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Peer-reviewed veterinary case report

Dog neck disc surgery outcomes and risks after dorsal laminectomy

By Gouveia, Diogo & Cherubini, Giunio Bruto·Published in Frontiers in veterinary science·2024·Dick White Referrals - Linnaeus, United Kingdom·View original on PubMed

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Original publication title: Dorsal laminectomy for the treatment of lateralised cervical intervertebral disc extrusions in dogs-Prognosis and complications.

Species:
dog

Plain-English summary

A 6-year-old French bulldog was brought in with neck pain and some difficulty walking after showing symptoms for less than three days. The dog underwent a surgery called dorsal laminectomy to treat a slipped disc in the neck. While there were some minor complications during surgery, and a quarter of the dogs needed a second surgery due to ongoing pain, about 90% of the dogs had a good recovery overall. Most dogs stayed in the hospital for about six days after the surgery and went on to lead normal lives.

People also search for: French bulldog neck pain treatment · dog cervical disc surgery recovery · dorsal laminectomy complications in dogs

Abstract

OBJECTIVE: Describe the complication rate, expected hospitalization time and prognosis associated with dorsal laminectomy for the treatment of lateralised cervical intervertebral disc extrusion (IVDE) in dogs. METHODS: This is a single-center retrospective case series study. Databases were reviewed from 2012 to 2022 for dogs that had a dorsal laminectomy to treat a lateralised cervical IVDE. Dogs were excluded if additional surgical techniques were performed, or other comorbidities were found on MRI. RESULTS: Fifty two dogs were included the study. French bulldogs represented 28.8% of the cohort. Patient median age was 6 years and median weight 15 kg. Thirty-five dogs (67.3%) presented clinical signs for <3 days and almost half (44.2%) were ambulatory but presented cervical pain and neurological deficits. Median surgical time was 85 min. Minor intraoperative complications were reported in 22 (42.3%), with hypothermia being the most common. Thirteen (25%) needed revision surgery due to persistent cervical pain with (9/13) or without (4/13) neurological deficits. Re-extrusion or persistent extrusion was found in 92.3% of cases needing surgical revision. Median hospitalization time was 6 days. Forty-seven (90.4%) cases had a good outcome. CONCLUSIONS AND CLINICAL SIGNIFICANCE: Despite the relatively high rate of intraoperative complications and cases needing revision surgery, dorsal laminectomy as surgical treatment for lateralised cervical IVDE is still associated with good long-term prognosis in most of cases. Prognosis is good even when revision surgery is necessary but expected hospitalization time seems to be higher when compared to an alternative surgical technique.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38711538/