ISSN 2398-2942      

Spinal surgery: overview

icanis

Introduction

  • General indications for spinal surgery include:
    • Vertebral column instability.
    • If the surgical procedure has been shown to have a significant better clinical outcome than medical treatment alone.
    • Disease is unresponsive or no longer responsive to medical management.
    • Diagnostic confirmation when this cannot be determined by other techniques.
  • Considerations should be given to:
    • Neurological status of the patient.
    • Co-morbidity.
    • Intended goal.
    • Regional anatomy.
    • Extent of the lesion and amount of exposure needed.
    • Impact of procedure on biomechanical function and stability.

Atlanto-axial instability

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Cervical spondylomyelopathy

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Intervertebral disk herniation

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Lumbo-sacral stenosis

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Spinal fracture and luxation

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • De Decker S, Gielen I M, Duchateau L et al (2012) Evoluation of clinical signs and predictors of outcome after conservative medical treatment for disk-associated cervical spondylomyelopathy in dogs. JAVMA 240 (7), 848-857 PubMed.
  • da Costa R C (2010) Cervical spondylomyelopathy (wobbler syndrome) in dogs. Vet Clin Small Anim 40 (5), 881-913 PubMed.
  • Jeffery N D (2010) Vertebral fracture and luxation in small animals. Vet Clin Small Anim 40 (5), 809-828 PubMed.
  • Pujol E, Bouvy B, Omaña M et al (2010) Use of the Kishigami Atlantoaxial Tension Band in eight toy breed dogs with atlantoaxial subluxation.​ Vet Surg 39 (1), 35-42 PubMed.

Other sources of information

  • Sturges B K, Dickinson P J (2013) Principles of neurosurgery. BSAVA Manual of Canine and Feline Neurology, 4th edition, BSAVA.
  • Sharp N, Wheeler S (2005) Small Animal Spinal Disorders. Diagnosis and surgery. 2nd edition, Elsevier Mosby.

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