Peer-reviewed veterinary case report
An update on hemilaminectomy of the cranial thoracic spine: Review of six cases.
- Journal:
- Open veterinary journal
- Year:
- 2020
- Authors:
- Bray, Kathryn Y et al.
- Affiliation:
- Carolina Veterinary Specialists · United States
Plain-English summary
This study looked at six pets, three dogs and three cats, that had surgery to relieve pressure on their spinal cords in the upper part of their back. The surgery, called a cranial thoracic hemilaminectomy, was done carefully to avoid unnecessary damage to surrounding muscles and tissues. All the pets were able to go home within five days after the surgery, and none showed any worsening of their condition afterward. In fact, four of them showed improvement in their ability to move and function by the time they were discharged. Overall, the surgery was successful in these cases.
Abstract
BACKGROUND: The optimal surgical approach to relieve spinal cord compression in the cranial thoracic spine is not well described, and the anatomy of the cranial thoracic vertebrae creates added surgical difficulty. AIM: This study describes the surgical approach, treatment, and outcome of three dogs and three cats that underwent a cranial thoracic hemilaminectomy for the treatment of extradural spinal cord compression. Surgical positioning was tailored to avoid extensive dissection and provide for a restricted, careful approach. METHODS: Three dogs and three cats presenting for cranial thoracic spinal cord compression requiring surgical intervention were included. RESULTS: All patients were discharged within 5 days. No patients experienced postoperative deterioration in neurologic status, and four animals had improved neurologic status at discharge. CONCLUSION: In cases with cranial thoracic spinal cord compression, the spinous processes can be spared, extensive muscle dissection minimized, and successful outcomes achieved with the appropriate positioning and limited approach.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/32426252/