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  4. Characterization of risk factors for early ambulation in paraplegic dogs with absent pain perception undergoing decompressive surgery for thoracolumbar intervertebral disk extrusions

Characterization of risk factors for early ambulation in paraplegic dogs with absent pain perception undergoing decompressive surgery for thoracolumbar intervertebral disk extrusions

Frontiers in Veterinary Science, 2024 · DOI: 10.3389/fvets.2024.1487105 · Published: December 4, 2024

Spinal Cord InjuryNeurologyVeterinary Medicine

Simple Explanation

This study investigates the recovery of walking ability in dogs with paralysis and no deep pain sensation after surgery for a slipped disc in their back. It looks at what factors might help or hinder their recovery. The study also compares the outcomes of French Bulldogs to Dachshunds, as there's a belief that French Bulldogs might have a poorer prognosis after this type of surgery. The findings help veterinarians better understand the chances of recovery for these dogs and inform owners about what to expect after surgery.

Study Duration
April 2016 and April 2024
Participants
127 dogs with paraplegia and absent pain perception
Evidence Level
Retrospective case series

Key Findings

  • 1
    Approximately 60.6% of dogs regained the ability to walk after surgery, and 7.1% regained walking ability without regaining pain sensation.
  • 2
    Having a surgery that included durotomy (cutting the dura mater) was a negative factor, reducing the likelihood of regaining the ability to walk.
  • 3
    The presence of spinal shock, indicated by reduced or absent reflexes in the hind limbs, also decreased the chances of regaining the ability to walk.

Research Summary

This study aimed to characterize early ambulation, identify risk factors for return of ambulation, and compare the outcome of French bulldogs compared to Dachshunds following TL-IVDE surgery. The study found that early recovery of ambulation alone (60.6%) and ambulation alongside pain perception (53.5%) occurred in the majority of surgically managed TL-IVDE-affected dogs with APP. The study concluded that negative prognostic factors for recovery of ambulation were durotomy performed alongside hemilaminectomy, and dogs presenting with spinal shock with reduced/absent withdrawal reflexes.

Practical Implications

Informed Owner Discussions

Veterinarians can use this information to have more realistic discussions with owners about the likelihood of recovery after surgery.

Surgical Considerations

The study suggests that surgeons should carefully consider the necessity of durotomy, as it may negatively impact the chances of ambulation recovery.

Breed-Specific Expectations

The findings challenge the belief that French Bulldogs have a worse prognosis, suggesting that surgery should be considered for them as much as for other breeds.

Study Limitations

  • 1
    Retrospective nature of the study
  • 2
    Short follow-up period (4–8 weeks)
  • 3
    Single-institution study

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