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在患有椎间盘相关型颈椎病的犬中应用锚定椎间融合器后的短期临床和影像学结果

Short-Term Clinical and Radiographical Outcome after Application of Anchored Intervertebral Spacers in Dogs with Disc-Associated Cervical Spondylomyelopathy.

作者信息

Rohner Deborah, Kowaleski Michael P, Schwarz Günter, Forterre Franck

机构信息

Division of Small Animal Surgery, Department Clinical Veterinary Medicine, Vetsuisse Faculty, Bern, Switzerland.

Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts, United States.

出版信息

Vet Comp Orthop Traumatol. 2019 Mar;32(2):158-164. doi: 10.1055/s-0038-1676592. Epub 2019 Feb 8.

Abstract

OBJECTIVES

The purpose of this study was to assess the short-term outcome of a new intervertebral anchored fusion device (C-LOX) for the treatment of disc associated cervical spondylomyelopathy (DA-CSM) in dogs, based on clinical and radiographical follow-up data.

MATERIALS AND METHODS

To be included in the study, dogs had to be clinically affected by DA-CSM treated with surgical distraction/stabilization using the anchored intervertebral spacer (C-LOX). Neurological signs, as well as diagnostic imaging performed pre-, immediately postoperatively, and after 6 weeks and 3 months were assessed. If available, clinical follow-up after 3 months was documented.

RESULTS

Thirty-seven cases were enrolled in the study. Outcome at 3 months was available in 25 dogs; improvement of neurological status was documented in 25/25 cases.The most common postoperative complication was screw loosening and/or breakage ( = 22), followed by subsidence ( = 15). Four dogs required revision surgery.

CLINICAL SIGNIFICANCE

Distraction/stabilization of DA-CSM in dogs with the C-LOX device resulted in short-term clinical improvement in 33/37 treated cases. The high incidence of screw loosening was taken into consideration and modification of the implant with a new locking system and new screw dimensions was required. The C-LOX device seems to be a valuable alternative to more complicated distraction-fusion techniques.

摘要

目的

本研究的目的是基于临床和影像学随访数据,评估一种新型椎间锚定融合装置(C-LOX)治疗犬椎间盘源性颈椎病(DA-CSM)的短期疗效。

材料与方法

纳入本研究的犬必须临床上患有DA-CSM,并使用锚定椎间间隔器(C-LOX)进行手术撑开/稳定治疗。评估术前、术后即刻、术后6周和3个月时的神经体征以及诊断性影像学检查结果。如有可能,记录3个月后的临床随访情况。

结果

37例纳入本研究。25只犬有3个月时的疗效数据;25/25例记录到神经状态改善。最常见的术后并发症是螺钉松动和/或断裂(n = 22),其次是下沉(n = 15)。4只犬需要翻修手术。

临床意义

使用C-LOX装置对犬DA-CSM进行撑开/稳定治疗,在37例治疗病例中有33例获得了短期临床改善。考虑到螺钉松动的高发生率,需要采用新的锁定系统和新的螺钉尺寸对植入物进行改进。C-LOX装置似乎是更复杂的撑开融合技术的一种有价值的替代方法。

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