Spinal Surgery-Greenmount Veterinary Orthopaedic Referral clinic- fractures, joint, spinal surgery, arthroscopy N Ireland

Text Box: Spinal equipment Myelography 3M Minos spinal air drill Distractors for distraction– fusion in “wobbler” syndrome & lumbosacral disease x4 - 20 zoom operating microscope

Text Box: Intervertebral disc disease (or slipped disc) is the most common surgical neurological problem seen in small animal practice and varies in its presentation from back or neck pain through limb weakness, ataxia, recumbancy to complete paralysis of one or more limbs. Whilst pain and mild neurological symptoms can be treated with rest and non steroidals more advanced lesions require urgent investigation and surgery if the outcome is to be successful. Intervertebral disc disease cases with deep pain sensation have at least a 90% success rate in our clinic for return to function, however early referral cannot be over emphasised. This condition occurs frequently in Spaniels, Terriers, Dachshunds, Bassets, Labradors, Golden Retrievers, Rottweilers and GSDs. If deep pain sensation is absent success rates are much lower. In disc disease deep pain sensation is always present when a dog is ataxic or can move a limb voluntarily. Following location of the disc lesion (slipped disc) by myelography a Hemi-laminectomy is carried out for thoraco-lumbar disc lesions, whilst a ventral slot is performed in the neck with fenestration of adjacent discs if necessary. Caudal cervical spondylomyelopathy CCSM or Wobbler syndrome usually affects the C6-C7 region of the neck and is due to vertebral instability, hyperplasia of the soft tissue spinal structures, disc herniation and in some cases vertebral malformation. These lead to spinal cord compression causing hind leg ataxia and later foreleg involvement. CCSM occurs in older large breeds such as Dalmations, Dobermans, Rottweillers & Retreivers. Also young Great Danes. The surgery performed is either a standard ventral slot or in some cases fusion of the vertebrae in a distracted position by “screw & washer” placement or screws and bone cement. Lumbosacral disease is very similar in many ways to wobbler syndrome and can be treated with similar distraction fusion techniques.

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Rotweiller after ventral slot for wobbler syndrome CCSM

Myelographs of the lumbar spine showing extrusion of an ossified disc

Myelogram showing cervical spine cord compression

Digital vision

Triple Pelvic Osteotomy & Hip Dysplasia

Case selection Lameness

Case selection Fractures & spinal

Anaesthetic monitoring

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Greenmount Veterinary Clinic 72 Gilford Road

Portadown Co Armagh Northern Ireland www.vetortho.co.uk www.vetclinic.co.uk