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Comparison of medical and surgical treatment for acute cervical compressive hydrated nucleus pulposus extrusion in dogs.
Vet Rec. 2017 Dec; 181(23):625.VR

Abstract

Although successful outcomes have been reported after medical and surgical treatment for dogs with cervical hydrated nucleus pulposus extrusion (HNPE), it is unknown which treatment option is preferred. Thirty-four dogs treated medically (n=18) or surgically (n=16) for cervical HNPE were retrospectively identified. Signalment, clinical presentation and imaging findings were compared between medically and surgically treated dogs. Medical management consisted of restricted exercise in combination with physiotherapy. Surgical treatment consisted of a ventral slot procedure. Short-term follow-up information was retrieved from re-examination visits. Long-term outcome was obtained via telephone interviews. More dogs in the surgical group demonstrated cervical hyperaesthesia on initial clinical presentation (P=0.045), otherwise there was no significant difference in signalment, clinical presentation or imaging findings between both groups. Two dogs in the medically managed group underwent surgical decompression due to an unsatisfactory response to medical management. All cases for which long-term information was available (n=30) were neurologically normal at the time of data collection. There were no significant differences for any of the short-term or long-term outcome variables between both treatment groups. This study demonstrated successful outcomes after medical or surgical treatment and suggests that both treatment modalities can be considered for dogs with cervical HNPE.

Authors+Show Affiliations

Department of Veterinary Clinical Science and Services, Royal Veterinary College, University of London, Hatfield, UK.School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.Department of Veterinary Clinical Science and Services, Royal Veterinary College, University of London, Hatfield, UK.Department of Veterinary Clinical Science and Services, Royal Veterinary College, University of London, Hatfield, UK.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

28982782

Citation

Borlace, Tana, et al. "Comparison of Medical and Surgical Treatment for Acute Cervical Compressive Hydrated Nucleus Pulposus Extrusion in Dogs." The Veterinary Record, vol. 181, no. 23, 2017, p. 625.
Borlace T, Gutierrez-Quintana R, Taylor-Brown FE, et al. Comparison of medical and surgical treatment for acute cervical compressive hydrated nucleus pulposus extrusion in dogs. Vet Rec. 2017;181(23):625.
Borlace, T., Gutierrez-Quintana, R., Taylor-Brown, F. E., & De Decker, S. (2017). Comparison of medical and surgical treatment for acute cervical compressive hydrated nucleus pulposus extrusion in dogs. The Veterinary Record, 181(23), 625. https://doi.org/10.1136/vr.104528
Borlace T, et al. Comparison of Medical and Surgical Treatment for Acute Cervical Compressive Hydrated Nucleus Pulposus Extrusion in Dogs. Vet Rec. 2017;181(23):625. PubMed PMID: 28982782.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of medical and surgical treatment for acute cervical compressive hydrated nucleus pulposus extrusion in dogs. AU - Borlace,Tana, AU - Gutierrez-Quintana,Rodrigo, AU - Taylor-Brown,Frances Ellen, AU - De Decker,Steven, Y1 - 2017/10/05/ PY - 2017/05/22/received PY - 2017/07/13/revised PY - 2017/09/04/accepted PY - 2017/10/7/pubmed PY - 2017/12/23/medline PY - 2017/10/7/entrez KW - herniation KW - intervertebral disc KW - neck KW - tetra paresis SP - 625 EP - 625 JF - The Veterinary record JO - Vet Rec VL - 181 IS - 23 N2 - Although successful outcomes have been reported after medical and surgical treatment for dogs with cervical hydrated nucleus pulposus extrusion (HNPE), it is unknown which treatment option is preferred. Thirty-four dogs treated medically (n=18) or surgically (n=16) for cervical HNPE were retrospectively identified. Signalment, clinical presentation and imaging findings were compared between medically and surgically treated dogs. Medical management consisted of restricted exercise in combination with physiotherapy. Surgical treatment consisted of a ventral slot procedure. Short-term follow-up information was retrieved from re-examination visits. Long-term outcome was obtained via telephone interviews. More dogs in the surgical group demonstrated cervical hyperaesthesia on initial clinical presentation (P=0.045), otherwise there was no significant difference in signalment, clinical presentation or imaging findings between both groups. Two dogs in the medically managed group underwent surgical decompression due to an unsatisfactory response to medical management. All cases for which long-term information was available (n=30) were neurologically normal at the time of data collection. There were no significant differences for any of the short-term or long-term outcome variables between both treatment groups. This study demonstrated successful outcomes after medical or surgical treatment and suggests that both treatment modalities can be considered for dogs with cervical HNPE. SN - 2042-7670 UR - https://www.unboundmedicine.com/medline/citation/28982782/Comparison_of_medical_and_surgical_treatment_for_acute_cervical_compressive_hydrated_nucleus_pulposus_extrusion_in_dogs_ L2 - https://veterinaryrecord.bmj.com/lookup/pmidlookup?view=long&pmid=28982782 DB - PRIME DP - Unbound Medicine ER -