Document Detail


Partial lateral corpectomy of the thoracolumbar spine in 51 dogs: assessment of slot morphometry and spinal cord decompression.
MedLine Citation:
PMID:  21077918     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To report slot morphometry, degree of spinal decompression, and factors influencing decompression after partial lateral corpectomy (PLC) of the thoracolumbar spine in dogs with intervertebral disc disease.
STUDY DESIGN: Case series. Animals: Dogs (n=51) with predominantly ventrally located spinal cord compression. Methods: PLC (n=60) were performed. Spinal cord compression was determined by computed tomographic (CT) myelography (n=46), myelography (n=2) or magnetic resonance imaging (n=3). Postsurgical CT images were used to evaluate slot dimensions and orientation, and spinal cord decompression. The influence of age, body weight, breed, breed type (chondrodystrophic, nonchondrodystrophic), disc location, lateralization and mineralization, presurgical compression, slot morphometry, and surgeon on degree of decompression were evaluated.
RESULTS: Mean slot depth was 64.1% of vertebral body width; mean height, 43.0% of vertebral body height; mean cranial extension, 29.5%; median caudal extension, 22.0% vertebral body length; mean angulation from horizontal, 6.3°. Decompression was satisfactory in 90% of sites after PLC (58% complete, 32% good). None of the analyzed factors significantly influenced decompression. All lumbar spine PLC resulted in complete or good decompression compared with 83% after thoracic PLC (P=.052). Deeper slots tended to allow more complete decompression (P=.058).
CONCLUSIONS: Thoracolumbar PLC results in satisfactory decompression in most cases with a better outcome in the lumbar spine than the thoracic spine. Achieving a slot depth equal to 2/3 of vertebral body width might facilitate complete decompression.
Authors:
Thomas Flegel; Irene Christine Boettcher; Eberhard Ludewig; Ingmar Kiefer; Gerhard Oechtering; Peter Böttcher
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Publication Detail:
Type:  Journal Article     Date:  2010-11-15
Journal Detail:
Title:  Veterinary surgery : VS : the official journal of the American College of Veterinary Surgeons     Volume:  40     ISSN:  1532-950X     ISO Abbreviation:  Vet Surg     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8113214     Medline TA:  Vet Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  14-21     Citation Subset:  IM    
Copyright Information:
© Copyright 2010 by The American College of Veterinary Surgeons.
Affiliation:
Department of Small Animal Medicine, University of Leipzig, Leipzig, Germany.
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