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Complications related to surgical treatment of intervertebral disc disease in dogs.

机译:与狗椎间盘疾病的外科手术治疗有关的并发症。

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After intervertebral disk surgery we often have to deal with various complications (seizures, gastrointestinal tract (GIT) ulcerations, cystitis, and surgical wound healing problems). These complications may lead to the death of the patient. We performed clinical and laboratory investigations in 161 dogs with an intervertebral disc disease. After that, we performed a cranial (n=31), caudal (n=125) or both (n=5) types of myelography at the same time, and surgery-ventral slot decompression (SLOT) (n=18) or hemilaminectomy (n=143). During the post-surgical period we observed seizures, GIT complications, cystitis, and surgical wound healing problems or even death of the patients. These complications appeared to be related to the lesion site, the degree of clinical signs and the type of surgical procedure. In our study we found a higher incidence of seizures after cranial myelography, higher incidence of gastrointestinal (GI) complications particularly in paraplegic dogs, and a higher risk of death in patients after the SLOT surgery. The occurrence of cystitis was not significant (p=0.5524, p=0.1655, respectively). We consider seizures, GI ulcerations, and death the most frequent complications after intervertebral disc surgery. Their incidence depends on the lesion site and the degree of neurologic symptoms.
机译:椎间盘手术后,我们通常不得不处理各种并发症(癫痫发作,胃肠道溃疡,膀胱炎和外科伤口愈合问题)。这些并发症可能导致患者死亡。我们对161例椎间盘疾病狗进行了临床和实验室检查。之后,我们同时进行了颅(n = 31),尾(n = 125)或两种(n = 5)两种类型的脊髓造影,并进行了手术-腹腔减压​​(SLOT)(n = 18)或半椎板切除术(n = 143)。在手术后期间,我们观察到癫痫发作,胃肠道并发症,膀胱炎,手术伤口愈合问题甚至患者死亡。这些并发症似乎与病变部位,临床体征程度和外科手术类型有关。在我们的研究中,我们发现颅骨脊髓造影后癫痫发作的发生率更高,胃肠道(GI)并发症的发生率更高,尤其是在截瘫犬中,并且SLOT手术后患者的死亡风险更高。膀胱炎的发生率不明显(分别为p = 0.5524,p = 0.1655)。我们认为癫痫发作,胃肠道溃疡和死亡是椎间盘手术后最常见的并发症。它们的发生率取决于病变部位和神经系统症状的程度。

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