Cervical spinal locking plate in combination with cortical ring allograft for a one level fusion in dogs with cervical spondylotic myelopathy.

Bergman, Robert L; Levine, Jonathan M; Coates, Joan R; Bahr, Anne; Hettlich, Bianca Felicitas; Kerwin, Sharon C (2008). Cervical spinal locking plate in combination with cortical ring allograft for a one level fusion in dogs with cervical spondylotic myelopathy. Veterinary surgery, 37(6), pp. 530-536. Wiley-Blackwell 10.1111/j.1532-950X.2008.00400.x

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OBJECTIVE

To evaluate use of a surgical technique commonly used in humans for treatment of cervical spondylotic myelopathy (CSM) in dogs.

DESIGN

Prospective case series.

ANIMALS

Dogs with CSM (n=10).

METHODS

Dogs weighing >30 kg that had CSM at 1 vertebral articulation were eligible for inclusion. Dogs had vertebral column distraction/fusion performed using a cortical ring allograft, cancellous autograft, and a spinal locking plate. Dogs were evaluated temporally by repeat neurological examinations and by client perception of postsurgical outcome, determined by telephone interview.

RESULTS

Nine dogs survived the immediate postoperative period. Seven of 8 dogs had moderate to complete improvement without recurrence (mean follow-up, 2.48 years). The most common postsurgical complications were screw loosening (n=4) and plate shifting (2), neither of which required surgical revision. One dog had pseudoarthrosis that may have negatively impacted outcome.

CONCLUSION

Treatment of single level CSM in dogs with ring allograft and a spinal locking plate system may lead to successful outcomes. The major problems encountered with included cost of the implants and adjusting the system designed for humans to fit the vertebral column of a dog.

CLINICAL RELEVANCE

For dogs with CSM at a single level, the use of a spinal locking plate in combination with a cortical ring allograft can be an effective surgical treatment. Costs of the implants as well as anatomic differences in dogs make this type of surgery less appealing.

Item Type:	Journal Article (Original Article)
Division/Institute:	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 05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > Small Animal Clinic
UniBE Contributor:	Hettlich, Bianca Felicitas
Subjects:	500 Science 600 Technology > 610 Medicine & health
ISSN:	0161-3499
Publisher:	Wiley-Blackwell
Language:	English
Submitter:	Bianca Felicitas Hettlich
Date Deposited:	30 Mar 2016 16:56
Last Modified:	05 Dec 2022 14:52
Publisher DOI:	10.1111/j.1532-950X.2008.00400.x
PubMed ID:	19134102
URI:	https://boris.unibe.ch/id/eprint/77354