한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제34권2호
  • /
  • Pages.115-118
  • /
  • 2017
  • /
  • 1598-298X(pISSN)
  • /
  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지
DOI QR코드

DOI QR Code

Pin and Bone Cement Fixation of Fifth-Sixth Lumbar Vertebral Fracture-Luxation in a Korean Goral (Nemorhaedus caudatus)

  • Choi, Seong-jae (College of Veterinary Medicine and Institute of Veterinary Science, Kangwon National University) ;
  • Kim, Jong-taek (College of Veterinary Medicine and Institute of Veterinary Science, Kangwon National University) ;
  • Oh, Yeon-su (College of Veterinary Medicine and Institute of Veterinary Science, Kangwon National University) ;
  • Kang, Byung-Jae (College of Veterinary Medicine and Institute of Veterinary Science, Kangwon National University)
  • 투고 : 2017.02.16
  • 심사 : 2017.04.10
  • 발행 : 2017.04.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

A Korean goral (immature, female) was presented with paraplegia following motor vehicle trauma. The patient was diagnosed with an L5-6 vertebral fracture-luxation based on digital radiographs. Surgical reduction and stabilization of the fracture-luxation were performed via a dorsal approach to the lumbar spine. It was confirmed in surgery that the patient had L5-7 spinous process fractures, L6 bilateral articular process fractures, and an L5-6 luxation. Free fragments were removed and the luxation was reduced. During reduction, caudodorsal dislocation of the L5 caudal vertebral end plate was discovered and the displaced end plate was removed. The L5-6 vertebral luxation was stabilized using pins and bone cement. However, the presence of an intact spinal cord was not confirmed. Two weeks postoperatively the patient became dyspneic and arrested. A necropsy was performed, which revealed that the surgical stabilization was intact. Pulmonary edema was identified and the immediate cause of death was determined to be systemic inflammatory response syndrome.

키워드

참고문헌

  1. Bali MS, Lang J, Jaggy A, Spreng D, Doherr MG, Forterre F. Comparative study of vertebral fractures and luxations in dogs and cats. Vet Comp Ortho Traumatol. 2009; 22: 47-53.
  2. Beaver DP, MacPherson GC, Muir P, Johnson KA. Methylmethacrylate and bone screw repair of seventh lumbar vertebral fracture-luxations in dogs. J Small Anim Pract. 1996; 37: 381-386. https://doi.org/10.1111/j.1748-5827.1996.tb02421.x
  3. Blass CE, Seim HB. Spinal fixation in dogs using Steinmann pins and methylmethacrylate. Vet Surg. 1984; 13: 203-210. https://doi.org/10.1111/j.1532-950X.1984.tb00790.x
  4. Duval J, Dewey C, Roberts R, Aron D. Spinal cord swelling as a myelographic indicator of prognosis: A retrospective study in dogs with intervertebral disc disease and loss of deep pain perception. Vet Surg. 1996; 25: 6-12. https://doi.org/10.1111/j.1532-950X.1996.tb01371.x
  5. Harrington ML, Bagley RS. Realignment of a seventh lumbar vertebral fracture/luxation using a Senn retractor in two puppies. J Am Anim Hosp Assoc. 1998; 34: 377-380. https://doi.org/10.5326/15473317-34-5-377
  6. Jeffery ND. Vertebral fracture and luxation in small animals. Vet Clin North Am Small Anim Prac 2010; 40: 809-828. https://doi.org/10.1016/j.cvsm.2010.05.004
  7. Jung BD, Kim DH, Kim JT. Analysis of wildlife-vehicle collisions and monitoring the movement of wildlife. Korean J Vet Res. 2010; 33: 401-409.
  8. Kim BJ, Oh DH, Chun SH, Lee SD. Distribution, density, and habitat use of the Korean water deer (hydropotes inermis argyropus) in korea. Landsc Ecol Eng. 2011; 7: 291-297. https://doi.org/10.1007/s11355-010-0127-y
  9. Laitinen OM, Puerto DA. Surgical decompression in dogs with thoracolumbar intervertebral disc disease and loss of deep pain perception: a retrospective study of 46 cases. Acta Vet Scand. 2005; 46: 79-85. https://doi.org/10.1186/1751-0147-46-79
  10. Min MS, Okumura H, Jo DJ, An JH, Kim KS, Kim CB, Shin NS, Lee MH, Han CH, Voloshina IV, Lee H. Molecular phylogenetic status of the Korean goral and Japanese serow based on partial sequences of the mitochondrial cytochrome b gene. Mol Cells. 2004; 17: 365-372.
  11. Mullineaux E, Best D, Cooper JE. Deer. In: BSAVA Manual of wildlife casualties. Gloucester: British Sm Anim Vet Assoc. 2003: 166-181.
  12. Obeid I, Guerin P, Gille O, Gangnet N, Aurouer N, Pointillart V, Vital JM. Total vertebrectomy and spine shortening in the management of acute thoracic spine fracture dislocation: technical note and report of 3 cases. J Spinal Disord Tech. 2011; 24: 340-345 https://doi.org/10.1097/BSD.0b013e3181f9a447
  13. Scott HW. Hemilaminectomy for the treatment of thoracolumbar disc disease in the dog: a followup study of 40 cases. J Sm Anim Pract. 1997; 38: 488-494. https://doi.org/10.1111/j.1748-5827.1997.tb03303.x
  14. Selcer RR, Bubb WJ, Walker TL. Management of vertebral column fractures in dogs and cats: 211 cases (1977-1985). J Am Vet Med Assoc. 1991; 198: 1965-1968.
  15. Seo C, Thorne J, Choi T, Kwon H, Park CH. Disentangling roadkill: The influence of landscape and season on cumulative vertebrate mortality in south korea. Landsc Ecol Eng. 2015; 11: 87-99. https://doi.org/10.1007/s11355-013-0239-2
  16. Sturges BK, LeCouteur RA. Vertebral fractures and luxations, in: Slatter D (ed) Textbook of Small Anim Surg, Vol. 1. Philadelphia: Elsevier Science. 2003: 1244-1261.
  17. Wheeler SJ, Sharp NJH. Small animal spinal disorders. Diagnosis and surgery. London: Mosby Wolfe. 1994: 21-30.
  18. Wheeler SJ, Sharp NJH. Trauma. In: Small Animal Spinal Disorders: Diagnosis and Surgery. 2nd ed. Philadelphia: Elsevier Mosby. 2005: 281-318
  19. Wong WT, Emms SG. Use of pins and methylmethacrylate in stabilisation of spinal fractures and luxations. Sm Anim. 1992; 33: 415-422. https://doi.org/10.1111/j.1748-5827.1992.tb01193.x