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Relationship of preoperative neurologic score with intervals to regaining micturition and ambulation following surgical treatment of thoracolumbar disk herniation in dogs.
J Am Vet Med Assoc. 2018 Jul 15; 253(2):196-200.JA

Abstract

OBJECTIVE

To estimate the times required for dogs to regain micturition and ambulation following surgical treatment for thoracolumbar Hansen type I intervertebral disk extrusion (IVDE) and determine whether these variables were associated with preoperative modified Frankel score (MFS). DESIGN Retrospective case series with nested cohort study. ANIMALS 54 dogs weighing < 20 kg (44 lb) that were surgically treated for Hansen type I IVDE at a referral hospital between January and December 2015. PROCEDURES Medical records and CT and MRI data were reviewed. Information was collected regarding dog signalment, type and duration of clinical signs, preoperative MFS, degree of spinal cord compression, type of medical and surgical treatment provided, and intervals from surgery to regaining micturition and ambulation (outcomes). Collected data were evaluated for correlations with outcomes.

RESULTS

Mean ± SD interval from surgery to regaining micturition was 4.1 ± 4.4 days, and mean interval from surgery to regaining ambulation was 13.8 ± 25.1 days. These intervals differed significantly. Significant negative correlations with MFS were identified for interval to regaining micturition (r = -0.63) and interval to regaining ambulation (r = -0.64). No other correlations with outcome were identified.

CONCLUSIONS

AND CLINICAL RELEVANCE The amount of time required for dogs to regain micturition and ambulation following surgery for thoracolumbar IVDE was correlated with preoperative severity of clinical signs, as reflected by preoperative MFSs. This information should be useful for pre- and postoperative decision-making and setting of expectations for owners of and clinicians treating affected dogs.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29963949

Citation

Skytte, Ditte, and Hugo Schmökel. "Relationship of Preoperative Neurologic Score With Intervals to Regaining Micturition and Ambulation Following Surgical Treatment of Thoracolumbar Disk Herniation in Dogs." Journal of the American Veterinary Medical Association, vol. 253, no. 2, 2018, pp. 196-200.
Skytte D, Schmökel H. Relationship of preoperative neurologic score with intervals to regaining micturition and ambulation following surgical treatment of thoracolumbar disk herniation in dogs. J Am Vet Med Assoc. 2018;253(2):196-200.
Skytte, D., & Schmökel, H. (2018). Relationship of preoperative neurologic score with intervals to regaining micturition and ambulation following surgical treatment of thoracolumbar disk herniation in dogs. Journal of the American Veterinary Medical Association, 253(2), 196-200. https://doi.org/10.2460/javma.253.2.196
Skytte D, Schmökel H. Relationship of Preoperative Neurologic Score With Intervals to Regaining Micturition and Ambulation Following Surgical Treatment of Thoracolumbar Disk Herniation in Dogs. J Am Vet Med Assoc. 2018 Jul 15;253(2):196-200. PubMed PMID: 29963949.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationship of preoperative neurologic score with intervals to regaining micturition and ambulation following surgical treatment of thoracolumbar disk herniation in dogs. AU - Skytte,Ditte, AU - Schmökel,Hugo, PY - 2018/7/3/entrez PY - 2018/7/3/pubmed PY - 2019/4/9/medline SP - 196 EP - 200 JF - Journal of the American Veterinary Medical Association JO - J. Am. Vet. Med. Assoc. VL - 253 IS - 2 N2 - OBJECTIVE To estimate the times required for dogs to regain micturition and ambulation following surgical treatment for thoracolumbar Hansen type I intervertebral disk extrusion (IVDE) and determine whether these variables were associated with preoperative modified Frankel score (MFS). DESIGN Retrospective case series with nested cohort study. ANIMALS 54 dogs weighing < 20 kg (44 lb) that were surgically treated for Hansen type I IVDE at a referral hospital between January and December 2015. PROCEDURES Medical records and CT and MRI data were reviewed. Information was collected regarding dog signalment, type and duration of clinical signs, preoperative MFS, degree of spinal cord compression, type of medical and surgical treatment provided, and intervals from surgery to regaining micturition and ambulation (outcomes). Collected data were evaluated for correlations with outcomes. RESULTS Mean ± SD interval from surgery to regaining micturition was 4.1 ± 4.4 days, and mean interval from surgery to regaining ambulation was 13.8 ± 25.1 days. These intervals differed significantly. Significant negative correlations with MFS were identified for interval to regaining micturition (r = -0.63) and interval to regaining ambulation (r = -0.64). No other correlations with outcome were identified. CONCLUSIONS AND CLINICAL RELEVANCE The amount of time required for dogs to regain micturition and ambulation following surgery for thoracolumbar IVDE was correlated with preoperative severity of clinical signs, as reflected by preoperative MFSs. This information should be useful for pre- and postoperative decision-making and setting of expectations for owners of and clinicians treating affected dogs. SN - 1943-569X UR - https://www.unboundmedicine.com/medline/citation/29963949/Relationship_of_preoperative_neurologic_score_with_intervals_to_regaining_micturition_and_ambulation_following_surgical_treatment_of_thoracolumbar_disk_herniation_in_dogs_ L2 - http://avmajournals.avma.org/doi/full/10.2460/javma.253.2.196?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -