Megan M Wolfe, Lisa R Bartner, Eric Monnet, Katherine Neal
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引用次数: 0
Abstract
Objective: To evaluate the feasibility of minimally invasive integrated endoscopic mini-hemilaminectomy and thoracolumbar lateral corpectomy at six intervertebral disc spaces in the canine thoracolumbar vertebral column.
Study design: Experimental, randomized cadaveric study.
Animals: Eight cadaver dogs euthanized for reasons unrelated to this study.
Methods: Preoperative computed tomography (CT) scans were performed for surgical planning. Using an endoscopic system, mini-hemilaminectomy and thoracolumbar lateral corpectomy were performed from the T11-12 through L3-4 intervertebral disc spaces, with cadavers in sternal recumbency or positioned at a 30°-60° angle. Postoperative CT scans were used to measure corpectomy dimensions as a percentage of total vertebral dimensions.
Results: Median ± interquartile range (IQR) corpectomy dimensions were 23.07% ± 16.47% of vertebral body length, 46.76% ± 21.7% of vertebral body height, and 74.44% ± 47.37% of vertebral canal diameter. Targeted dimensions were achieved at all surgical sites from T11-12 through L3-4.
Conclusion: Integrated endoscopic thoracolumbar lateral corpectomy was successfully performed at all intervertebral disc spaces from T11-12 through L3-4 using an endoscopic system, although thoracic sites required more practice.
Clinical significance: This pilot study will guide further clinical applications of minimally invasive neurosurgery in small animal patients.
期刊介绍:
Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations.
It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.