Short-term and long-term effects of a minimally invasive transilial vertebral blocking procedure on the lumbosacral morphometry in dogs measured by computed tomography.

Müller, Friedrich; Schenk, Henning C; Forterre, Franck (2017). Short-term and long-term effects of a minimally invasive transilial vertebral blocking procedure on the lumbosacral morphometry in dogs measured by computed tomography. Veterinary surgery, 46(3), pp. 354-366. Wiley-Blackwell 10.1111/vsu.12623

[img] Text
M-ller_et_al-2017-Veterinary_Surgery.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (839kB) | Request a copy

OBJECTIVE To determine the effects of a minimally invasive transilial vertebral (MTV) blocking procedure on the computed tomographic (CT) appearance of the lumbosacral (L7/S1) junction of dogs with degenerative lumbosacral stenosis (DLSS). STUDY DESIGN Prospective study. ANIMALS 59 client-owned dogs with DLSS. METHODS Lumbosacral CT images were acquired with hyperextended pelvic limbs before and after MTV in all dogs. Clinical follow-up was obtained after 1 year, including a neurologic status classified in 4 grades, and if possible, CT. Morphometric measurements (Mean ± SEM) including foraminal area, endplate distance at L7/S1 and LS angle were obtained on sets of reformatted parasagittal and sagittal CT images. RESULTS The mean foraminal area (ForL) increased from 32.5 ± 1.7 mm2 to 59.7 ± 1.9 mm2 on the left and from 31.1 ± 1.4 mm2 to 59.1 ± 2.0 mm2 on the right (ForR) side after MTV. The mean endplate distance (EDmd) between L7/S1 increased from 3.7 ± 0.1 mm to 6.0 ± 0.1 mm, and mean lumbosacral angle (LSa) from 148.0 ± 1.1° to 170.0 ± 1.1° after MTV. CT measurements were available 1 year postoperatively in 12 cases: ForL: 41.2 ± 3.1 mm2 ; ForR: 37.9 ± 3.1 mm2 ; EDmd: 4.3 ± 0.4 mm, and LSa 157.6 ± 2.1° (values are mean and standard error of mean =  SEM). All 39 dogs with long-term follow-up improved by at least 1 neurologic grade, 9/39 improving by 3 grades, 15/39 by 2 grades, and 15/39 by 1 grade. CONCLUSIONS MTV results in clinical improvement and morphometric enlargement of the foraminal area in dogs with variable degrees of foraminal stenosis. CLINICAL RELEVANCE MTV may be a valuable minimally invasive option for treatment of dogs with DLSS.

Item Type:

Journal Article (Original Article)

Division/Institute:

05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > Small Animal Clinic
05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV)
05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > Small Animal Clinic > Small Animal Clinic, Surgery

UniBE Contributor:

Forterre, Franck

Subjects:

600 Technology > 630 Agriculture
600 Technology > 610 Medicine & health

ISSN:

0161-3499

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Simone Forterre

Date Deposited:

02 May 2018 12:36

Last Modified:

23 Oct 2019 07:18

Publisher DOI:

10.1111/vsu.12623

PubMed ID:

28314063

BORIS DOI:

10.7892/boris.108834

URI:

https://boris.unibe.ch/id/eprint/108834

Actions (login required)

Edit item Edit item
Provide Feedback