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Postoperative outcomes of combined surgery comprising dorsal laminectomy, transarticular screws, pedicle screws and polymethylmethacrylate for dorsal fixation in 21 dogs with degenerative lumbosacral stenosis – Lumbar Spinal Stenosis

The article reviewed the effectiveness of combined surgery involving dorsal laminectomy and dorsal fixation using screws and polymethylmethacrylate for dogs with degenerative lumbosacral stenosis (DLSS). The study included 21 dogs that underwent the surgical treatment, and their clinical records and postoperative outcomes were evaluated at multiple time points. The results showed that in all cases, the clinical signs were alleviated, and improvements in proprioceptive deficits were observed from 3 months after surgery. No recurrence of clinical signs occurred during the observation period. Minor complications were reported in 28.6% of the cases, but there were no major complications. Overall, the study concluded that this combined surgery technique is an effective treatment option for dogs with DLSS, improving long-term clinical signs

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

OBJECTIVE: To retrospectively review the efficacy of combined surgery comprising dorsal laminectomy and dorsal fixation using screws and polymethylmethacrylate as treatment for dogs with degenerative lumbosacral stenosis (DLSS).

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J Am Vet Med Assoc. 2022 Jun 28;260(14):1813-1819. doi: 10.2460/javma.22.04.0176.ABSTRACTOBJECTIVE: To retrospectively review the efficacy of combined surgery comprising dorsal laminectomy and dorsal fixation using screws and polymethylmethacrylate as treatment for dogs with degenerative lumbosacral stenosis (DLSS).ANIMALS: 21 client owned dogs diagnosed with DLSS and treated surgically.PROCEDURES: Based on clinical records, signalments, clinical signs, findings,

J Am Vet Med Assoc. 2022 Jun 28;260(14):1813-1819. doi: 10.2460/javma.22.04.0176.

ABSTRACT

OBJECTIVE: To retrospectively review the efficacy of combined surgery comprising dorsal laminectomy and dorsal fixation using screws and polymethylmethacrylate as treatment for dogs with degenerative lumbosacral stenosis (DLSS).

ANIMALS: 21 client owned dogs diagnosed with DLSS and treated surgically.

PROCEDURES: Based on clinical records, signalments, clinical signs, findings from orthopedic and neurological examinations, imaging findings, and postoperative complications were evaluated at the following time points: preoperatively, postoperatively, and 3, 6, 12, 24, and 36 months after surgery.

RESULTS: In all 21 cases, clinical signs were alleviated, proprioceptive deficits were improved from 3 months after surgery, and no recurrence of clinical signs was observed during the observation period. Minor complications were observed in 6 cases (28.6%), including implant failure in 2 (9.5%), delayed healing of surgical wounds in 2 (9.5%), seroma in 1 (4.8%), and swelling of the affected area in 1 (4.8%). There was no case with major complications.

CLINICAL RELEVANCE: Combined surgery comprising dorsal laminectomy and dorsal fixation using screws and polymethylmethacrylate is a useful treatment that can improve long-term clinical signs in dogs with DLSS.

PMID:35943947 | DOI:10.2460/javma.22.04.0176

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Postoperative outcomes of combined surgery comprising dorsal laminectomy, transarticular screws, pedicle screws and polymethylmethacrylate for dorsal fixation in 21 dogs with degenerative lumbosacral stenosis

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J Am Vet Med Assoc. 2022 Jun 28;260(14):1813-1819. doi: 10.2460/javma.22.04.0176.ABSTRACTOBJECTIVE: To retrospectively review the efficacy of combined surgery comprising dorsal laminectomy and dorsal fixation using screws and polymethylmethacrylate as treatment for dogs with degenerative lumbosacral stenosis (DLSS).ANIMALS: 21 client owned dogs diagnosed with DLSS and treated surgically.PROCEDURES: Based on clinical records, signalments, clinical signs, findings

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