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Treatment of spinal fractures using Lubra plates. A retrospective clinical and radiological evaluation of 15 cases.
MedLine Citation:
PMID:  22535416     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The purpose of this retrospective study was to review the clinical use along with the short- and long-term outcome in patients treated with Lubra plates to stabilize spinal fracture and dislocations that were considered unstable at time of surgery according to the 'three compartment theory'. The data that were collected included breed, age, gender, body weight of the patients, cause of injury, neurological grade (pre- and postoperative), radiographic findings, surgical treatment, and clinical and radiological outcome. Thirteen dogs and two cats were included with thoracic (1 case), thoracolumbar (3 cases), midlumbar (5 cases) and caudal lumbar (6 cases) vertebral fractures. For stabilization, the small-sized (3 cases), medium-sized (6 cases), and large-sized (6 cases) Lubra plates were used. The clinical outcome was excellent in 10/15 patients, functional in 2/15 and poor in 3/15 with a median follow up period of nine years (range 2 months to 12 years). The fractures eventually stabilized by ventral spondylosis. No implant failure was seen, however demineralization of the spinous processes necessitated implant removal in one case. Our results suggest that the Lubra plating is an appropriate technique for thoracolumbar and lumbar vertebral fractures as well as luxations in dogs and cats. The prognosis for neurological recovery was excellent when the animal had a neurological grade of 3 and was not paralyzed.
Authors:
M W Krauss; L F H Theyse; M A Tryfonidou; H A W Hazewinkel; B P Meij
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-25
Journal Detail:
Title:  Veterinary and comparative orthopaedics and traumatology : V.C.O.T     Volume:  25     ISSN:  0932-0814     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8906319     Medline TA:  Vet Comp Orthop Traumatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Dr. med vet. Maximiljan W. Krauss, Yalelaan 108, 3584 CM Utrecht, The Netherlands, Phone: +31 30 253 5830, Fax: +31 30 251 8126, E-mail: m.w.krauss@uu.nl.
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