Long-term outcome following lateral foraminotomy as treatment for canine degenerative lumbosacral stenosis

Lateral foraminotomy has been described as an effective surgical treatment for foraminal stenosis in the treatment of degenerative lumbosacral stenosis (DLSS) in dogs. Clinical records were reviewed from 45 dogs which had undergone lateral foraminotomy at the lumbosacral junction either alone or in...

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Main Authors: Andrade Gomes, Sergio, Lowrie, Mark, Targett, Mike
Format: Article
Language:English
Published: BMJ 2018
Online Access:https://eprints.nottingham.ac.uk/53496/
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author Andrade Gomes, Sergio
Lowrie, Mark
Targett, Mike
author_facet Andrade Gomes, Sergio
Lowrie, Mark
Targett, Mike
author_sort Andrade Gomes, Sergio
building Nottingham Research Data Repository
collection Online Access
description Lateral foraminotomy has been described as an effective surgical treatment for foraminal stenosis in the treatment of degenerative lumbosacral stenosis (DLSS) in dogs. Clinical records were reviewed from 45 dogs which had undergone lateral foraminotomy at the lumbosacral junction either alone or in combination with decompressive midline dorsal laminectomy. Short-term outcome at six weeks was assessed by the surgeon to be good (11.1 per cent) or excellent (88.9 per cent) in all 45 cases. Long-term outcome beyond six months for lumbosacral syndrome was assessed by the owner as excellent in all 34 cases for which follow-up was available despite recurrence in five cases. Recurrence of clinical signs was not related to re-establishment of foraminal compression at the surgical site when assessed on repeat MRI and was managed by either contralateral foraminotomy in one case or conservative management with excellent response. This study confirms lateral foraminotomy as an effective procedure in the management of DLSS-affected dogs suffering from foraminal stenosis and demonstrates that initial good short-term results are maintained long term despite some treatable recurrences. Lateral foraminotomy is an effective procedure when used appropriately in DLSS with foraminal stenosis either alone or in combination with midline dorsal laminectomy.
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spelling nottingham-534962018-08-28T08:52:50Z https://eprints.nottingham.ac.uk/53496/ Long-term outcome following lateral foraminotomy as treatment for canine degenerative lumbosacral stenosis Andrade Gomes, Sergio Lowrie, Mark Targett, Mike Lateral foraminotomy has been described as an effective surgical treatment for foraminal stenosis in the treatment of degenerative lumbosacral stenosis (DLSS) in dogs. Clinical records were reviewed from 45 dogs which had undergone lateral foraminotomy at the lumbosacral junction either alone or in combination with decompressive midline dorsal laminectomy. Short-term outcome at six weeks was assessed by the surgeon to be good (11.1 per cent) or excellent (88.9 per cent) in all 45 cases. Long-term outcome beyond six months for lumbosacral syndrome was assessed by the owner as excellent in all 34 cases for which follow-up was available despite recurrence in five cases. Recurrence of clinical signs was not related to re-establishment of foraminal compression at the surgical site when assessed on repeat MRI and was managed by either contralateral foraminotomy in one case or conservative management with excellent response. This study confirms lateral foraminotomy as an effective procedure in the management of DLSS-affected dogs suffering from foraminal stenosis and demonstrates that initial good short-term results are maintained long term despite some treatable recurrences. Lateral foraminotomy is an effective procedure when used appropriately in DLSS with foraminal stenosis either alone or in combination with midline dorsal laminectomy. BMJ 2018-08-01 Article PeerReviewed application/pdf en https://eprints.nottingham.ac.uk/53496/1/LS%20Retro%20SG%2016-04.pdf Andrade Gomes, Sergio, Lowrie, Mark and Targett, Mike (2018) Long-term outcome following lateral foraminotomy as treatment for canine degenerative lumbosacral stenosis. Veterinary Record . ISSN 2042-7670 https://veterinaryrecord.bmj.com/content/early/2018/08/01/vr.104741.info doi:10.1136/vr.104741 doi:10.1136/vr.104741
spellingShingle Andrade Gomes, Sergio
Lowrie, Mark
Targett, Mike
Long-term outcome following lateral foraminotomy as treatment for canine degenerative lumbosacral stenosis
title Long-term outcome following lateral foraminotomy as treatment for canine degenerative lumbosacral stenosis
title_full Long-term outcome following lateral foraminotomy as treatment for canine degenerative lumbosacral stenosis
title_fullStr Long-term outcome following lateral foraminotomy as treatment for canine degenerative lumbosacral stenosis
title_full_unstemmed Long-term outcome following lateral foraminotomy as treatment for canine degenerative lumbosacral stenosis
title_short Long-term outcome following lateral foraminotomy as treatment for canine degenerative lumbosacral stenosis
title_sort long-term outcome following lateral foraminotomy as treatment for canine degenerative lumbosacral stenosis
url https://eprints.nottingham.ac.uk/53496/
https://eprints.nottingham.ac.uk/53496/
https://eprints.nottingham.ac.uk/53496/