Postoperative outcomes of combined surgery comprising dorsal laminectomy, transarticular screws, pedicle screws and polymethylmethacrylate for dorsal fixation in 21 dogs with degenerative lumbosacral stenosis

Authors
Hirofumi Tanoue, Masakazu Shimada, Tom Ichinohe, Nobuo Kanno, Shuji Suzuki, Yasuji Harada, Yasushi Hara
Journal
J Am Vet Med Assoc. 2022 Jun 28;260(14):1813-1819. doi: 10.2460/javma.22.04.0176.

Objective: To retrospectively review the efficacy of combined surgery comprising dorsal laminectomy and dorsal fixation using screws and polymethylmethacrylate as treatment for dogs with degenerative lumbosacral stenosis (DLSS).

Animals: 21 client owned dogs diagnosed with DLSS and treated surgically.

Procedures: Based on clinical records, signalments, clinical signs, findings from orthopedic and neurological examinations, imaging findings, and postoperative complications were evaluated at the following time points: preoperatively, postoperatively, and 3, 6, 12, 24, and 36 months after surgery.

Results: In all 21 cases, clinical signs were alleviated, proprioceptive deficits were improved from 3 months after surgery, and no recurrence of clinical signs was observed during the observation period. Minor complications were observed in 6 cases (28.6%), including implant failure in 2 (9.5%), delayed healing of surgical wounds in 2 (9.5%), seroma in 1 (4.8%), and swelling of the affected area in 1 (4.8%). There was no case with major complications.

Clinical relevance: Combined surgery comprising dorsal laminectomy and dorsal fixation using screws and polymethylmethacrylate is a useful treatment that can improve long-term clinical signs in dogs with DLSS.