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Peer-reviewed veterinary case report

Outcome and recovery factors in non-walking dogs with Hansen Type I

By Ruddle, T L et al.·Published in Veterinary and comparative orthopaedics and traumatology : V.C.O.T·2006·Mission MedVet, United States·View original on PubMed

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Original publication title: Outcome and prognostic factors in non-ambulatory Hansen Type I intervertebral disc extrusions: 308 cases.

Species:
dog

Plain-English summary

A group of 308 dogs with severe back problems caused by intervertebral disc disease (Hansen Type I) were unable to walk before surgery. After undergoing decompressive surgery, many of these dogs were evaluated for their recovery, including how long it took them to start walking again. Factors like the type of disc injury, previous surgeries, and rehabilitation efforts were considered to understand their chances of recovery. The study found that dogs with certain types of disc injuries had better outcomes and were more likely to regain their ability to walk after treatment.

People also search for: dog back problems surgery · intervertebral disc disease recovery time · non-ambulatory dog treatment

Abstract

Thoracolumbar intervertebral disc disease is the most common cause of caudal paresis in dogs. Whilst the pathogenesis of the extrusion has been widely studied, treatment protocols and prognostic factors relating to outcome remain controversial. Recent studies have examined a multitude of factors relating to time to regain ambulation after decompressive surgery. Most intervertebral disc herniations occur in the thoracolumbar region, causing upper motor neuron signs in the rear limbs, which are thought to have a more favourable prognosis compared to the lower motor neuron signs created by herniation of an intervertebral disc in the caudal lumbar region. Due to the potential disruption of the lumbar intumescence, lower motor neuron signs have been reported as having a less favourable prognosis. The purpose of this study was to evaluate the intervertebral disc space as a prognostic factor relating to ambulatory outcome and time to ambulation after decompressive surgery. Hansen Type I intervertebral disc extrusions were studied in 308 non-ambulatory dogs. Preoperative and postoperative neurological status, corticosteroid use, signalment, intervertebral disc space, postoperative physical rehabilitation, previous hemilaminectomy surgery, disc fenestration, return to ambulation, and time to ambulation were reviewed.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/16594541/