[Cauda equina compression syndrome (CECS): retrospective study of surgical treatment with partial dorsal laminectomy in 86 dogs with lumbosacral stenosis].
We report our results of partial lumbosacral laminectomy for treatment of canine Cauda equina Compression Syndrome due to a lumbosacral stenosis. Opposite to conventional techniques of dorsal laminectomy, only widening of the Spatium interarcuale is performed. This is achieved by exstirpation of the Lig. flavum and partial dorsal laminectomy of the first sacral segment. The Proc. spinosi and integrity of facet joints are fully maintained by this technique. In 96.5% of 86 dogs treated with this method relief of dorsal pressure and permanent rapid regression of clinical symptoms was achieved. In two cases recurrence of clinical symptoms was observed during follow up and one case showed no improvement at all. In conclusion partial dorsal laminectomy is a minimal invasive technique for treatment of Cauda equina compression syndrome expressed by pain reaction accompanied by minor neurological deficits caused by lumbosacral stenosis. Maintained spinal stability allows short reconvalescence and the unrestricted use of dogs immediately post operation.
Institut für Versuchstierkunde, Medizinischen Fakultät der Rheinisch-Westfälisch Technischen Hochschule Aachen. skinzel@ukaachen.de
Sylvia
S
Kinzel
Johannes
J
Koch
Thaddeus
T
Stopinski
Mamdouh
M
Afify
Gabriele
G
Krombach
Arno
A
Buecker
Werner
W
Küpper
D000818:Animals; D002420:Cauda Equina / Q000601:surgery*; D019299:Decompression, Surgical / Q000662:veterinary; D004283:Dog Diseases / Q000601:surgery*; D004285:Dogs; D005260:Female; D007796:Laminectomy / Q000662:veterinary*; D008161:Lumbosacral Region; D008297:Male; D009408:Nerve Compression Syndromes / Q000601:surgery / Q000662:veterinary*; D012189:Retrospective Studies; D013130:Spinal Stenosis / Q000601:surgery / Q000662:veterinary*; D016896:Treatment Outcome