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Zur Diagnostik und Therapie traumatisch bedingter Verletzungen der Brust- und Lendenwirbelsäule beim Hund

Authors
  • Kramer, Martin
  • Schimke, E
  • Gerwing, M
  • Tellhelm, B
Publication Date
Jan 01, 2001
Source
Ghent University Institutional Archive
Keywords
Language
German
License
Unknown
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Abstract

Trauma induced injuries of the spine in the dog often appear at the thoracical and lumbar part of the vertebral column. In this study 58 animals with fractures and/or luxations of the vertebrae were examined. Their average age was four years, male dogs were more often concerned than bitches (1.4:1). 70% of the trauma were caused by car accidents. Further injuries but those of the spine were found in 57% of the patients (e.g. bite wound, shock, pneumothorax). After clinical, neurological and radiological examinations 18 dogs were euthanized, 11 underwent a conservative therapy and 29 were treated surgically. The spinal cord of all operated patients was first decompressed by hemi- or laminectomy. The spinal cord of six dogs was destroyed so they had to be euthanized during surgery. The vertebrae of 24 patients were stabilized, mostly considering the three-column-theory. Complications after surgery of the spine are fractures of the implants, migration of pins or lubra plates, infection, haemorrhages or iatrogen injuries of the spinal cord. The combination of lubra plates fixed on each side of the processus spinosi and a fixateur-externe in the vertebral bodies have been preferred in the last years. Following a correct diagnosis as well as early and appropriate surgical measures, the prognosis for a convenient life may be good also for very seriously injured patients.

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