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      Comparison of Two Surgical Techniques for the Treatment of Canine Disc Associated-Cervical Spondylomyelopathy

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective

          To compare prosthetic disc and vertebral distraction stabilization in dogs with disc-associated cervical spondylomyelopathy (DA-CSM).

          Study Design

          A retrospective clinical study.

          Animals

          25 dogs.

          Methods

          Dogs presenting with clinical signs and MRI findings compatible with DA-CSM underwent surgery. Implantation of the Adamo's prosthetic disc (PD) or vertebral distraction-stabilization (DS) with intervertebral cage, ventral locking plates, and dorsal transarticular screws was performed. All dogs were followed-up and evaluated clinically for a minimum of 1 year and radiographically for at least 3 months. In particular, we focused on the evaluation of subsidence (the degree of vertebral collapse).

          Results

          Twenty-five dogs were enrolled: 12 with PD implantation and 13 with DS implantation. Of these, 24 dogs were followed-up at 1 year. Overall, 12 dogs improved (4 PD and 8 DS), eight were stable (4 PD and 4 DS), and four deteriorated (3 PD and 1 DS). Deterioration was more common in PD cases, especially soon after surgery. In a few PD cases, a second surgery was necessary. The most common complication in dogs with DS was discospondylitis. Subsidence was detected in 11 PD and 7 DS dogs. Subsidence was more severe and occurred sooner after surgery in PD cases compared to DS cases. DS cases were more prone to clinical improvement and less prone to subsidence than PD cases in this study. However, the statistical evidence was weak owing to the small sample size.

          Conclusion

          The preliminary results suggest that prosthetic disc implantation is more prone to clinical and radiographic failures than distraction stabilization.

          Clinical Relevance

          The DS technique is a valuable surgical option for treating dogs with DA-CSM, with favorable short- and long-term clinical and radiographic outcomes.

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          Most cited references64

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          Fitting Linear Mixed-Effects Models Usinglme4

          Steve Walker, Martin Mächler, Ben Bolker … (2022)
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            The ASA's Statement onp-Values: Context, Process, and Purpose

            Ronald Wasserstein, Nicole A. Lazar (2016)
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              Scientists rise up against statistical significance

              Valentin Amrhein, Sander Greenland, Blake McShane (2019)
              Article 0 comments Cited 601 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Journal
                Journal ID (nlm-ta): Front Vet Sci
                Journal ID (iso-abbrev): Front Vet Sci
                Journal ID (publisher-id): Front. Vet. Sci.
                Title: Frontiers in Veterinary Science
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 2297-1769
                Publication date (Electronic): 20 June 2022
                Publication date Collection: 2022
                Volume: 9
                Electronic Location Identifier: 880018
                Affiliations
                [1] 1Department of Neurology-Neurosurgery, Diagnostica Piccoli Animali , Zugliano, Italy
                [2] 2Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna , Bergamo, Italy
                Author notes

                Edited by: Andrea Tipold, University of Veterinary Medicine Hannover, Germany

                Reviewed by: Steven De Decker, Royal Veterinary College (RVC), United Kingdom; Bianca Hettlich, University of Bern, Switzerland

                *Correspondence: Cristian Falzone crisfalz@ 123456libero.it

                This article was submitted to Veterinary Neurology and Neurosurgery, a section of the journal Frontiers in Veterinary Science

                Article
                DOI: 10.3389/fvets.2022.880018
                PMC ID: 9251543
                PubMed ID: 35795784
                SO-VID: cade87f7-88bd-44d6-b260-07dc9e3a7167
                Copyright © Copyright © 2022 Falzone, Tranquillo and Gasparinetti.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 20 February 2022
                Date accepted : 16 May 2022
                Page count
                Figures: 7, Tables: 2, Equations: 0, References: 64, Pages: 12, Words: 8314
                Categories
                Subject: Veterinary Science
                Subject: Clinical Trial

                Keywords: cervical spondylomyelopathy (csm),wobbler syndrome,prosthetic disc,distraction stabilization,surgical procedures
                Data availability:
                Keywords: cervical spondylomyelopathy (csm), wobbler syndrome, prosthetic disc, distraction stabilization, surgical procedures

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