Department of Clinical Veterinary Medicine, Queen's Veterinary School Hospital, University of Cambridge, Cambridge, United Kingdom.
Vet Comp Orthop Traumatol. 2021 Nov;34(6):437-440. doi: 10.1055/s-0041-1731809. Epub 2021 Aug 3.
Intervertebral disc fenestration has been shown to reduce the risk of extrusion in the thoracolumbar region in dogs, but use of the technique varies between individual neurologists and surgeons. Our aim was to investigate opinions and practices regarding disc fenestration amongst those involved in neurosurgery in dogs.
A web-based survey containing questions relating to the use of fenestration during treatment of intervertebral disc extrusion in dogs was distributed to board-certified neurologists and surgeons. Results were analysed using Microsoft Excel.
There were 323 responses from 190 neurologists and 133 surgeons. Seventy-one per cent of respondents routinely used concurrent disc fenestration when performing decompressive surgery in the thoracolumbar region, although the rate was lower amongst surgeons (55%) than neurologists (82%). Only 25% of respondents performed concurrent fenestration in the cervical spine. Forty-five per cent of respondents reported having experienced complications, with haemorrhage being the most common.
Fenestration is widely used in the management of thoracolumbar intervertebral disc extrusion, but a universally accepted approach does not exist, and differences are seen between neurologists and surgeons.
椎间盘开窗术已被证明可降低犬胸腰椎区域椎间盘突出症发生挤出的风险，但该技术的应用因神经科医生和外科医生的个体差异而有所不同。我们旨在调查参与犬神经外科手术的医生对椎间盘开窗术的看法和实践。
一项基于网络的调查，包含了与犬椎间盘突出症治疗过程中开窗术应用相关的问题，分发给了 board-certified 神经科医生和外科医生。使用 Microsoft Excel 对结果进行分析。
来自 190 名神经科医生和 133 名外科医生的 323 份回复。71%的受访者在进行胸腰椎减压手术时常规进行联合椎间盘开窗术，尽管外科医生（55%）的使用率低于神经科医生（82%）。仅 25%的受访者在颈椎进行同期开窗术。45%的受访者报告有并发症发生，其中出血最常见。
开窗术广泛应用于胸腰椎椎间盘突出症的治疗，但目前尚无普遍接受的方法，神经科医生和外科医生之间存在差异。
