An update on hemilaminectomy of the cranial thoracic spine: Review of 6 cases

Background: The optimal surgical approach to relieve spinal cord compression in the cranial thoracic spine is not well described, and the anatomy of the cranial thoracic vertebrae creates added surgical difficulty. Aim: This study describes the surgical approach, treatment, and outcome of three do...

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Main Authors: Kathryn Y. Bray, Peter J. Early, Natasha J. Olby, Melissa J. Lewis
Format: Article
Language:English
Published: Tripoli University 2020-01-01
Series:Open Veterinary Journal
Subjects:
Online Access:https://www.openveterinaryjournal.com/OVJ-2017-12-222%20K.Y.%20Bray%20et%20al.pdf
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author Kathryn Y. Bray
Peter J. Early
Natasha J. Olby
Melissa J. Lewis
author_facet Kathryn Y. Bray
Peter J. Early
Natasha J. Olby
Melissa J. Lewis
author_sort Kathryn Y. Bray
collection DOAJ
description Background: The optimal surgical approach to relieve spinal cord compression in the cranial thoracic spine is not well described, and the anatomy of the cranial thoracic vertebrae creates added surgical difficulty. Aim: This study describes the surgical approach, treatment, and outcome of three dogs and three cats that underwent a cranial thoracic hemilaminectomy for the treatment of extradural spinal cord compression. Surgical positioning was tailored to avoid extensive dissection and provide for a restricted, careful approach. Methods: Three dogs and three cats presenting for cranial thoracic spinal cord compression requiring surgical intervention were included. Results: All patients were discharged within five days. No patients experienced postoperative deterioration in neurologic status, and four animals had improved neurologic status at discharge. Conclusion: In cases with cranial thoracic spinal cord compression, the spinous processes can be spared, extensive muscle dissection minimized, and successful outcomes achieved with the appropriate positioning and limited approach.
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spelling doaj.art-54242519ed2f4a7da7fb026e571bb3da2022-12-21T20:12:24ZengTripoli UniversityOpen Veterinary Journal2218-60502218-60502020-01-011011621http://dx.doi.org/10.4314/ovj.v10i1.4An update on hemilaminectomy of the cranial thoracic spine: Review of 6 casesKathryn Y. Bray0Peter J. Early1Natasha J. Olby2Melissa J. Lewis3Carolina Veterinary Specialists, 1600 Hanes Mall Boulevard, Winston Salem NC 27103, USADepartment of Clinical Sciences, Veterinary Hospital, North Carolina State University, 1052 William Moore Drive, Raleigh NC 27607, USADepartment of Clinical Sciences, Veterinary Hospital, North Carolina State University, 1052 William Moore Drive, Raleigh NC 27607, USAPurdue University College of Veterinary Medicine, 625 Harrison Street, West Lafayette IN 47907, USABackground: The optimal surgical approach to relieve spinal cord compression in the cranial thoracic spine is not well described, and the anatomy of the cranial thoracic vertebrae creates added surgical difficulty. Aim: This study describes the surgical approach, treatment, and outcome of three dogs and three cats that underwent a cranial thoracic hemilaminectomy for the treatment of extradural spinal cord compression. Surgical positioning was tailored to avoid extensive dissection and provide for a restricted, careful approach. Methods: Three dogs and three cats presenting for cranial thoracic spinal cord compression requiring surgical intervention were included. Results: All patients were discharged within five days. No patients experienced postoperative deterioration in neurologic status, and four animals had improved neurologic status at discharge. Conclusion: In cases with cranial thoracic spinal cord compression, the spinous processes can be spared, extensive muscle dissection minimized, and successful outcomes achieved with the appropriate positioning and limited approach.https://www.openveterinaryjournal.com/OVJ-2017-12-222%20K.Y.%20Bray%20et%20al.pdfhemilaminectomyintervertebral disc diseasemyelopathythoracic
spellingShingle Kathryn Y. Bray
Peter J. Early
Natasha J. Olby
Melissa J. Lewis
An update on hemilaminectomy of the cranial thoracic spine: Review of 6 cases
Open Veterinary Journal
hemilaminectomy
intervertebral disc disease
myelopathy
thoracic
title An update on hemilaminectomy of the cranial thoracic spine: Review of 6 cases
title_full An update on hemilaminectomy of the cranial thoracic spine: Review of 6 cases
title_fullStr An update on hemilaminectomy of the cranial thoracic spine: Review of 6 cases
title_full_unstemmed An update on hemilaminectomy of the cranial thoracic spine: Review of 6 cases
title_short An update on hemilaminectomy of the cranial thoracic spine: Review of 6 cases
title_sort update on hemilaminectomy of the cranial thoracic spine review of 6 cases
topic hemilaminectomy
intervertebral disc disease
myelopathy
thoracic
url https://www.openveterinaryjournal.com/OVJ-2017-12-222%20K.Y.%20Bray%20et%20al.pdf
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