ABSTRACT
A study was undertaken to compare the efficacy of two surgical techniques for the treatment of caudal cervical spondylomyelopathy (CCSM): ventral decompression (slot) and vertebral distraction and stabilisation with a screw and washer (screw/washer). Twenty-eight dobermanns managed surgically for disc-associated CCSM during a four-year period were studied retrospectively. The maximum postoperative period was 40 months. Cases were excluded if a minimum follow-up of 24 months after surgery could not be made. A 'slot' took a longer time to perform and had a higher rate of immediate postoperative deterioration. Duration of hospital stay was similar for both procedures. At six months after surgery the two techniques were comparable; 12/14 (screw/washer) and 13/14 (slot) patients were deemed to have a satisfactory outcome. Recurrence of cervical spinal cord disease was higher in the screw/washer dogs. At one year after surgery the recurrence rate was zero (slot) and 5/14 (screw/washer), respectively. At two years after surgery 4/14 of the slot dogs had deteriorated compared to 7/14 of the screw/washer dogs. Where investigated, the cause of deterioration was either a domino disc lesion or vertebral endplate collapse and dorsal displacement of the screw and washer.
Subject(s)
Cervical Vertebrae/surgery , Dog Diseases/surgery , Muscular Atrophy, Spinal/veterinary , Spinal Osteophytosis/veterinary , Animals , Bone Screws , Dogs , Follow-Up Studies , Muscular Atrophy, Spinal/surgery , Postoperative Complications/veterinary , Recurrence , Retrospective Studies , Spinal Osteophytosis/surgeryABSTRACT
A nine-week-old labrador was presented with a deformed left forelimb causing obvious lameness. Radiographs suggested that the dog had suffered a fracture involving the radius and ulna which had healed resulting in a synostosis. There was a concurrent radial physeal injury. The dog was treated initially by osteotomy of the radius and ulna stabilised using a static external skeletal fixator. At a subsequent surgery lengthening of the limb was achieved by using an Ilizarov apparatus. Worsening carpal hyperflexion was managed by bandaging in forced extension. A successful outcome was achieved with a final result of a 24 per cent discrepancy in length between the two radii at 17 months of age. An increase in length of the ipsilateral humerus was seen in association with the shortened forelimb.
Subject(s)
Congenital Abnormalities/veterinary , Dog Diseases/etiology , Dog Diseases/therapy , External Fixators/veterinary , Forelimb/abnormalities , Synostosis/veterinary , Animals , Congenital Abnormalities/etiology , Congenital Abnormalities/therapy , Dog Diseases/diagnostic imaging , Dogs , Forelimb/diagnostic imaging , Humerus/abnormalities , Humerus/diagnostic imaging , Radiography , Radius/abnormalities , Radius/diagnostic imaging , Synostosis/complications , Synostosis/therapy , Ulna/abnormalities , Ulna/diagnostic imagingABSTRACT
A 10-month-old entire male bull terrier was presented with a history of collapse on exercise. Clinical examination, electrocardiography, radiography and echocardiography all supported a diagnosis of mitral valve dysplasia. There was no evidence of congestive heart failure. Surgical intervention consisted of open resection of the dysplastic mitral valve and its replacement with a bioprosthetic valve. The procedure was performed through a median sternotomy and the dog was placed on to full cardiopulmonary bypass. Total cardiopulmonary bypass time was 70 minutes. A full recovery was made and at the time of writing (17 months postoperatively) the dog is clincally normal requiring no medication.
