title: Repair of transverse process fractures of multiple lumbar vertebrae in an adult dairy cow.
abstract: OBJECTIVE
  To report lumbar vertebrae transverse process fracture repair using a narrow 3.5 mm limited contact dynamic compression plate (LC-DCP) in an adult dairy cow.
  
  
  METHODS
  Case report.
  
  
  METHODS
  A 3-year-old Holstein cow.
  
  
  METHODS
  Under general anesthesia, fractured left transverse processes of lumbar vertebrae 2-4 were repaired using internal fixation. A narrow 3.5 mm LC-DCP was contoured and secured to the spinous process and the transverse process of each fractured vertebra.
  
  
  RESULTS
  Fractured transverse processes of the lumbar vertebrae were successfully repaired and the cow discharged 10 days after surgery. At 10 months after surgery, the cow was declared reserved champion at a regional show.
  
  
  CONCLUSIONS
  A paramedian approach and muscle splitting can be used to repair multiple lumbar transverse process fractures using internal fixation with an excellent cosmetic outcome.
authors.affiliation: Département de Sciences Cliniques, Faculté de Médecine Vétérinaire, Université de Montréal, St-Hyacinthe, QC, Canada. sylvain.nichols@umontreal.ca
authors.forename: Sylvain
authors.initials: S
authors.lastname: Nichols
authors.forename: Susan R
authors.initials: SR
authors.lastname: Vogel
authors.forename: Hélène
authors.initials: H
authors.lastname: Lardé
mesh_terms: D000818:Animals; D001860:Bone Plates / Q000662:veterinary*; D002417:Cattle / Q000293:injuries* / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods / Q000662:veterinary*; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery / Q000662:veterinary*; D016896:Treatment Outcome; D014463:Ultrasonography