首页> 外文期刊>The Journal of the South African Veterinary Association >Short-term clinical outcomes of 220 dogs with thoraco-lumbar disc disease treated by mini-hemilaminectomy
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Short-term clinical outcomes of 220 dogs with thoraco-lumbar disc disease treated by mini-hemilaminectomy

机译:用迷你血栓切除术治疗220只狗的短期临床疗效

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Thoraco-lumbar intervertebral disc extrusion is a common condition seen in veterinary practice. Although there are different surgical techniques described for decompression, most of these techniques are based on the surgeon’s preference or experience rather than clinical research. Our objective was to determine the clinical outcomes, using return to ambulation and micturition, as well as complication rates, in a large cohort of dogs by using a mini-hemilaminectomy for decompression of the thoraco-lumbar spinal cord with Hansen type I thoraco-lumbar intervertebral disc extrusions (IVDE). A retrospective study was performed on dogs presented for acute thoraco-lumbar IVDE undergoing surgical decompression. In total, 252 spinal decompression surgeries were performed. The recovery rates for patients graded with a modified Frankel score (MFS) of 5 to 0 were 100%, 99%, 100%, 96%, 86% and 64%, respectively. The mean days to micturition across all the MFS 5–0 were 1.5 (standard deviation [SD] ± 0.7), 1.8 (SD ± 1), 4.3 (SD ± 1.7), 6.4 (SD ± 2.2), 9.3 (SD 3) and 11.9 (SD ± 2.2), respectively. The mean days to ambulation across all the groups 5–0 were 2 (SD ± 0.7), 2.6 (SD ± 1), 7.6 (SD ± 4.4), 10.1 (SD ± 2.5), 16.1 (SD ± 2.9) and 19.3 (SD ± 2.6), respectively. Postoperative complications were seen in 32 of the surgeries, with a complication rate of 13%. Minor complications accounted for 38% of all complications, and major complications constituted 62% of all complications. In total, 15 dogs died or were euthanised as a direct result of thoraco-lumbar disc extrusion or the surgical procedure, with a mortality rate of 6% across all groups. A mini-hemilaminectomy provides similar clinical outcomes described in the literature for other methods of spinal cord decompressive surgery, and it also provides patients with similar short-term outcomes to other described decompressive surgical techniques in the dog, which have been described in the literature.
机译:Thoraco-Lumbar椎间盘挤出是兽医惯例中的常见条件。尽管有不同的手术技术描述了减压,但大多数技术都基于外科医生的偏好或经验而不是临床研究。我们的目标是通过使用迷你血型切除术来确定临床结果,利用返回的矛盾,以及通过使用迷你血型切除术治疗胸腰椎脊髓的大致鼠,以及汉森型I Thoraco-Lumbar椎间盘挤出(IVDE)。对急性Thoraco-Lumbar IVDE进行的患者进行了一种回顾性研究,进行了手术减压。总共进行了252个脊柱减压手术。使用5至0的改进的粉碎评分(MFS)分配的患者的恢复率分别为100%,99%,100%,96%,86%和64%。在所有MF 5-0中对误操作的平均日期为1.5(标准差[SD]±0.7),1.8(SD±1),4.3(SD±1.7),6.4(SD±2.2),9.3(SD 3)分别为11.9(SD±2.2)。所有组5-0的平均气动的平均日为2(SD±0.7),2.6(SD±1),7.6(SD±4.4),10.1(SD±2.5),16.1(SD±2.9)和19.3( SD±2.6)分别。术后并发症在32次手术中看到,并发症率为13%。轻微的并发症占所有并发症的38%,主要并发症构成了所有并发症的62%。共有15只狗死亡或被安乐死为胸腰椎盘挤出或外科手术的直接结果,所有群体的死亡率为6%。迷你半肿瘤切除术提供了在文献中描述的脊髓减压手术的其他方法中描述的类似临床结果,它还为狗的其他描述的减压手术技术提供了类似的短期结果的患者,这些技术已经在文献中描述。

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