Microendoscopic Mini-Hemilaminectomy and Discectomy in Acute Thoracolumbar Disc Extrusion Dogs: A Pilot Study
The objective of this study was to evaluate the clinical outcomes and complications of a microendoscopic laminectomy and discectomy (MED) for acute thoracolumbar intervertebral disc extrusions in dogs. Eleven client-owned dogs with acute thoracolumbar intervertebral disc extrusions were included in...
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| Format: | Article |
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MDPI AG
2021-10-01
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| Series: | Veterinary Sciences |
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| Online Access: | https://www.mdpi.com/2306-7381/8/10/241 |
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| author | Hiroaki Kamishina Yukiko Nakano Yuta Nozue Kohei Nakata Shintaro Kimura Adam G. Drury Sadatoshi Maeda |
| author_facet | Hiroaki Kamishina Yukiko Nakano Yuta Nozue Kohei Nakata Shintaro Kimura Adam G. Drury Sadatoshi Maeda |
| author_sort | Hiroaki Kamishina |
| collection | DOAJ |
| description | The objective of this study was to evaluate the clinical outcomes and complications of a microendoscopic laminectomy and discectomy (MED) for acute thoracolumbar intervertebral disc extrusions in dogs. Eleven client-owned dogs with acute thoracolumbar intervertebral disc extrusions were included in this retrospective case-series. Dogs were diagnosed with acute thoracolumbar intervertebral disc extrusions using computed tomography (CT) and magnetic resonance imaging (MRI). MED was performed with an integrated endoscopic system to the affected intervertebral disc. Surgery time, intra-operative complications, causes of conversion to microscopic surgery if necessary, post-operative complications, and neurological status on presentation at discharge, as well as any further evaluations in hospital, and long-term concerns via owner contact, were recorded. Post-operative CT images were obtained to compare the extent of laminectomy performed to the planned region of laminectomy. The fully endoscopic procedure was completed in eight dogs without major complications. Three cases were converted to an open surgery due to difficulty removing extruded disc material and controlling hemorrhage. The clinical outcome was good in all cases and equivalent to previously reported prognoses after open surgery. MED is an effective and safe alternative to conventional open procedures in dogs with acute thoracolumbar intervertebral disc extrusion. |
| first_indexed | 2024-03-10T06:09:25Z |
| format | Article |
| id | doaj.art-5ea9e35cfebb49eea77823476824c0e1 |
| institution | Directory Open Access Journal |
| issn | 2306-7381 |
| language | English |
| last_indexed | 2024-03-10T06:09:25Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Veterinary Sciences |
| spelling | doaj.art-5ea9e35cfebb49eea77823476824c0e12023-11-22T20:17:34ZengMDPI AGVeterinary Sciences2306-73812021-10-0181024110.3390/vetsci8100241Microendoscopic Mini-Hemilaminectomy and Discectomy in Acute Thoracolumbar Disc Extrusion Dogs: A Pilot StudyHiroaki Kamishina0Yukiko Nakano1Yuta Nozue2Kohei Nakata3Shintaro Kimura4Adam G. Drury5Sadatoshi Maeda6Joint Department of Veterinary Medicine, Faculty of Applied Biological Sciences, Gifu University, 1-1 Yanagido, Gifu 501-1193, JapanThe Animal Medical Center, Gifu University, Gifu 501-1193, JapanThe Animal Medical Center, Gifu University, Gifu 501-1193, JapanThe Animal Medical Center, Gifu University, Gifu 501-1193, JapanThe United Graduate School of Veterinary Sciences, Gifu University, 1-1 Yanagido, Gifu 501-1193, JapanVirginia-Maryland College of Veterinary Medicine, Virginia Polytechnic Institute and State University, 205 Duck Pond Drive, Blacksburg, VA 24061, USAJoint Department of Veterinary Medicine, Faculty of Applied Biological Sciences, Gifu University, 1-1 Yanagido, Gifu 501-1193, JapanThe objective of this study was to evaluate the clinical outcomes and complications of a microendoscopic laminectomy and discectomy (MED) for acute thoracolumbar intervertebral disc extrusions in dogs. Eleven client-owned dogs with acute thoracolumbar intervertebral disc extrusions were included in this retrospective case-series. Dogs were diagnosed with acute thoracolumbar intervertebral disc extrusions using computed tomography (CT) and magnetic resonance imaging (MRI). MED was performed with an integrated endoscopic system to the affected intervertebral disc. Surgery time, intra-operative complications, causes of conversion to microscopic surgery if necessary, post-operative complications, and neurological status on presentation at discharge, as well as any further evaluations in hospital, and long-term concerns via owner contact, were recorded. Post-operative CT images were obtained to compare the extent of laminectomy performed to the planned region of laminectomy. The fully endoscopic procedure was completed in eight dogs without major complications. Three cases were converted to an open surgery due to difficulty removing extruded disc material and controlling hemorrhage. The clinical outcome was good in all cases and equivalent to previously reported prognoses after open surgery. MED is an effective and safe alternative to conventional open procedures in dogs with acute thoracolumbar intervertebral disc extrusion.https://www.mdpi.com/2306-7381/8/10/241endoscopeminimally invasive surgeryintervertebral disc extrusiondogmicroendoscopic laminectomy and discectomy |
| spellingShingle | Hiroaki Kamishina Yukiko Nakano Yuta Nozue Kohei Nakata Shintaro Kimura Adam G. Drury Sadatoshi Maeda Microendoscopic Mini-Hemilaminectomy and Discectomy in Acute Thoracolumbar Disc Extrusion Dogs: A Pilot Study Veterinary Sciences endoscope minimally invasive surgery intervertebral disc extrusion dog microendoscopic laminectomy and discectomy |
| title | Microendoscopic Mini-Hemilaminectomy and Discectomy in Acute Thoracolumbar Disc Extrusion Dogs: A Pilot Study |
| title_full | Microendoscopic Mini-Hemilaminectomy and Discectomy in Acute Thoracolumbar Disc Extrusion Dogs: A Pilot Study |
| title_fullStr | Microendoscopic Mini-Hemilaminectomy and Discectomy in Acute Thoracolumbar Disc Extrusion Dogs: A Pilot Study |
| title_full_unstemmed | Microendoscopic Mini-Hemilaminectomy and Discectomy in Acute Thoracolumbar Disc Extrusion Dogs: A Pilot Study |
| title_short | Microendoscopic Mini-Hemilaminectomy and Discectomy in Acute Thoracolumbar Disc Extrusion Dogs: A Pilot Study |
| title_sort | microendoscopic mini hemilaminectomy and discectomy in acute thoracolumbar disc extrusion dogs a pilot study |
| topic | endoscope minimally invasive surgery intervertebral disc extrusion dog microendoscopic laminectomy and discectomy |
| url | https://www.mdpi.com/2306-7381/8/10/241 |
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