Dixon B C, Tomlinson J L, Kraus K H
Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia 65211, USA.
J Am Vet Med Assoc. 1996 Jan 1;208(1):61-8.
A modified technique for distraction-stabilization that used an interbody polymethyl methacrylate plug was performed in 22 dogs with confirmed caudal cervical spondylomyelopathy. Myelographically, all compressive lesions were dynamic and predominantly located ventral to the spinal cord. Nineteen of 21 (90%) dogs for which success/failure could be determined had a successful outcome, and 11 of 22 (50%) dogs attained normal neurologic status. The 2 cases that were considered failures involved dogs that were nonambulatory tetraparetic prior to surgery and failed to improve to a functional status. Complications were self-limiting and included ventral displacement of the cement without loss of distraction in 1 dog and diskosponsylitis at an adjacent disk space in another dog. Evidence of fusion of the affected vertebrae, in the distracted position, was radiographically evident in all dogs. Use of the interbody polymethyl methacrylate plug appears to be a viable surgical treatment of caudal cervical spondylomyelopathy in dogs.
对22只确诊为颈尾部脊髓病的犬实施了一种改良的撑开-稳定技术，该技术使用了椎间聚甲基丙烯酸甲酯塞。脊髓造影显示，所有压迫性病变均为动态性，且主要位于脊髓腹侧。在21只可判定成功/失败的犬中，有19只（90%）取得了成功的结果，22只犬中有11只（50%）恢复了正常神经状态。被视为失败的2例涉及术前非行走性四肢轻瘫且未能改善至功能状态的犬。并发症为自限性，包括1只犬出现骨水泥腹侧移位但未失去撑开效果，另1只犬在相邻椎间盘间隙出现椎间盘脊椎炎。在所有犬中，影像学均显示受累椎体在撑开位置融合。使用椎间聚甲基丙烯酸甲酯塞似乎是犬颈尾部脊髓病可行的手术治疗方法。
