Bibliographic Details
| Title: |
Vertebral fixation does not affect recovery or recurrence of cervical intervertebral disc herniation in small dogs (< 15 kg). |
| Authors: |
Yuki Kikuchi1,2 yuki.kikuchi1013@gmail.com, Fumitaka Takahashi1,2, Minae Toki1, Masakazu Shimada2, Yasushi Hara2, Shinya Yamaguchi1,2 |
| Source: |
Journal of the American Veterinary Medical Association. Oct2023, Vol. 261 Issue 10, p1501-1509. 9p. |
| Subject Terms: |
*DOGS, *INTERVERTEBRAL disk, *HERNIA, *LOGISTIC regression analysis, *SURGICAL site, *POSTOPERATIVE period |
| Abstract: |
OBJECTIVE: To compare the prognosis of small dogs with cervical intervertebral disc herniation (C-IVDH) when treated with ventral slot decompression (VSD) alone or with concomitant vertebral fixation (VF). ANIMALS: Small dogs (n = 303) weighing < 15 kg diagnosed with C-IVDH and treated with VSD. PROCEDURES: We recorded signalment, cervical myelopathy grade, surgical site, use of VF, degree of adjacent disc degeneration, recovery, recurrence, recurrence site, and postoperative course, including the time elapsed from recovery to recurrence. We examined factors associated with recovery and recurrence during the 30-month postoperative period using multivariate logistic regression analysis. RESULTS: VF did not affect recovery (P = .79). However, nonchondrodystrophic breeds had poorer recovery (OR, 5.89; P = .023) than chondrodystrophic breeds, and a higher preoperative cervical myelopathy grade (grade 3 or 4) was associated with poorer recovery (OR, 7.09 or 3.46, respectively; P = .019 or .042, respectively), compared with grade 1. VF did not affect recurrence (P = .79); however, increasing age was associated with recurrence (OR, 1.79; P = .001). CLINICAL RELEVANCE: In small dogs weighing < 15 kg, there was no difference in postoperative recovery and recurrence rates after VSD with or without concomitant VF. Therefore, in small dogs with C-IVDH, even if the slot volume is increased to remove sufficient disc material during VSD, a good prognosis can be achieved with or without VF. [ABSTRACT FROM AUTHOR] |
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| Database: |
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