Tags

Type your tag names separated by a space and hit enter

Comparison of surgical and conservative treatment of hydrated nucleus pulposus extrusion in dogs.
J Vet Intern Med. 2018 Nov; 32(6):1989-1995.JV

Abstract

BACKGROUND

Whether compressive cervical myelopathy caused by hydrated nucleus pulposus extrusion (HNPE) in dogs should be treated surgically or conservatively has been debated. Only 1 recent study has contradicted the former predominant reports of surgical treatment for HNPE.

HYPOTHESIS AND METHOD

Single center retrospective study to compare the outcome of client-owned dogs with HNPE after decompressive surgery or conservative treatment.

ANIMALS

Thirty-six dogs diagnosed with HNPE confirmed by magnetic resonance imaging (MRI).

RESULTS

Eighteen of 36 dogs underwent surgery whereas 18 dogs were managed conservatively including cage rest and physiotherapy. The most common affected intervertebral disc space was C4-5. In 3 dogs, HNPE was diagnosed at the level of T13-L1. Median time to regain ambulation was 6.6 days (range, 0-28 days) after surgery and 5.9 days (range, 0-15 days) with conservative management (P = .37). Only the length of a potential intramedullary lesion in cervical HNPE detected by MRI had an influence on the prognosis to gain ambulatory status in a time period of ≤9 days (P = .0035) and on short-term survival (P = .0011).

CONCLUSIONS AND CLINICAL IMPORTANCE

Conservative management of HNPE in the cervical as well as in the thoracolumbar region represents a reasonable alternative to surgery, showing similar favorable outcome.

Authors+Show Affiliations

Department of Small Animal Medicine and Surgery, University of Veterinary Medicine, Hannover, Germany.Department of neurology Clinic of Small Animals, Posthausen, Germany.Department of Small Animal Medicine and Surgery, University of Veterinary Medicine, Hannover, Germany.Department of Small Animal Medicine and Surgery, University of Veterinary Medicine, Hannover, Germany.Department of Small Animal Medicine and Surgery, University of Veterinary Medicine, Hannover, Germany.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

30267615

Citation

Nessler, Jasmin, et al. "Comparison of Surgical and Conservative Treatment of Hydrated Nucleus Pulposus Extrusion in Dogs." Journal of Veterinary Internal Medicine, vol. 32, no. 6, 2018, pp. 1989-1995.
Nessler J, Flieshardt C, Tünsmeyer J, et al. Comparison of surgical and conservative treatment of hydrated nucleus pulposus extrusion in dogs. J Vet Intern Med. 2018;32(6):1989-1995.
Nessler, J., Flieshardt, C., Tünsmeyer, J., Dening, R., & Tipold, A. (2018). Comparison of surgical and conservative treatment of hydrated nucleus pulposus extrusion in dogs. Journal of Veterinary Internal Medicine, 32(6), 1989-1995. https://doi.org/10.1111/jvim.15304
Nessler J, et al. Comparison of Surgical and Conservative Treatment of Hydrated Nucleus Pulposus Extrusion in Dogs. J Vet Intern Med. 2018;32(6):1989-1995. PubMed PMID: 30267615.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of surgical and conservative treatment of hydrated nucleus pulposus extrusion in dogs. AU - Nessler,Jasmin, AU - Flieshardt,Cornelia, AU - Tünsmeyer,Julia, AU - Dening,Ricarda, AU - Tipold,Andrea, Y1 - 2018/09/29/ PY - 2018/01/26/received PY - 2018/05/23/revised PY - 2018/07/24/accepted PY - 2018/9/30/pubmed PY - 2019/1/18/medline PY - 2018/9/30/entrez KW - canine KW - hydrated nucleus pulposus extrusion KW - outcome KW - treatment SP - 1989 EP - 1995 JF - Journal of veterinary internal medicine JO - J Vet Intern Med VL - 32 IS - 6 N2 - BACKGROUND: Whether compressive cervical myelopathy caused by hydrated nucleus pulposus extrusion (HNPE) in dogs should be treated surgically or conservatively has been debated. Only 1 recent study has contradicted the former predominant reports of surgical treatment for HNPE. HYPOTHESIS AND METHOD: Single center retrospective study to compare the outcome of client-owned dogs with HNPE after decompressive surgery or conservative treatment. ANIMALS: Thirty-six dogs diagnosed with HNPE confirmed by magnetic resonance imaging (MRI). RESULTS: Eighteen of 36 dogs underwent surgery whereas 18 dogs were managed conservatively including cage rest and physiotherapy. The most common affected intervertebral disc space was C4-5. In 3 dogs, HNPE was diagnosed at the level of T13-L1. Median time to regain ambulation was 6.6 days (range, 0-28 days) after surgery and 5.9 days (range, 0-15 days) with conservative management (P = .37). Only the length of a potential intramedullary lesion in cervical HNPE detected by MRI had an influence on the prognosis to gain ambulatory status in a time period of ≤9 days (P = .0035) and on short-term survival (P = .0011). CONCLUSIONS AND CLINICAL IMPORTANCE: Conservative management of HNPE in the cervical as well as in the thoracolumbar region represents a reasonable alternative to surgery, showing similar favorable outcome. SN - 1939-1676 UR - https://www.unboundmedicine.com/medline/citation/30267615/Comparison_of_surgical_and_conservative_treatment_of_hydrated_nucleus_pulposus_extrusion_in_dogs_ L2 - https://doi.org/10.1111/jvim.15304 DB - PRIME DP - Unbound Medicine ER -