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  4. Retrospective study of partial lateral corpectomy to treat thoracic and lumbar intervertebral disc herniation in 12 cats

Retrospective study of partial lateral corpectomy to treat thoracic and lumbar intervertebral disc herniation in 12 cats

Journal of Feline Medicine and Surgery, 2024 · DOI: 10.1177/1098612X241299276 · Published: September 25, 2024

SurgeryVeterinary Medicine

Simple Explanation

This study looks at a surgical procedure called partial lateral corpectomy (PLC) as a treatment for spinal cord compression caused by disc herniation in cats. The study reviewed the records of 12 cats who had this surgery to see how safe and effective it was. The researchers found that while PLC can help relieve spinal cord compression, there's a significant risk of fatal bleeding during or after the surgery.

Study Duration
2005-2023 (18 years)
Participants
12 client-owned cats
Evidence Level
Retrospective study

Key Findings

  • 1
    PLC offers a potential treatment option for IVH to decompress the spinal cord in cats.
  • 2
    Fatal haemorrhage associated with PLC surgery is a significant risk, occurring in 25% of the cats in this study.
  • 3
    Sufficient slot creation in all three dimensions is necessary to achieve adequate decompression.

Research Summary

The study evaluated the safety and effectiveness of partial lateral corpectomy (PLC) in 12 cats with spinal cord compression due to intervertebral disc herniation (IVH). Outcomes showed varying degrees of decompression and neurological improvement, but a high mortality rate (25%) due to intraoperative haemorrhage was observed. The authors conclude that while PLC can be a potential treatment, surgeons must be aware of the haemorrhage risk and ensure adequate slot creation for spinal cord decompression.

Practical Implications

Surgical Considerations

Surgeons should be particularly cautious of potential intraoperative haemorrhage during PLC in cats.

Treatment Planning

Other treatment options, including medical management, should be considered, especially for mild cases of IVDH.

Slot Dimensions

Adequate slot creation in all three dimensions (depth, height, and length) is crucial for sufficient spinal cord decompression.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Small sample size of 12 cases
  • 3
    Lack of a control group

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