Peer-reviewed veterinary case report
Surgery outcomes for disc herniation in large breed dogs
By Medl, Susanne C et al.·Published in Veterinary surgery : VS·2017·Small Animal Clinic Dr. Medl, Germany·View original on PubMed →
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Original publication title: Individualized mini-hemilaminectomy-corpectomy (iMHC) for treatment of thoracolumbar intervertebral disc herniation in large breed dogs.
- Species:
- dog
Plain-English summary
A group of large breed dogs with back problems caused by herniated discs underwent a specialized surgery called individualized mini-hemilaminectomy-corpectomy (iMHC). Most dogs showed improvement shortly after the surgery, with 85.7% recovering well within a week. The average hospital stay was just 2 days, especially for those with a longer history of symptoms. Over the long term, 90.6% of the dogs had good to excellent outcomes, particularly those with only one affected disc. This procedure appears to be effective with minimal complications and a quick recovery time.
People also search for: dog back surgery recovery · large breed dog disc herniation treatment · iMHC surgery for dogs
Abstract
OBJECTIVE: To assess the short-term, mid-term, and long-term results after an individualized mini-hemilaminectomy-corpectomy (iMHC) procedure for treatment of acute and chronic thoracolumbar intervertebral disc disease in non-chondrodystrophic dogs. STUDY DESIGN: Prospective study. ANIMALS: Client-owned non-chondrodystrophic large breed dogs (n = 57). METHODS: The iMHC procedure, combining mini-hemilaminectomy (MH) and partial lateral corpectomy, was performed on non-chondrodystrophic dogs with thoracolumbar disc disease. Neurological status was evaluated before surgery, for short-term outcome on days 1 and 7 after surgery, for mid-term outcome at 6 months after surgery, and for long-term outcome at the conclusion of the study. Prognostic factors were statistically evaluated. P < .05 was considered significant. RESULTS: iMHC was performed on 57 dogs, with minimal intraoperative and postoperative complications. Short-term neurological improvement was observed in 85.7% of dogs. Median hospitalization time after surgery was 2 days (range 0-14) and was significantly shorter for dogs with a chronic history of clinical signs (1 day, range 0-5) compared to acute onset (3 days, range 0-14) and for those that were ambulatory at initial presentation (1 day, range 0-5) compared to those that were not (3 days, range 0-14). Long-term evaluation included 53 surgeries with a mean follow-up time of 29.4 months. Outcome was excellent in 19 dogs and good in 29 dogs (90.6% success rate). Excellent mid-term and long-term results were significantly more common in the dogs with only 1 affected disc space. CONCLUSION: The iMHC procedure resulted in a short hospitalization time, minimal postoperative deterioration, and a high success rate.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/28151549/