Pezzanite Lynn, Easley Jeremiah
Translational Medicine Institute, Department of Clinical Sciences, Colorado State University, 300 W Drake Road, Fort Collins, CO 80523, USA.
Preclinical Surgical Research Laboratory, Department of Clinical Sciences, Colorado State University, 300 W Drake Road, Fort Collins, CO 80523, USA.
Vet Clin North Am Equine Pract. 2019 Aug;35(2):299-309. doi: 10.1016/j.cveq.2019.04.002. Epub 2019 May 27.
Cervical vertebral compressive myelopathy (CVCM) represents the most significant disease of the spinal cord in horses for which surgical treatment is described. Current surgical methods used include ventral interbody fusion with kerf cut cylinders and dorsal laminectomy. Polyaxial pedicle screw and rod constructs and ventral locking compression plating have been introduced in the treatment of equine CVCM and present promising alternative approaches to achieve ventral interbody fusion. Advancements in diagnostic imaging and endoscopy of the cervical vertebral canal may improve reliable preoperative identification of the exact locations of spinal cord compression in horses with CVCM to improve postoperative outcomes.
颈椎压迫性脊髓病（CVCM）是马匹脊髓最严重的疾病，对此已有手术治疗的描述。目前使用的手术方法包括带锯切取圆柱体的腹侧椎间融合术和背侧椎板切除术。多轴椎弓根螺钉和棒结构以及腹侧锁定加压钢板已被引入马CVCM的治疗中，并为实现腹侧椎间融合提供了有前景的替代方法。颈椎管诊断性成像和内窥镜检查的进展可能会改善对患有CVCM的马匹脊髓压迫确切位置的可靠术前识别，从而改善术后结果。
