The Experts below are selected from a list of 204 Experts worldwide ranked by ideXlab platform
Giselle Hosgood - One of the best experts on this subject based on the ideXlab platform.
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vertebral subluxation following Ventral cervical decompression in the dog
Journal of The American Animal Hospital Association, 2000Co-Authors: R J Lemarie, Beth P Partington, Sharon C. Kerwin, Giselle HosgoodAbstract:Cervical intervertebral disk disease is commonly treated surgically by Ventral decompression through a Ventral Slot. Nine dogs with documented vertebral subluxation following surgical creation of a...
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Vertebral subluxation following Ventral cervical decompression in the dog.
Journal of The American Animal Hospital Association, 2000Co-Authors: R J Lemarie, Beth P Partington, Sharon C. Kerwin, Giselle HosgoodAbstract:Cervical intervertebral disk disease is commonly treated surgically by Ventral decompression through a Ventral Slot. Nine dogs with documented vertebral subluxation following surgical creation of a Ventral Slot are reported. The location of the subluxation was at the fourth cervical (C4) to fifth cervical (C5) intervertebral space in two dogs, C5 to sixth cervical (C6) intervertebral space in four dogs, and C6 to seventh cervical (C7) intervertebral space in three dogs. The Ventral Slot width to vertebral body width ratio ranged from 0.39 to 0.80, with the ratio being 0.50 or greater in seven of eight cases evaluated radiographically. Surgical reduction and stabilization were performed in seven of nine dogs.
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Caudal cervical intervertebral disk disease in the small dog: role of distraction and stabilization in Ventral Slot decompression.
Journal of The American Animal Hospital Association, 2000Co-Authors: Rb Fitch, Sharon C. Kerwin, Giselle HosgoodAbstract:The clinical outcomes in 112 dogs weighing less than 35 pounds that were presented with cervical intervertebral disk protrusions were retrospectively evaluated. Although the second to third cervical (C2 to C3) intervertebral space was the most common site (27%) of disk protrusion, 57% of disk protrusions presented were caudal to the fourth cervical (C4) vertebra. Dogs with cranial intervertebral disk protrusions, including the C2 to C3 and C3 to C4 intervertebral disk spaces, responded favorably to Ventral Slot decompression. By comparison, caudal intervertebral disk protrusions (within the C4 to the seventh cervical [C7] intervertebral disk spaces) responded less favorably to Ventral Slot decompression, demonstrating significantly more severe clinical effects in motor function, comfort, recovery, and long-term outcome following surgery. Significant improvement in clinical results was seen in caudal disk protrusions when additional surgical distraction and stabilization were provided following Ventral slo...
D U Pfeiffer - One of the best experts on this subject based on the ideXlab platform.
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non ambulatory dogs with cervical intervertebral disc herniation single versus multiple Ventral Slot decompression
Australian Veterinary Journal, 2020Co-Authors: S Guo, Susanne Pfeiffer, D U PfeifferAbstract:OBJECTIVE To evaluate the proportion of non-ambulatory dogs with cervical intervertebral disc herniation (IVDH) in a private clinic and to compare signalment and outcome between those that underwent single or multiple Ventral Slot decompression (VSD). DESIGN Retrospective cohort study. METHODS After screening 43,378 medical records (January 2010-September 2016), those of 185 dogs with non-ambulatory tetraparesis or tetraplegia along with cervical IVDH that had undergone single (123) or multiple (62) VSD were included in this study. Data on signalment, preoperative neurological status, location of affected intervertebral disc(s), time to ambulation and short-term outcome were compared between single and multiple VSD groups. RESULTS The proportion of non-ambulatory dogs with IVDH was 35.3%. The prevalence of non-ambulation was higher in male dogs (0.56%) than in female dogs (0.26%; P < 0.001) and in neutered dogs than in unneutered dogs (0.51% and 0.27%, respectively, P < 0.001). After surgery, 96.2% of the dogs reached ambulatory status. Dogs with multiple IVDH were older than those with single IVDH. Sex, neutering status or size did not affect the outcome or ambulation status postsurgery. The Pekingese was the most commonly affected breed in both groups. There was no difference in the time to reach ambulation and the presence of neurological deficits after surgery between dogs that underwent single and multiple VSD. CONCLUSIONS In this cohort, dogs undergoing multiple VSD had a good postoperative outcome, and their short-term functional recovery was equal to that of dogs undergoing single Ventral Slot compression.
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Non-ambulatory dogs with cervical intervertebral disc herniation: single versus multiple Ventral Slot decompression.
Australian Veterinary Journal, 2020Co-Authors: S Guo, Susanne Pfeiffer, D U PfeifferAbstract:OBJECTIVE To evaluate the proportion of non-ambulatory dogs with cervical intervertebral disc herniation (IVDH) in a private clinic and to compare signalment and outcome between those that underwent single or multiple Ventral Slot decompression (VSD). DESIGN Retrospective cohort study. METHODS After screening 43,378 medical records (January 2010-September 2016), those of 185 dogs with non-ambulatory tetraparesis or tetraplegia along with cervical IVDH that had undergone single (123) or multiple (62) VSD were included in this study. Data on signalment, preoperative neurological status, location of affected intervertebral disc(s), time to ambulation and short-term outcome were compared between single and multiple VSD groups. RESULTS The proportion of non-ambulatory dogs with IVDH was 35.3%. The prevalence of non-ambulation was higher in male dogs (0.56%) than in female dogs (0.26%; P
Alois Nečas - One of the best experts on this subject based on the ideXlab platform.
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Myelographic diagnosis and results of surgical treatment of caudal cervical spondylomyelopathy in dogs: a retrospective study (2000–2010)
Acta Veterinaria Brno, 2013Co-Authors: Robert Srnec, Pavel Proks, Petra Fedorová, Ladislav Stehlík, Milan Dvořák, Alois NečasAbstract:The outcomes of six different surgical techniques of caudal cervical spondylomyelopathy treatment in dogs with static and dynamic spinal cord compressions were assessed. Out of 425 dogs with cervical spine diseases, caudal cervical spondylomyelopathy was diagnosed in 69 dogs. Dynamic myelographic study was performed in 48 of them as a diagnostic method necessary for choosing the appropriate technique of surgical treatment. Twenty-five out of the 48 dogs underwent surgery. The best results of the surgical treatment of static compression were achieved with a Ventral Slot (89% of the nine surgical interventions) with partial improvement 48 h after surgery and marked improvement 8 weeks after surgery. For dynamic compressions, vertebral traction and stabilization with intervertebral washer plus vertebral body screws and polymethylmethacrylate bridge was found to be the most successful surgical treatment with significant improvement in 62% of the thirteen surgical interventions 8 weeks after surgery. In 5 dogs (20%), two intervertebral spaces with caudal cervical spondylomyelopathy were surgically treated. Recurrence was observed in 6 dogs (24%) after the mean period of 20 months (5 to 44 months) after surgery. Direct Ventral Slot decompression could be recommended for clinical cases of the caudal cervical spondylomyelopathy with static compression, and intervertebral washer plus vertebral body screws and polymethylmethacrylate bridge for dogs with dynamic compression, respectively. Our findings refer to the results of surgical treatment in a relatively large number of dogs with caudal cervical spondylomyelopathy and can help surgeons to choose an effective surgical method of treatment in dogs with wobbler syndrome based on dynamic myelographic study findings. Wobbler syndrome, canine, neck surgery, spinal cord compression
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Myelographic diagnosis and results of surgical treatment of caudal cervical spondylomyelopathy in dogs: a retrospective study (2000–2010)
2012Co-Authors: Robert Srnec, Pavel Proks, Petra Fedorová, Ladislav Stehlík, Milan Dvořák, Alois NečasAbstract:The outcomes of six different surgical techniques of caudal cervical spondylomyelopathy treatment in dogs with static and dynamic spinal cord compressions were assessed. Out of 425 dogs with cervical spine diseases, caudal cervical spondylomyelopathy was diagnosed in 69 dogs. Dynamic myelographic study was performed in 48 of them as a diagnostic method necessary for choosing the appropriate technique of surgical treatment. Twenty-five out of the 48 dogs underwent surgery. The best results of the surgical treatment of static compression were achieved with a Ventral Slot (89 % of the nine surgical interventions) with partial improvement 48 h after surgery and marked improvement 8 weeks after surgery. For dynamic compressions, vertebral traction and stabilization with intervertebral washer plus vertebral body screws and polymethylmethacrylate bridge was found to be the most successful surgical treatment with significant improvement in 62 % of the thirteen surgical interventions 8 weeks after surgery. In 5 dogs (20%), two intervertebral spaces with caudal cervical spondylomyelopathy were surgically treated. Recurrence was observed in 6 dogs (24%) after the mean period of 20 months (5 to 44 months) after surgery. Direct Ventral Slot decompression could be recommended for clinica
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Myelographic diagnosis and results of surgical treatment of caudal cervical spondylomyelopathy in dogs: a retrospective study (2000–2010)
University of Veterinary and Pharmaceutical Sciences Brno, 2012Co-Authors: Robert Srnec, Pavel Proks, Petra Fedorová, Ladislav Stehlík, Milan Dvořák, Alois NečasAbstract:The outcomes of six different surgical techniques of caudal cervical spondylomyelopathy treatment in dogs with static and dynamic spinal cord compressions were assessed. Out of 425 dogs with cervical spine diseases, caudal cervical spondylomyelopathy was diagnosed in 69 dogs. Dynamic myelographic study was performed in 48 of them as a diagnostic method necessary for choosing the appropriate technique of surgical treatment. Twenty-five out of the 48 dogs underwent surgery. The best results of the surgical treatment of static compression were achieved with a Ventral Slot (89% of the nine surgical interventions) with partial improvement 48 h after surgery and marked improvement 8 weeks after surgery. For dynamic compressions, vertebral traction and stabilization with intervertebral washer plus vertebral body screws and polymethylmethacrylate bridge was found to be the most successful surgical treatment with significant improvement in 62% of the thirteen surgical interventions 8 weeks after surgery. In 5 dogs (20%), two intervertebral spaces with caudal cervical spondylomyelopathy were surgically treated. Recurrence was observed in 6 dogs (24%) after the mean period of 20 months (5 to 44 months) after surgery. Direct Ventral Slot decompression could be recommended for clinical cases of the caudal cervical spondylomyelopathy with static compression, and intervertebral washer plus vertebral body screws and polymethylmethacrylate bridge for dogs with dynamic compression, respectively. Our findings refer to the results of surgical treatment in a relatively large number of dogs with caudal cervical spondylomyelopathy and can help surgeons to choose an effective surgical method of treatment in dogs with wobbler syndrome based on dynamic myelographic study findings
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Complications Related to Surgical Treatment of Intervertebral Disc Disease in Dogs
Acta Veterinaria Brno, 2008Co-Authors: L. Lexmaulová, R. Novotná, P. Raušer, Alois NečasAbstract:Lexmaulova L., R. Novotna, P. Rauser, A. Necas: Complications Related to Surgical Treatment of Intervertebral Disc Disease in Dogs. Acta Vet. Brno 2008, 77: 269-276. After intervertebral disk surgery we often have to deal with various complications (seizures, gastrointestinal tract (GIT) ulcerations, cystitis, and surgical wound healing problems). These complications may lead to the death of the patient. We performed clinical and laboratory investigations in 161 dogs with an intervertebral disc disease. After that, we performed a cranial (n = 31), caudal (n = 125) or both (n = 5) types of myelography at the same time, and surgery - Ventral Slot decompression (Slot) (n = 18) or hemilaminectomy (n = 143). During the postsurgical period we observed seizures, GIT complications, cystitis, and surgical wound healing problems or even death of the patients. These complications appeared to be related to the lesion site, the degree of clinical signs and the type of surgical procedure. In our study we found a higher incidence of seizures after cranial myelography, higher incidence of gastrointestinal (GI) complications particularly in paraplegic dogs, and a higher risk of death in patients after the Slot surgery. The occurrence of cystitis was not significant (p = 0.5524, p = 0.1655, respectively). We consider seizures, GI ulcerations, and death the most frequent complications after intervertebral disc surgery. Their incidence depends on the lesion site and the degree of neurologic symptoms. Hemilaminectomy, seizures, gastrointestinal ulceration
S Guo - One of the best experts on this subject based on the ideXlab platform.
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non ambulatory dogs with cervical intervertebral disc herniation single versus multiple Ventral Slot decompression
Australian Veterinary Journal, 2020Co-Authors: S Guo, Susanne Pfeiffer, D U PfeifferAbstract:OBJECTIVE To evaluate the proportion of non-ambulatory dogs with cervical intervertebral disc herniation (IVDH) in a private clinic and to compare signalment and outcome between those that underwent single or multiple Ventral Slot decompression (VSD). DESIGN Retrospective cohort study. METHODS After screening 43,378 medical records (January 2010-September 2016), those of 185 dogs with non-ambulatory tetraparesis or tetraplegia along with cervical IVDH that had undergone single (123) or multiple (62) VSD were included in this study. Data on signalment, preoperative neurological status, location of affected intervertebral disc(s), time to ambulation and short-term outcome were compared between single and multiple VSD groups. RESULTS The proportion of non-ambulatory dogs with IVDH was 35.3%. The prevalence of non-ambulation was higher in male dogs (0.56%) than in female dogs (0.26%; P < 0.001) and in neutered dogs than in unneutered dogs (0.51% and 0.27%, respectively, P < 0.001). After surgery, 96.2% of the dogs reached ambulatory status. Dogs with multiple IVDH were older than those with single IVDH. Sex, neutering status or size did not affect the outcome or ambulation status postsurgery. The Pekingese was the most commonly affected breed in both groups. There was no difference in the time to reach ambulation and the presence of neurological deficits after surgery between dogs that underwent single and multiple VSD. CONCLUSIONS In this cohort, dogs undergoing multiple VSD had a good postoperative outcome, and their short-term functional recovery was equal to that of dogs undergoing single Ventral Slot compression.
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Non-ambulatory dogs with cervical intervertebral disc herniation: single versus multiple Ventral Slot decompression.
Australian Veterinary Journal, 2020Co-Authors: S Guo, Susanne Pfeiffer, D U PfeifferAbstract:OBJECTIVE To evaluate the proportion of non-ambulatory dogs with cervical intervertebral disc herniation (IVDH) in a private clinic and to compare signalment and outcome between those that underwent single or multiple Ventral Slot decompression (VSD). DESIGN Retrospective cohort study. METHODS After screening 43,378 medical records (January 2010-September 2016), those of 185 dogs with non-ambulatory tetraparesis or tetraplegia along with cervical IVDH that had undergone single (123) or multiple (62) VSD were included in this study. Data on signalment, preoperative neurological status, location of affected intervertebral disc(s), time to ambulation and short-term outcome were compared between single and multiple VSD groups. RESULTS The proportion of non-ambulatory dogs with IVDH was 35.3%. The prevalence of non-ambulation was higher in male dogs (0.56%) than in female dogs (0.26%; P
Steven De Decker - One of the best experts on this subject based on the ideXlab platform.
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Ventral Slot Surgery to Manage Cervical Intervertebral Disc Disease in Three Cats.
Veterinary and Comparative Orthopaedics and Traumatology, 2018Co-Authors: Abbe H. Crawford, Rodolfo Cappello, Akash Alexander, Steven De DeckerAbstract:Objective This case series describes the clinical presentation, management and outcome of three cats diagnosed with cervical intervertebral disc disease that underwent decompressive Ventral Slot surgery. Methods This is a retrospective case series evaluating client-owned cats undergoing a Ventral Slot surgical procedure to manage cervical intervertebral disc disease (n = 3). Results A routine Ventral Slot surgery was performed in each case without complication, resulting in postoperative neurological improvement in all three cases. Clinical Significance Ventral Slot surgery can be used to achieve effective cervical spinal cord decompression with a good long-term outcome in the management of feline cervical intervertebral disc herniation. To avoid creating an excessively wide Slot with the potential for postoperative complications including vertebral sinus haemorrhage, vertebral instability or Ventral Slot collapse, careful surgical planning was performed with preoperative measurement of the desired maximum Slot dimensions.
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Comparison of medical and surgical treatment for acute cervical compressive hydrated nucleus pulposus extrusion in dogs.
Veterinary Record, 2017Co-Authors: Tana Borlace, Rodrigo Gutierrez-quintana, F E Taylor-brown, Steven De DeckerAbstract:Although successful outcomes have been reported after medical and surgical treatment for dogs with cervical hydrated nucleus pulposus extrusion (HNPE), it is unknown which treatment option is preferred. Thirty-four dogs treated medically (n=18) or surgically (n=16) for cervical HNPE were retrospectively identified. Signalment, clinical presentation and imaging findings were compared between medically and surgically treated dogs. Medical management consisted of restricted exercise in combination with physiotherapy. Surgical treatment consisted of a Ventral Slot procedure. Short-term follow-up information was retrieved from re-examination visits. Long-term outcome was obtained via telephone interviews. More dogs in the surgical group demonstrated cervical hyperaesthesia on initial clinical presentation (P=0.045), otherwise there was no significant difference in signalment, clinical presentation or imaging findings between both groups. Two dogs in the medically managed group underwent surgical decompression due to an unsatisfactory response to medical management. All cases for which long-term information was available (n=30) were neurologically normal at the time of data collection. There were no significant differences for any of the short-term or long-term outcome variables between both treatment groups. This study demonstrated successful outcomes after medical or surgical treatment and suggests that both treatment modalities can be considered for dogs with cervical HNPE.
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Chirurgische behandeling van het discusgeassocieerd Wobblersyndroom door middel van een standaard ventraalSlottechniek: een retrospectieve studie van 12 gevallen
Vlaams Diergeneeskundig Tijdschrift, 2009Co-Authors: Steven De Decker, Mulenda Tshamala, Sofie Bhatti, Iris Van Soens, Jimmy Saunders, Tim Waelbers, Luc Van HamAbstract:There is much controversy about the treatment of disc associated wobbler syndrome. This retrospective study describes the clinical evolution of 12 dogs treated surgically by a standard Ventral Slot technique. The duration of follow-up ranged from 1 to 59 months. Nine of the 12 dogs clinically recovered. However, 6 of these 9 dogs developed a second episode of clinical signs. Two of these dogs could be further managed by conservative treatment. The 4 other dogs were euthanized. The results of this study are compared to the literature. Special attention is given to inclusion criteria and follow-up data.
