Prognostic value with intervertebral herniation disk disease in dogs

Jeong, In-Seong; Rahman, Md. Mahbubur; Kim, Hwangmin; Lee, Gi-Jong; Seo, Beom-Seok; Choi, Ga-Young; Kim, Sehoon; Kim, Namsoo

doi:10.5455/javar.2018.e261

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…The neurologic functions that were assessed included the ability to stand and walk unassisted, and resolution of pain. Moreover, the final clinical outcome at the time of discharge was performed, as described previously [4,5,12]. The outcomes were defined as: excellent, when dogs were neurologically normal; good, when the postoperative neurologic grade was improved from the preoperative condition and had improved sufficiently to require minor or no therapy after discharge; fair, when the postoperative neurologic status was unchanged from the preoperative condition; and poor, when a major postoperative complication had developed, and as a consequence, the neurologic grade had become worse at discharge than the preoperative score, or if another clinical disability that was present at admission had developed, or the patient had died.…”

Section: Methodsmentioning

confidence: 99%

“…The occurrence may differ depending on the region and it is important to report which breed may be most susceptible in each region; therefore, this paper is focused on susceptibility in Korea. Clinical signs of thoracolumbar IVDH include back pain, paraparesis (ambulatory or non-ambulatory), paraplegia, muscle electricity and tone alteration, urinary dysfunction, and loss of deep nociception [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Canine thoracolumbar intervertebral disk herniation and rehabilitation therapy after surgical decompression: A retrospective study

Jeong¹,

Piao

Rahman³

et al. 2019

J Adv Vet Anim Res

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Objective:The purpose of this study was to evaluate the clinical outcome of surgical decompression and rehabilitation therapy in dogs with thoracolumbar intervertebral disk herniation (IVDH).Materials and Methods:After surgery, physiotherapeutic rehabilitation was performed by a combination of electrotherapy, infrared therapy, training for standing, deep tendon reflex, and aquatic treadmill exercise. A total of 186 dogs were selected from the hospital records and included in two groups: the rehabilitated group (RG, n = 96) and non-rehabilitated group (NRG, n = 90). Dogs in each group were subdivided into three groups based on a pre-operative clinical severity grading system and those in grades 2–4 were included in this study. Post-operative neurologic functions, unassisted standing, walking, and the success rate of both groups were evaluated and comparedResults:Overall, 86.46% (83/96) of dogs had a successful neurologic outcome in the RG group, which was significantly (p < 0.01) higher than the NRG group 52.22% (47/90). Interestingly, the success rate differed when the preoperative grading system was considered. The success rates of grades 2, 3, and 4 were 97.14% (34/35), 97.33% (42/45), and 43.75% (7/16), respectively, in the rehabilitated groups, whereas in the non-rehabilitated groups, success rates were 82.35% (28/34), 51.85% (14/27), and 17.24% (5/29), respectively. The differences in success rates among the groups according to grading were 14.79%, 41.48%, and 26.51%, respectively, indicating that the proposed rehabilitation therapy is remarkably advantageous for increasing the success rate.Conclusion:Rehabilitation therapy after surgical decompression of thoracolumbar IVDH improves neurologic functions and increases the success rate, especially when the preoperative pathological condition is severe.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Canine thoracolumbar intervertebral disk herniation and rehabilitation therapy after surgical decompression: A retrospective study

Jeong¹,

Piao

Rahman³

et al. 2019

J Adv Vet Anim Res

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“…Intervertebral disk herniation (IVDH) is considered a very common cause of neck pain, back pain and neurologic dysfunction in dogs (Cherrone et al 2004;Rossmeisl et al 2013;Jeong et al 2018). Cervical IVDH in dogs accounts for approximately 14-25% of intervertebral disk hernia-Supported by the research fund of Royal Animal Medical Center and KNOTUS Co., Ltd.…”

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confidence: 99%

A retrospective study of canine cervical disk herniation and the beneficial effects of rehabilitation therapy after ventral slot decompression

Jeong¹,

Rahman²,

Choi³

et al. 2019

Vet. Med.

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The objective of this study was to evaluate the clinical outcome of ventral slot decompression and rehabilitation therapy in dogs with cervical intervertebral disc herniation (IVDH). Surgical decompression was performed in dogs with IVDH using the ventral slot procedure. After surgery, physiotherapeutic rehabilitation consisted of a combination of electrotherapy, infrared therapy and mechanical massage; treadmill exercise was started when the animal could stand up. A total of 58 dogs were selected from the hospital and included in two groups: rehabilitated group (RG, n = 34) and non-rehabilitated group (NRG, n = 24). Dogs of each group were subdivided into five groups based on a pre-operative clinical grading system. Grade 1 designated spinal pain only, grade 2 designated ambulatory paraparesis, grade 3 designated non-ambulatory paraparesis, grade 4 designated paraplegia with deep-pain perception intact and grade 5 designated paraplegia without deep-pain perception. Post-operative changes of both groups were evaluated and compared, including time until unassisted standing and walking after surgery and the success rate. Overall, 79.41% (27/34) of dogs had a successful neurologic outcome in the RG group, which was significantly (P < 0.05) higher than the NRG group 62.50% (15/24). Interestingly, the success rate differed when the preoperative grading system was considered. The success rates of grades 1, 2, 3, 4 and 5 were 100% (9/9), 100% (7/7), 75% (3/4), 53.85% (7/13) and 100% (1/1), respectively, in the rehabilitated groups, whereas in the non-rehabilitated groups success rates were 100% (5/5), 83.33% (5/6), 60.00% (3/5), 28.57% (2/7) and 0% (0/1), respectively. The differences in success rates between the two groups according to grading were 0, 16.67, 15, 25.57 and 100%, respectively. The proposed rehabilitation therapy after surgical decompression of cervical IVDH can improve the success rate when the preoperative pathological condition is severe.

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Prognostic value with intervertebral herniation disk disease in dogs

Cited by 2 publications

References 15 publications

Canine thoracolumbar intervertebral disk herniation and rehabilitation therapy after surgical decompression: A retrospective study

Canine thoracolumbar intervertebral disk herniation and rehabilitation therapy after surgical decompression: A retrospective study

A retrospective study of canine cervical disk herniation and the beneficial effects of rehabilitation therapy after ventral slot decompression

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