用肩胛骨切开术从侧面切除 T1-2 椎间盘突出,并对一只狗进行了小型椎间孔镜切除术。

IF 1 2区 农林科学 Q3 VETERINARY SCIENCES Veterinary and Comparative Orthopaedics and Traumatology Pub Date : 2024-05-01 Epub Date: 2024-01-15 DOI:10.1055/s-0043-1777263
Marie Nicolas, Stéphane Bureau, Chloé Job, Alexandre Guillemot
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引用次数: 0

摘要

患者是一只 4 岁的雌性法国斗牛犬,已做过绝育手术,2 天前出现颈部疼痛和左胸肢体跛行,但无神经功能障碍。计算机断层扫描(CT)检查显示左侧 T1-2 椎间盘挤压。手术治疗采用椎体左外侧入路,并行肩胛骨截骨术。进行了 T1-2 小半椎板切除术。肩胛骨截骨用两块2.4毫米的锁定加压钢板固定。术后 CT 和 X 光检查显示,T1-2 椎孔得到了充分减压,肩胛骨截骨也得到了很好的缩小。该犬第二天就能行走了。术后 1 个月随访时,该犬颈部无疼痛,但左侧胸肢持续轻微跛行。术后 10 个月,CT 扫描显示手术部位无异常,该犬没有神经功能障碍,也没有跛行。本病例报告旨在描述一种新的 T1-2 椎间隙侧向入路。
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Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog.

A 4-year-old female spayed French bulldog was presented with a 2-day history of neck pain and left thoracic limb lameness with no neurological deficits. A computed tomography (CT) examination showed a left foraminal T1-2 disc extrusion. Surgical management was performed using a left lateral approach to the vertebral column with a scapular osteotomy. A T1-2 mini-hemilaminectomy was performed. The scapular osteotomy was stabilized with two 2.4-mm locking compression plates. The postoperative CT and radiographic examinations showed adequate decompression of the T1-2 foramen and good reduction in the scapular osteotomy. The dog was able to walk the following day. At the 1-month follow-up, the dog had no neck pain but persistent slight left thoracic limb lameness. Ten months postoperatively, a CT scan showed no abnormalities at the surgical site, and the dog had no neurological deficits nor lameness. The aim of this case report was to describe a new lateral approach to T1-2 intervertebral space.

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来源期刊
CiteScore
2.00
自引率
15.40%
发文量
49
审稿时长
18-36 weeks
期刊介绍: Veterinary and Comparative Orthopaedics and Traumatology (VCOT) is the most important single source for clinically relevant information in orthopaedics and neurosurgery available anywhere in the world today. It is unique in that it is truly comparative and there is an unrivalled mix of review articles and basic science amid the information that is immediately clinically relevant in veterinary surgery today.
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