Northwest Veterinary Specialists, Runcorn, UK.
Vetsuisse Faculty, University of Zürich, Zürich, Switzerland.
Open Vet J. 2021 Jan;10(4):384-391. doi: 10.4314/ovj.v10i4.5. Epub 2020 Nov 7.
Canine spinal subarachnoid diverticulum has been studied since 1968 and a few advancements have been made with regard to the treatment of this disease. Several surgical techniques have been proposed which include durectomy, fenestration, and/or marsupilization with the latter two regarded as the more favorable surgical treatments.
In this retrospective study, we evaluated the closure of the durotomy incision in the treatment of canine spinal subarachnoid diverticulum.
We retrospectively evaluated eight dogs with clinical signs and magnetic resonance imaging findings consistent with spinal subarachnoid diverticulum located in the cervical and thoracolumbar area. This was to determine whether the fenestration with closure of durotomy was superior to the marsupialization technique. In all dogs, fenestration and removal of subarachnoid adherences alongside closure of the durotomy were carried out.
Mild post-operative deterioration was observed in all dogs. Follow-up from 7 to 36 months indicated a satisfactory outcome.
We conclude that the closure of durotomy has similar short-term and long-term outcomes compared to the previous reported studies. These results suggest that the closure of durotomy is a viable technique for spinal subarachnoid diverticulum.
自 1968 年以来,人们一直在研究犬的脊髓蛛网膜下腔憩室,并在该病的治疗方面取得了一些进展。已经提出了几种手术技术,包括硬脊膜切开术、开窗术和/或袋状化术,后两种被认为是更有利的手术治疗方法。
在这项回顾性研究中,我们评估了硬脊膜切开术切口闭合在治疗犬脊髓蛛网膜下腔憩室中的作用。
我们回顾性评估了 8 只具有与颈椎和胸腰椎区脊髓蛛网膜下腔憩室相一致的临床症状和磁共振成像发现的犬。目的是确定硬脊膜切开术闭合与袋状化技术相比是否更优越。在所有犬中,均进行了开窗术和蛛网膜下腔粘连的清除,并闭合硬脊膜切开术切口。
所有犬均出现轻度术后恶化。7 至 36 个月的随访结果良好。
我们得出结论,与之前报道的研究相比,硬脊膜切开术闭合具有相似的短期和长期效果。这些结果表明,硬脊膜切开术闭合是治疗脊髓蛛网膜下腔憩室的一种可行技术。