Pérez-Nogués Marcos, Vaughan Betsy, Phillips Kathryn L, Galuppo Larry D
Department of Surgical and Radiological Sciences, William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis, California.
Vet Surg. 2020 Apr;49(3):463-471. doi: 10.1111/vsu.13388. Epub 2020 Feb 5.
To determine the safety and efficacy of caudal cervical articular process joint arthroscopy by using needle arthroscopy in standing sedated horses.
Prospective experimental case series.
Six adult horses.
Three horses underwent exploration of bilateral C5-6 vertebral articular process joints and three bilateral C6-7 articular process joints by using a 1.2 × 65-mm needle arthroscope under standing sedation. The 16-gauge arthroscopic trocar and canula assembly was inserted in the desired articular process joint under ultrasonographic guidance without distention of the joint.
All 12 articular process joints were successfully explored. Entering the joint on the first attempt was achieved in 10 of 12 joints. A craniodorsal approach for arthroscope insertion allowed evaluation of the most cranial aspect of the articular cartilage surface. Triangulation with a spinal needle was determined to be difficult and resulted in a limited space for movement.
Needle arthroscopy of the caudal cervical facet joints was performed safely and efficiently in standing sedated horses.
Standing cervical articular process needle arthroscopy is a minimal morbidity technique with the potential to be an advantageous technique for the diagnosis and treatment of cervical articular process pathology.
通过对站立镇静马匹使用针式关节镜检查来确定尾侧颈椎关节突关节镜检查的安全性和有效性。
前瞻性实验病例系列。
6匹成年马。
3匹马在站立镇静状态下，使用1.2×65毫米的针式关节镜对双侧C5-6椎体关节突关节进行探查，另外3匹马对双侧C6-7关节突关节进行探查。16号关节镜套管针和套管组件在超声引导下插入所需的关节突关节，关节不进行扩张。
成功探查了所有12个关节突关节。12个关节中有10个在首次尝试时就成功进入关节。关节镜插入的颅背侧入路可评估关节软骨表面的最颅侧部分。确定使用脊髓针进行三角定位很困难，且活动空间有限。
在站立镇静的马匹中，尾侧颈椎小关节的针式关节镜检查可安全有效地进行。
站立位颈椎关节突针式关节镜检查是一种发病率极低的技术，有可能成为诊断和治疗颈椎关节突病变的优势技术。
