能比减压术更好。
