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病例报告:椎体切除及自体髂骨移植治疗一只腊肠犬的椎体浆细胞瘤

Case report: Corpectomy and iliac crest bone autograft as treatment for a vertebral plasma cell tumor in a dachshund dog.

作者信息

Yoder Hannah R, MacRae Megan R, Snead Olivia M, Kraus Karl H

机构信息

Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, IA, United States.

出版信息

Front Vet Sci. 2023 Dec 11;10:1281063. doi: 10.3389/fvets.2023.1281063. eCollection 2023.

Abstract

A 7-year-old, 7.5 kg, female spayed dachshund dog presented to a veterinary teaching hospital after being referred for lameness and the inability to urinate. The dog presented as weakly ambulatory paraparetic with intact pain perception. Computed tomographic (CT) imaging showed ventral bony lysis and periosteal proliferation of the L3 vertebra, consistent with a plasma cell tumor. A corpectomy of the L3 vertebra was performed and subsequently stabilized with autogenous cortico-cancellous iliac crest bone staves, autogenous cancellous bone, and bilaterally placed locking plates [String of Pearls (SOP), Orthomed]. The dog recovered well, with no decrease in neurologic status overnight, and continued to improve until discharge. Upon a recheck exam at 4 weeks postoperatively, the dog appeared neurologically improved with only mild ambulatory proprioceptive ataxia of the hind limbs. This case demonstrates that the transposition of a non-vascularized iliac crest autogenous bone graft with stabilization via SOP plates and screws can be used in the management of dogs with vertebral plasma cell tumors and should be considered as a surgical option in similarly affected cases.

摘要

一只7岁、体重7.5千克的雌性去势腊肠犬因跛行和无法排尿被转诊至一家兽医教学医院。该犬表现为轻度行走性双下肢轻瘫,痛觉正常。计算机断层扫描(CT)成像显示L3椎体腹侧骨质溶解和骨膜增生,符合浆细胞瘤表现。对L3椎体进行了椎体切除术,随后用自体皮质松质髂嵴骨棒、自体松质骨和双侧放置的锁定钢板(珍珠链[SOP],Orthomed公司)进行固定。该犬恢复良好,夜间神经状态无下降,并持续改善直至出院。术后4周复查时,该犬神经功能有所改善,仅后肢有轻度行走性本体感觉共济失调。本病例表明,通过SOP钢板和螺钉固定进行非血管化髂嵴自体骨移植移位可用于治疗犬椎体浆细胞瘤,在类似病例中应考虑作为一种手术选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f43c/10750371/d936bef9ebb1/fvets-10-1281063-g001.jpg

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