Vertebral stabilization using positively threaded profile pins and polymethylmethacrylate, with or without laminectomy, for spinal canal stenosis and vertebral instability caused by congenital thoracic vertebral anomalies

Vet Surg. 2007 Jul;36(5):432-41. doi: 10.1111/j.1532-950X.2007.00289.x.

Abstract

Objective: To describe diagnostic findings, surgical technique, and outcome in dogs with thoracic spinal canal stenosis and vertebral instability secondary to congenital vertebral anomalies.

Study design: Retrospective clinical study.

Animals: Dogs (n=9) with thoracic spinal canal stenosis.

Methods: Medical records (1995-1996; 2000-2006) of 9 dogs with a myelographic diagnosis of spinal canal stenosis and/or vertebral instability secondary to congenital vertebral anomaly that were surgically managed by vertebral stabilization with or without laminectomy were reviewed. Data on pre- and postoperative neurologic status, diagnostic findings, surgical techniques, and outcomes were retrieved. Follow-up evaluations were performed at 1, 2, and 6 months. Long-term outcome was assessed by means of clinical examination or owner telephone interviews.

Results: Spinal cord compression was confirmed by myelography, and in 2 dogs, dynamic compression by stress myelography. Eight dogs regained the ability to ambulate postoperatively. One dog with a partial recovery regained voluntary movement but did not become ambulatory.

Conclusions: Spinal cord injury secondary to congenital vertebral anomaly may have a good outcome when treated by vertebral stabilization with or without laminectomy. Adequate stabilization of the vertebrae and improved neurologic outcome were achieved in most dogs.

Clinical relevance: Vertebral stabilization using positively threaded profile pins and polymethylmethacrylate with or without laminectomy is an effective treatment for spinal canal stenosis and vertebral instability secondary to congenital thoracic vertebral anomalies.

MeSH terms

  • Animals
  • Bone Nails / veterinary
  • Constriction, Pathologic / veterinary
  • Decompression, Surgical / methods
  • Decompression, Surgical / veterinary*
  • Dog Diseases / congenital
  • Dog Diseases / surgery*
  • Dogs
  • Female
  • Laminectomy / methods
  • Laminectomy / veterinary*
  • Male
  • Neurosurgical Procedures / methods
  • Neurosurgical Procedures / veterinary*
  • Quality of Life
  • Retrospective Studies
  • Spinal Canal / surgery
  • Spinal Cord Diseases / surgery
  • Spinal Cord Diseases / veterinary*
  • Spinal Fusion / methods
  • Spinal Fusion / veterinary
  • Surveys and Questionnaires
  • Thoracic Vertebrae / abnormalities*
  • Thoracic Vertebrae / surgery*
  • Treatment Outcome