İki Kedide Karşılaşılan Travmatik Torakolumbal Çıkığın Basit Spinal Proses Stabilizasyon Metodu ile Operatif Sağaltımı

Bu olgu raporunda, trafik kazası sonucu Mustafa Kemal Üniversitesi Veteriner Fakültesi Cerrahi Kliniği’ne getirilen iki kedide karşılaşılan spinal travmanın operatif sağaltım sonuçları değerlendirildi. Klinik olarak paraplejik olan bu olguların radyografilerinde, Th13 - L1 arasında torakolumbal çıkık ve Th11 - Th12 arasında torakal kırıklı çıkık tanısı konuldu. Olgular komşu Processus spinalislere iki pinin serklaj telleri ile tutturulması prensibine dayanan basit spinal proses stabilizasyon metodu ile opere edildi. Herhangi bir postoperatif komplikasyon gözlenmeyen bu metodun faydalı olduğu sonucuna varıldı.

Anahtar Kelimeler:

Basit spinal proses stabilizasyonu, Kedi, Travmatik spinal çıkık

Operative Treatment of Traumatic Thoracolumbar Luxations in Two Cats by a Method of Simple Spinal Process Stabilization

In this case report, the operative treatment outcomes of spinal vehicular trauma was evaluated in two cats that brought to Mustafa Kemal University Veterinary Faculty Surgery Clinic. The cases were clinically paraplegic, and a thoracolumbar luxation between Th13 and L1 in one and a thoracal fracture-luxation between Th11 and Th12 in the latter were diagnosed radiographically. The cases were operated by a method of simple spinal process stabilization, using two rods stabilized to processus spinosus of related vertabrates by cerclage wires. It was not observed any postoperative complication and concluded that this method was useful.

Keywords:

Cat, Simple spinal process stabilization, Traumatic spinal luxation,

PDF

___

Bali MS, Lang J, Jaggy A, Spreng D, Doherr MG, Forterre F (2009). Comparative study of vertebral fractures and luxations in dogs and cats. Vet Comp Orthop Traumatol, 22, 47-53. Bruce CW, Brisson BA, Gyselinck K (2008). Spinal fracture and luxation in dogs and cats: A retrospective evaluation of 95 cases. Vet Comp Orthop Traumatol, 21 (3), 280–284. Chakera TM, Bedbrook G, Bradley CM (1988). Spontaneous resolution of spinal canal deformity after burst-dispersion fracture. Am J Neuroradiol, 9 (4), 779–785. Dai LY (2001). Remodeling of the spinal canal after thoracolumbar burst fractures. Clin Orthop Relat Res, 382, 119–123. Feeney DA, Oliver JE (1980). Blunt spinal trauma in the dog and cat: insight into radiographic lesions. J Am Anim Hosp Assoc, 16(6), 885–890. Hawthorne JC, Blevins WE, Wallace LJ, et al (1999). Cervical vertebral fractures in 56 dogs: A retrospective study. J Am Anim Hosp Assoc, 35(2), 135–146. Jeffery ND (2010). Vertebral fracture and luxation in small animals. Veterinary Clinics of North America: Small Animal Practice, 40(5), 809-828. Krauss MW, Theyse LFH, Tryfonidou MA, Hazewinkel HAW, Meij BP (2012). Treatment of spinal fractures using Lubra plates. A Retrospective clinical and radiological evaluation of 15 cases. Vet Comp Orthop Traumatol, 25, 1-6. Lanz OI, Jones JC, Bergman R (2000). Use of an external fixator to correct spinal fracture/luxation and instability in three dogs. Vet Neurol Neurosurg J, 2(1), 1-8. Leferink VJ, Nijboer JM, Zimmerman KW, et al (2003). Burst fractures of the thoracolumbar spine: Changes of the spinal canal during operative treatment and follow-up. Eur Spine J, 12(3), 255–260. Marioni-Henry K, Vite CH, Newton AL, et al (2004). Prevalence of diseases of the spinal cord of cats. J Vet Intern Med, 18(6), 851–858. Seim HB (2002). Surgery of the thoracolumbar spine. In: Small Animal Surgery, 2nd Edition, Fossum TW (Ed), 1269–1301, Mosby, St. Louis, Missouri. Selcer RR, Bubb WJ, Walker TL (1991). Management of vertebral column fractures in dogs and cats: 211 cases (1977-1985). J Am Vet Med Assoc, 198(11), 1965–1968. Sturges BK, Le Counter RA (2003). Vertebral fracture and luxations. In: Textbook of Small Animal Surgery, 3rd edition, Slatter D (Ed), 1244-1260, W.B. Saunders, Philadelphia. Voss K, Montavon PM (2004). Tension band stabilization of fractures and luxations of the thoracolumbar vertebrae in dogs and cats: 38 cases (1993–2002). J Am Vet Med Assoc, 225 (1), 78–83.