Instrumented cervical fusion in nine dogs with caudal cervical spondylomyelopathy
Objective To report the long‐term outcome of nine dogs treated for caudal cervical spondylomyelopathy (CCSM) with surgical spinal fusion. Study design Short case series. Animals Nine large‐breed dogs. Methods Medical records of dogs treated for disc‐associated CCSM (2013‐2016) were reviewed. The sur...
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| Veröffentlicht in: | Veterinary surgery 2019-10, Vol.48 (7), p.1287-1298 |
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| creator | Reints Bok, Tjarda E. Willemsen, Koen Rijen, Mattie H. P. Grinwis, Guy C. M. Tryfonidou, Marianna A. Meij, Björn P. |
| description | Objective
To report the long‐term outcome of nine dogs treated for caudal cervical spondylomyelopathy (CCSM) with surgical spinal fusion.
Study design
Short case series.
Animals
Nine large‐breed dogs.
Methods
Medical records of dogs treated for disc‐associated CCSM (2013‐2016) were reviewed. The surgery objective was spinal distraction by implantation of a SynCage and fixation with two Unilock plates. Follow‐up included the Helsinki pain score questionnaire, neurological grading, radiography, computed tomography (CT), and micro‐CT (μCT) with subsequent histopathology (two dogs).
Results
Clinical follow‐up was obtained between 9 and 51 months (27.4 ± 13.4 months). The Helsinki pain score and neurological Griffith score improved (P |
| doi_str_mv | 10.1111/vsu.13312 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6790691</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2299681722</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4432-373374a78867ee30facba301f0665176eadb0a4b9731f80d81d16777c73baedd3</originalsourceid><addsrcrecordid>eNp1kUFLHDEUx0NR6mo99AuUAS_tYTQvmU0ml4IsrRUEEbV4C5kk40Zmkm0yszLf3tjVxRZ8l3d4P378H3-EPgM-hjwn6zQeA6VAPqAZzCkpxRzf7aAZBgYlrYTYQ_spPWCMRVXRj2iPQlUBFmSGrs59GuLYWz9YU2gb106rrmjH5IIvnC-887Yw4T4Vj25YFlqNJt-3YFoFb6Yu9JPtwkoNy-kT2m1Vl-zhyz5Atz9_3Cx-lReXZ-eL04tS5wykpJxSXile14xbS3GrdKMohhYzNgfOrDINVlUjOIW2xqYGA4xzrjltlDWGHqDvG-9qbHprdP4gqk6uoutVnGRQTv578W4p78NaMi4wE5AFX18EMfwZbRpk75K2Xae8DWOShGIMAmo6z-jRf-hDGKPP70lChGA1cEIy9W1D6RhSirbdhgEsn4uSuSj5t6jMfnmbfku-NpOBkw3w6Do7vW-Sv69vN8on13ueqw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2299681722</pqid></control><display><type>article</type><title>Instrumented cervical fusion in nine dogs with caudal cervical spondylomyelopathy</title><source>MEDLINE</source><source>Wiley Journals</source><creator>Reints Bok, Tjarda E. ; Willemsen, Koen ; Rijen, Mattie H. P. ; Grinwis, Guy C. M. ; Tryfonidou, Marianna A. ; Meij, Björn P.</creator><creatorcontrib>Reints Bok, Tjarda E. ; Willemsen, Koen ; Rijen, Mattie H. P. ; Grinwis, Guy C. M. ; Tryfonidou, Marianna A. ; Meij, Björn P.</creatorcontrib><description>Objective
To report the long‐term outcome of nine dogs treated for caudal cervical spondylomyelopathy (CCSM) with surgical spinal fusion.
Study design
Short case series.
Animals
Nine large‐breed dogs.
Methods
Medical records of dogs treated for disc‐associated CCSM (2013‐2016) were reviewed. The surgery objective was spinal distraction by implantation of a SynCage and fixation with two Unilock plates. Follow‐up included the Helsinki pain score questionnaire, neurological grading, radiography, computed tomography (CT), and micro‐CT (μCT) with subsequent histopathology (two dogs).
Results
Clinical follow‐up was obtained between 9 and 51 months (27.4 ± 13.4 months). The Helsinki pain score and neurological Griffith score improved (P < .01) in all dogs and in eight of nine dogs, respectively. According to CT, the volume of bone (mean ± SD) through the cage was 79.5% ± 14.3%, including compact bone (53.0% ± 23.4%). Subsidence was seen in one of nine dogs. Implant failure was evident in four dogs, and plates were removed in two dogs. In seven of nine dogs, infraclinical pathology was observed in adjacent segment, associated with implants engaging adjacent intervertebral discs. Radiographic evidence of bony fusion between vertebral bodies was noted in all dogs. Spinal fusion was confirmed by μCT and histopathology in two cervical spine segments that became available at 22 and 40 months postoperatively.
Conclusion
Instrumented spinal fusion in dogs with disc‐associated CCSM resulted in owner satisfaction and radiographic evidence of interbody spinal fusion in all dogs.
Clinical significance
The fusion distraction technique reported here can be used to achieve spinal fusion with a good long‐term outcome.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/vsu.13312</identifier><identifier>PMID: 31441092</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Animals ; Cervical Vertebrae - surgery ; Computed tomography ; Customer satisfaction ; Dog Diseases - pathology ; Dog Diseases - surgery ; Dogs ; Equipment Failure ; Evaluation ; Female ; Histopathology ; Humans ; Implantation ; Intervertebral Disc - surgery ; Intervertebral discs ; Male ; Medical records ; Original –Clinical ; Pain ; Plates ; Prostheses and Implants ; Radiography ; Spinal Cord Diseases - surgery ; Spinal Cord Diseases - veterinary ; Spinal Diseases - surgery ; Spinal Diseases - veterinary ; Spinal Fusion - veterinary ; Spine ; Spine (cervical) ; Surgery ; Surgical implants ; Tomography, X-Ray Computed ; Transplants & implants ; Treatment Outcome ; Vertebrae</subject><ispartof>Veterinary surgery, 2019-10, Vol.48 (7), p.1287-1298</ispartof><rights>2019 The Authors. published by Wiley Periodicals, Inc. on behalf of American College of Veterinary Surgeons.</rights><rights>2019 The Authors. Veterinary Surgery published by Wiley Periodicals, Inc. on behalf of American College of Veterinary Surgeons.</rights><rights>2019 The American College of Veterinary Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4432-373374a78867ee30facba301f0665176eadb0a4b9731f80d81d16777c73baedd3</citedby><cites>FETCH-LOGICAL-c4432-373374a78867ee30facba301f0665176eadb0a4b9731f80d81d16777c73baedd3</cites><orcidid>0000-0002-8237-6321</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvsu.13312$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvsu.13312$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31441092$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reints Bok, Tjarda E.</creatorcontrib><creatorcontrib>Willemsen, Koen</creatorcontrib><creatorcontrib>Rijen, Mattie H. P.</creatorcontrib><creatorcontrib>Grinwis, Guy C. M.</creatorcontrib><creatorcontrib>Tryfonidou, Marianna A.</creatorcontrib><creatorcontrib>Meij, Björn P.</creatorcontrib><title>Instrumented cervical fusion in nine dogs with caudal cervical spondylomyelopathy</title><title>Veterinary surgery</title><addtitle>Vet Surg</addtitle><description>Objective
To report the long‐term outcome of nine dogs treated for caudal cervical spondylomyelopathy (CCSM) with surgical spinal fusion.
Study design
Short case series.
Animals
Nine large‐breed dogs.
Methods
Medical records of dogs treated for disc‐associated CCSM (2013‐2016) were reviewed. The surgery objective was spinal distraction by implantation of a SynCage and fixation with two Unilock plates. Follow‐up included the Helsinki pain score questionnaire, neurological grading, radiography, computed tomography (CT), and micro‐CT (μCT) with subsequent histopathology (two dogs).
Results
Clinical follow‐up was obtained between 9 and 51 months (27.4 ± 13.4 months). The Helsinki pain score and neurological Griffith score improved (P < .01) in all dogs and in eight of nine dogs, respectively. According to CT, the volume of bone (mean ± SD) through the cage was 79.5% ± 14.3%, including compact bone (53.0% ± 23.4%). Subsidence was seen in one of nine dogs. Implant failure was evident in four dogs, and plates were removed in two dogs. In seven of nine dogs, infraclinical pathology was observed in adjacent segment, associated with implants engaging adjacent intervertebral discs. Radiographic evidence of bony fusion between vertebral bodies was noted in all dogs. Spinal fusion was confirmed by μCT and histopathology in two cervical spine segments that became available at 22 and 40 months postoperatively.
Conclusion
Instrumented spinal fusion in dogs with disc‐associated CCSM resulted in owner satisfaction and radiographic evidence of interbody spinal fusion in all dogs.
Clinical significance
The fusion distraction technique reported here can be used to achieve spinal fusion with a good long‐term outcome.</description><subject>Animals</subject><subject>Cervical Vertebrae - surgery</subject><subject>Computed tomography</subject><subject>Customer satisfaction</subject><subject>Dog Diseases - pathology</subject><subject>Dog Diseases - surgery</subject><subject>Dogs</subject><subject>Equipment Failure</subject><subject>Evaluation</subject><subject>Female</subject><subject>Histopathology</subject><subject>Humans</subject><subject>Implantation</subject><subject>Intervertebral Disc - surgery</subject><subject>Intervertebral discs</subject><subject>Male</subject><subject>Medical records</subject><subject>Original –Clinical</subject><subject>Pain</subject><subject>Plates</subject><subject>Prostheses and Implants</subject><subject>Radiography</subject><subject>Spinal Cord Diseases - surgery</subject><subject>Spinal Cord Diseases - veterinary</subject><subject>Spinal Diseases - surgery</subject><subject>Spinal Diseases - veterinary</subject><subject>Spinal Fusion - veterinary</subject><subject>Spine</subject><subject>Spine (cervical)</subject><subject>Surgery</subject><subject>Surgical implants</subject><subject>Tomography, X-Ray Computed</subject><subject>Transplants & implants</subject><subject>Treatment Outcome</subject><subject>Vertebrae</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kUFLHDEUx0NR6mo99AuUAS_tYTQvmU0ml4IsrRUEEbV4C5kk40Zmkm0yszLf3tjVxRZ8l3d4P378H3-EPgM-hjwn6zQeA6VAPqAZzCkpxRzf7aAZBgYlrYTYQ_spPWCMRVXRj2iPQlUBFmSGrs59GuLYWz9YU2gb106rrmjH5IIvnC-887Yw4T4Vj25YFlqNJt-3YFoFb6Yu9JPtwkoNy-kT2m1Vl-zhyz5Atz9_3Cx-lReXZ-eL04tS5wykpJxSXile14xbS3GrdKMohhYzNgfOrDINVlUjOIW2xqYGA4xzrjltlDWGHqDvG-9qbHprdP4gqk6uoutVnGRQTv578W4p78NaMi4wE5AFX18EMfwZbRpk75K2Xae8DWOShGIMAmo6z-jRf-hDGKPP70lChGA1cEIy9W1D6RhSirbdhgEsn4uSuSj5t6jMfnmbfku-NpOBkw3w6Do7vW-Sv69vN8on13ueqw</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Reints Bok, Tjarda E.</creator><creator>Willemsen, Koen</creator><creator>Rijen, Mattie H. P.</creator><creator>Grinwis, Guy C. M.</creator><creator>Tryfonidou, Marianna A.</creator><creator>Meij, Björn P.</creator><general>John Wiley & Sons, Inc</general><general>Blackwell Publishing Ltd</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8237-6321</orcidid></search><sort><creationdate>201910</creationdate><title>Instrumented cervical fusion in nine dogs with caudal cervical spondylomyelopathy</title><author>Reints Bok, Tjarda E. ; Willemsen, Koen ; Rijen, Mattie H. P. ; Grinwis, Guy C. M. ; Tryfonidou, Marianna A. ; Meij, Björn P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4432-373374a78867ee30facba301f0665176eadb0a4b9731f80d81d16777c73baedd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Animals</topic><topic>Cervical Vertebrae - surgery</topic><topic>Computed tomography</topic><topic>Customer satisfaction</topic><topic>Dog Diseases - pathology</topic><topic>Dog Diseases - surgery</topic><topic>Dogs</topic><topic>Equipment Failure</topic><topic>Evaluation</topic><topic>Female</topic><topic>Histopathology</topic><topic>Humans</topic><topic>Implantation</topic><topic>Intervertebral Disc - surgery</topic><topic>Intervertebral discs</topic><topic>Male</topic><topic>Medical records</topic><topic>Original –Clinical</topic><topic>Pain</topic><topic>Plates</topic><topic>Prostheses and Implants</topic><topic>Radiography</topic><topic>Spinal Cord Diseases - surgery</topic><topic>Spinal Cord Diseases - veterinary</topic><topic>Spinal Diseases - surgery</topic><topic>Spinal Diseases - veterinary</topic><topic>Spinal Fusion - veterinary</topic><topic>Spine</topic><topic>Spine (cervical)</topic><topic>Surgery</topic><topic>Surgical implants</topic><topic>Tomography, X-Ray Computed</topic><topic>Transplants & implants</topic><topic>Treatment Outcome</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reints Bok, Tjarda E.</creatorcontrib><creatorcontrib>Willemsen, Koen</creatorcontrib><creatorcontrib>Rijen, Mattie H. P.</creatorcontrib><creatorcontrib>Grinwis, Guy C. M.</creatorcontrib><creatorcontrib>Tryfonidou, Marianna A.</creatorcontrib><creatorcontrib>Meij, Björn P.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reints Bok, Tjarda E.</au><au>Willemsen, Koen</au><au>Rijen, Mattie H. P.</au><au>Grinwis, Guy C. M.</au><au>Tryfonidou, Marianna A.</au><au>Meij, Björn P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Instrumented cervical fusion in nine dogs with caudal cervical spondylomyelopathy</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Vet Surg</addtitle><date>2019-10</date><risdate>2019</risdate><volume>48</volume><issue>7</issue><spage>1287</spage><epage>1298</epage><pages>1287-1298</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective
To report the long‐term outcome of nine dogs treated for caudal cervical spondylomyelopathy (CCSM) with surgical spinal fusion.
Study design
Short case series.
Animals
Nine large‐breed dogs.
Methods
Medical records of dogs treated for disc‐associated CCSM (2013‐2016) were reviewed. The surgery objective was spinal distraction by implantation of a SynCage and fixation with two Unilock plates. Follow‐up included the Helsinki pain score questionnaire, neurological grading, radiography, computed tomography (CT), and micro‐CT (μCT) with subsequent histopathology (two dogs).
Results
Clinical follow‐up was obtained between 9 and 51 months (27.4 ± 13.4 months). The Helsinki pain score and neurological Griffith score improved (P < .01) in all dogs and in eight of nine dogs, respectively. According to CT, the volume of bone (mean ± SD) through the cage was 79.5% ± 14.3%, including compact bone (53.0% ± 23.4%). Subsidence was seen in one of nine dogs. Implant failure was evident in four dogs, and plates were removed in two dogs. In seven of nine dogs, infraclinical pathology was observed in adjacent segment, associated with implants engaging adjacent intervertebral discs. Radiographic evidence of bony fusion between vertebral bodies was noted in all dogs. Spinal fusion was confirmed by μCT and histopathology in two cervical spine segments that became available at 22 and 40 months postoperatively.
Conclusion
Instrumented spinal fusion in dogs with disc‐associated CCSM resulted in owner satisfaction and radiographic evidence of interbody spinal fusion in all dogs.
Clinical significance
The fusion distraction technique reported here can be used to achieve spinal fusion with a good long‐term outcome.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>31441092</pmid><doi>10.1111/vsu.13312</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-8237-6321</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Veterinary surgery, 2019-10, Vol.48 (7), p.1287-1298 |
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| language | eng |
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| source | MEDLINE; Wiley Journals |
| subjects | Animals Cervical Vertebrae - surgery Computed tomography Customer satisfaction Dog Diseases - pathology Dog Diseases - surgery Dogs Equipment Failure Evaluation Female Histopathology Humans Implantation Intervertebral Disc - surgery Intervertebral discs Male Medical records Original –Clinical Pain Plates Prostheses and Implants Radiography Spinal Cord Diseases - surgery Spinal Cord Diseases - veterinary Spinal Diseases - surgery Spinal Diseases - veterinary Spinal Fusion - veterinary Spine Spine (cervical) Surgery Surgical implants Tomography, X-Ray Computed Transplants & implants Treatment Outcome Vertebrae |
| title | Instrumented cervical fusion in nine dogs with caudal cervical spondylomyelopathy |
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