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Pediculectomy for Thoracolumbar Spinal Decompression in the Dachshund

机译:根治性手术在腊肠的胸腰椎脊柱减压

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摘要

Removal of a com-pressive spinal lesion relies on radi-ographic confirmation and precise localization of the lesion. The pediculec-tomy technique was used to expose and remove the compressing spinal mass in 32 dogs with thoracolumbar disease. The dogs, all Dachshunds, were classified on the basis of 2 neurologic examinations as having a good, fair, poor, or very poor prognosis, Lumbar myelography was performed to confirm the clinical and suspected radi-ographic diagnosis and to determine the level ofthe lesion and its circumferential location. A modified pediculectomy procedure was performed in all dogs. The procedure involves removal of the lateral bony wall of the spinal canal between the vertebral body and the diarthrodial articulation processes. Less invasive than other s'pinal decompression techniques, pediculectomy results in minimal surgical trauma to the spinal cord. The articular processes and di-arthrodial joint remain intact (Fig 3), Exercise was encouraged after the dogs were awake and had received assistance to stand. Postoperative status was evaluated daily during hospitalization, and posthospitalization follow-up occurred at 3 weeks and again at 3 months.
机译:压迫性脊柱病变的切除取决于射线照相的确认和病变的精确定位。椎弓根切开术用于暴露和去除32例胸腰椎病犬的受压脊柱肿块。根据两次神经系统检查,将这些犬全部为腊肠犬,将其分为好,中,差或非常差的预后。进行腰椎脊髓造影以确认临床和可疑的放射影像学诊断,并确定病变程度及其圆周位置。对所有的狗进行改良的足弓切除术。该过程包括去除椎体与穿刺关节之间的椎管外侧骨壁。与其他脊柱减压技术相比,椎弓根切除术的侵入性较小,因此对脊髓的手术创伤最小。关节过程和关节旁关节完好无损(图3),在狗醒着并得到站立帮助后,鼓励运动。住院期间每天评估术后状态,住院后的随访时间分别为3周和3个月。

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