Sphinx Equine Clinic, Giza Egypt.
Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Cairo University. Giza, Egypt.
J Equine Vet Sci. 2023 Jul;126:104493. doi: 10.1016/j.jevs.2023.104493. Epub 2023 Apr 17.
Cervical vertebral stenotic myelopathy (CVSM), also known as equine wobbler syndrome or cervical ataxia, is a devastating neurological syndrome resulting from compression of the spinal cord at the cervical region. This report describes a novel surgical technique for treatment of 16-month-old Arabian filly with CVSM. The filly showed grade 4 ataxia, hypermetria, weakness of the hind limbs, stumbling during walking, and abnormal gait. Case history, clinical signs and myelography revealed spinal cord compression between the C3 and C4 and C4-C5. The filly underwent a novel surgical interference for decompression and stabilization of the point of stenosis using specially designed titanium plate and intervertebral spacer. Evidence of arthrodesis with absence of complications was confirmed by periodic radiography over eight months of postoperative care. The new technique applied in this cervical surgery was efficient for the decompression and stabilization of the vertebrae, allowing arthrodesis development and remission of the clinical signs. The obtained results encourage further assessment of this novel procedure in horses clinically affected by CVSM.
颈椎狭窄性脊髓病（CVSM），又称马属动物摇摆综合征或颈共济失调，是一种由颈椎脊髓受压引起的毁灭性神经综合征。本报告描述了一种治疗 16 月龄阿拉伯母马 CVSM 的新手术技术。该母马表现出 4 级共济失调、运动过度、后肢无力、行走时绊倒和步态异常。病史、临床症状和脊髓造影显示 C3 和 C4 及 C4-C5 之间的脊髓受压。该母马接受了一种新的手术干预，使用专门设计的钛板和椎间间隔物对狭窄部位进行减压和稳定。术后 8 个月定期进行放射检查，证实有融合而无并发症。该新技术应用于颈椎手术中，对椎体的减压和稳定效果显著，促进了融合的发展和临床症状的缓解。获得的结果鼓励进一步评估该新技术在临床上患有 CVSM 的马中的应用。
