Россия
Аграрно-технологический институт Федерального государственного автономного образовательного учреждения высшего образования «Российский университет дружбы народов» (Департамент ветеринарной медицины, Профессор)
Москва, г. Москва и Московская область, Россия
Сеть ветеринарных клиник «МедВет» (Главный врач)
Россия
АТИ ФГАОУ ВО «РУДН» (Департамент ветеринарной медицины)
АТИ ФГАОУ ВО «РУДН» (Департамент ветеринарной медицины)
ГРНТИ 68.41 Ветеринария
В статье представлены результаты лечения синдрома Вобблера у 19 собак комбинированным хирургическим методом, включающим в себя дискофенестрацию, тракцию тел позвонков пораженного уровня с установкой межпозвонкового кейджа и последующий фиксацией трансвертабральным проведением винта и наложением накостно двух параллельно идущих пластин. Большинство результатов лечения были расценены как отличные и хорошие.
цервикальная спондиломиелопатия, синдром Вобблера, собаки, лечение
1. Vilkovyskiy I.F., Shpinkov D.V., Sharapov D.N. [et al.], Metod xirurgicheskogo lecheniya cervikal`noj mal`formacii shejnogo otdela pozvonochnogo stolba u sobak [Method of surgical treatment of cervical malformation of the cervical spine in dogs], Veterinary medicine, zootechny and biotechnology, scientific and practical journal, 2019, No. 10, p. 23.
2. Sharapov D.N., Vilkovisky I.F., E`ffektivnost` xirurgicheskogo lecheniya sobak s diskogenny`m sindromom Vobblera [Effectiveness of surgical treatment of dogs with discogenic Wobbler syndrome], Veterinary surgery: from the source to the present: Proceeding of the International scientific and practical conference dedicated to the 110th anniversary of the birth of Professor, Doctor of Veterinary Sciences G.S. Mastyko, Vitebsk, November 3-5, 2022, pp. 218-220.
3. Bergman R.L., Levine J.M., Coates J.R., Cervical spinal locking plate in combi-nation with cortical ring allograft for a one level fusion in dogs with cervical spon-dylotic myelopathy, Vet Surg., 2008, No 37(6), С. 530-536.
4. Bernhardt M., Bernhardt M., Hynes R.A., Blume H.W., et al. Cervical spondylotic myelopathy, The Journal of Bone & Joint Surgery, 1993, No. 75, pp. 119-128.
5. Bonelli M.A., da Costa L.B.S.B.C., da Costa R.C., Association of neurologic signs with high-field MRI findings in 100 dogs with osseous-associated cervical spondylomyelopathy, Veterinary Radiology & Ultrasound, 2021, Vol. 62, No. 6, pp. 678-686.
6. Bonelli M.A., Da Costa R.C., Comparison of the percentage of the C3-C7 vertebral canal occupied by the spinal cord in small-breed dogs with that in Doberman Pinschers and Great Danes with and without cervical spondylomyelopathy, American journal of veterinary research, 2018, Vol. 9, No. 1, pp. 83-89.
7. Bonow M.D. O. Borges J.R.J., Macêdo I.L.D. et al., Cervical Vertebral Stenotic Myelopathy in a Nelore Calf, Veterinary Sciences, 2022, Vol. 9, No. 12, pp. 699-671.
8. Breit S., Kunzel W., Shape and orientation of articular facets of cervical vertebrae (C3-C7) in dogs denoting axial rotational ability: an osteological study, European journal of morphology, 2002, Vol. 40, No. 1, pp. 43-51.
9. Bruecker K.A., Caudal cervial spondylomyelopathy: Decompression by linear traction and stabilization with Staiman pins and pokymethylmethacrylate, J Am Anim Hosp Assoc., 1989, Vol. 25, С. 677-683.
10. Burbidge H.M., Pfeiffer D.U., Guilford W.G., Presence of cervical vertebral malformation in Dobermann puppies and the effects of diet and growth rate, Australian veterinary journal, 1999, Vol. 77, No. 12, pp. 814-818.
11. Da Costa R.C., Parent J.M., Holmberg D.L., et al., Outcome of medical and surgical treatment in dogs with cervical spondylomyelopathy: 104 cases (1988-2004), Journal of the American Veterinary Medical Association, 2008, Vol. 233, No. 8, pp. 1284-1290.
12. Da Costa R.C. Parent J.M., Partlow G., Dobson H., et al. Morphologic and morphometric magnetic resonance imaging features of Doberman Pinschers with and without clinical signs of cervical spondylomyelopathy, American Journal of Veterinary Research, 2006, Vol. 67, No. 9, pp. 1601-1612.
13. Da Costa R.C., Parent J.M. Magnetic resonance imaging findings in 60 dogs with cervical spondylomyelopathy, J Vet Intern Med., 2009, Vol. 23, No. 3, pp. 740-748.
14. Da Costa R. C. Parent J.P., Dobson H., Comparison of magnetic resonance imaging and myelography in 18 Doberman pinscher dogs with cervical spondylomyelopathy, Veterinary Radiology & Ultrasound, 2006, Vol. 47, No. 6, pp. 523-531.
15. Da Costa R.C. Pathogenesis of cervical spondylomyelopathy: lessons from recent years, ACVIM Forum Proceedings. Lakewood (CO): American College of Veterinary Internal Medicine, 2007, pp. 318-20.
16. Da Costa R.C. Cervical spondylomyelopathy (wobbler syndrome) in dogs, Veterinary Clinics: Small Animal Practice, 2010, Vol. 40, No. 5, pp. 881-913.
17. Danielski A., Vanhaesebrouck A., Yeadon R., Ventral stabilization and facetectomy in a Great Dane with wobbler syndrome due to cervical spinal canal stenosis, Veterinary and Comparative Orthopaedics and Traumatology, 2012, Vol. 25, No. 04, pp. 337-341.
18. De Decker S., Gielen I.M., Duchateau L., Low-field magnetic resonance imaging findings of the caudal portion of the cervical region in clinically normal Doberman Pinschers and Foxhounds, American journal of veterinary research, 2010, Vol. 71, No. 4, pp. 428-434.
19. Denny H.R., Gibbs C., Gaskell C.J., Cervical spondylopathy in the dog - a review of thirty-five cases, Journal of Small Animal Practice, 1977, Vol. 18, No. 2, pp. 117-132.
20. Farfan H.F., Cossette J.W., Robertson G.H. et al. The effects of torsion on the lumbar intervertebral joints: the role of torsion in the production of disc degeneration, JBJS, 1970, Vol. 52, No. 3, pp. 468-497.
21. Galloway D.S., Coke R.L., Rochat M.C. et al. Spinal compression due to atlantal vertebral malformation in two African lions (Panthera leo), Journal of Zoo and Wildlife Medicine, 2002, Vol. 33, No. 3, pp. 249-255.
22. Gray M.J., R.M. Kirberger, Spotswood T.C., Cervical spondylomyelopathy (wobbler syndrome) in the Boerboel, Journal of the South African Veterinary Association, 2003. Vol. 74, No. 4, pp. 104-110.
23. Gutierrez-Quintana R., Penderis J., MRI features of cervical articular process degenerative joint disease in G reat D ane dogs with cervical spondylomyelopathy, Veterinary Radiology & Ultrasound, 2012, Vol. 53, No. 3, pp. 304-311.
24. Hazewinkel H.A.W., Goedegebuure S.A., Poulos P.W., Influences of chronic calcium excess on the skeletal development of growing Great Danes, JAAHA, 1985, Vol. 21, pp. 377-391.
25. Hicks D.G., Pitts M.J., Bagley R.S. et al., In vitro biomechanical evaluations of screw-bar-polymethylmethacrylate and pin-polymethylmethacrylate internal fixation implants used to stabilize the vertebral motion unit of the fourth and fifth cervical vertebrae in vertebral column specimens from dogs, American journal of veterinary research, 2009, Vol. 70, No. 6, pp. 719-726.
26. Janes J.G., Garrett K.S., McQuerry K.J., et al. Cervical vertebral lesions in equine stenotic myelopathy, Veterinary pathology, 2015, Vol. 52, No. 5, pp. 919-927.
27. Jefferyq N.D., McKee W.M., Surgery for disc-associated wobbler syndrome in the dog-an examination of the controversy, Journal of Small Animal Practice, 2001, Vol. 42, No. 12, pp. 574-581.
28. Johnson J.A., da Costa R.C., Allen M.J. et al., Kinematic motion patterns of the cranial and caudal canine cervical spine, Veterinary Surgery, 2011, Vol. 40, No. 6, pp. 720-727.
29. Lewis D.G. Cervical spondylomyelopathy (‘wobbler’syndrome) in the dog: a study based on 224 cases, Journal of Small Animal Practice, 1989, Vol. 30, No. 12, pp. 657-665.
30. Mannaa M., Shamaa A.A., Shawky A. et al., A novel surgical technique for treatment of cervical vertebral stenotic myelopathy (wobbler syndrome) in a filly, Journal of Equine Veterinary Science, 2023, Vol. 126, pp. 104493.
31. Mason T.A. Cervical vertebral instability (wobbler syndrome) in the dog, The Veterinary Record, 1979, Vol. 104, No. 7, pp. 142-145.
32. McKee W.M., Butterworth S.J., Scottt H.W., Management of cervical spondylopathy-associated intervertebral disc protrusions using metal washers in 78 dogs, Journal of small animal practice, 1999, Vol. 40, No. 10, pp. 465-472.
33. Montali R.J., Bush M., Sauer R.M., Gray C.W., Spinal ataxia in zebras. Comparison with the wobbler syndrome of horses, Veterinary pathology, 1974, Vol. 11, No. 1, pp. 68-78.
34. Palmer A.C., Wallace M.E., Deformation of cervical vertebrae in Basset hounds, The Veterinary record, 1967, Vol. 80, No. 14, pp. 430-433.
35. Penny C.D., Hahn C., Macrae A., Mayhew, J., Wobbler syndrome in pedigree rams, The veterinary record, 2005, Vol. 156, No. 10, pp. 327.
36. Pezzanite L.M., Easley J.T., Bayless R. et al. Outcomes after cervical vertebral interbody fusion using an interbody fusion device and polyaxial pedicle screw and rod construct in 10 horses (2015-2019), Equine Veterinary Journal, 2022, Vol. 54, No. 2, pp. 347-358.
37. Queen J.P., Coughlan A.R., May C., et al., Management of disc-associated wobbler syndrome with a partial slot fenestration and position screw technique, Journal of small animal practice, 1998, Vol. 39, No. 3, pp. 131-136.
38. Reid J.D., Effects of flexion-extension movements of the head and spine upon the spinal cord and nerve roots, Journal of neurology, neurosurgery, and psychiatry, 1960, Vol. 23, No. 3, pp. 214-221.
39. Reints Bok T.E., Willemsen K., van Rijen M.H., Instrumented cervical fusion in nine dogs with caudal cervical spondylomyelopathy, Veterinary surgery, 2019, Vol. 48, No. 7, pp. 1287-1298.
40. Rusbridge C., Wheeler S.J., Torrington A.M., Comparison of two surgical techniques for the management of cervical spondylomyelopathy in dobermanns, Journal of Small Animal Practice, 1998, Vol. 39, No. 9, pp. 425-431.
41. Seim H.B., Withrow S.J., Pathophysiology and diagnosis of caudal cervical spondylo-myelopathy with emphasis on the Doberman Pinscher, Journal American Animal Hospital Association, 1982, pp. 241-251.
42. Seim H.B., Diagnosis and treatment of cervical vertebral instability-malformation syndromes, Current veterinary therapy, 2000, Vol. 13, pp. 992-999.
43. Shamir M.H., Chai O., Loeb E., A method for intervertebral space distraction before stabilization combined with complete ventral slot for treatment of disc-associated wobbler syndrome in dogs, Veterinary Surgery, 2008, Vol. 37, No. 2, pp. 186-192.
44. Sharp N.J.H, Cofone M., Robertson I.D., Cervical spondylomyelopathy in the Doberman dog: a potential model for cervical spondylotic myelopathy in humans, J Invest Surg. 1989, Vol. 2, pp. 333.
45. Sharp N.J.H., Cofone M., Robertson I.D. et al., Computed tomography in the evaluation of caudal cervical spondylomyelopathy of the Doberman Pinscher, Veterinary Radiology & Ultrasound, 1995, Vol. 36, No. 2, pp. 100-108.
46. Sharp N.J.H., Wheeler S.J., Cofone M., Radiological evaluation of ‘wobbler’syndrome-caudal cervical spondylomyelopathy, Journal of Small Animal Practice, 1992, Vol. 33, No. 10, pp. 491-499.
47. Stabile F., Bernardini M., Bevilacqua G. et al., Neurological signs and pre-and post-traction low-field MRI findings in Dobermanns with disc-associated cervical spondylomyelopathy, Journal of Small Animal Practice, 2015, Vol. 56, No. 5, pp. 331-338.
48. Steffen F., Voss K., Morgan J.P., Distraction-fusion for caudal cervical spondylomyelopathy using an intervertebral cage and locking plates in 14 dogs, Veterinary Surgery, 2011, Vol. 40, No. 6, pp. 743-752.
49. Tabbì M., Barillaro G., Interlandi C.D., et al., Treatment of Canine Disc-Associated Cervical Spondylomyelopathy with a Cervical Distraction-Stabilization Technique (C-LOX Combined with LCP Plate) and Clinical Outcomes, Animals, 2023, Vol. 13, No. 16, pp. 2549-2554.
50. Trotter E.J., Geary J.C., Brasmer T.H., Caudal cervical vertebral malformation-malarticulation in Great Danes and Doberman Pinschers, Journal of the American Veterinary Medical Association, 1976, Vol. 168, No. 10, pp. 917-930.
51. Van Gundy T.E. Disc-associated wobbler syndrome in the Doberman Pinscher, Veterinary clinics of north America: small animal practice, 1988, Vol. 18, No. 3, pp. 667-696.
52. Waltz T.A., Physical factors in the production of the myelopathy of cervical spondylosis, Brain, 1967, Vol. 90, No. 2, pp. 395-404.
53. Wright F., Palmer A.C., Morphological changes caused by pressure on the spinal cord, Pathologia veterinaria, 1969, Vol. 6, No. 4, pp. 355-368.
54. Wright F., Rest J. R., Palmer A.C. Ataxia of the Great Dane caused by stenosis of the cervical vertebral canal: comparison with similar conditions in the Basset Hound, Doberman Pinscher, Ridgeback and the thoroughbred horse, The Veterinary Record, 1973, Vol. 92, No. 1, pp. 1-6.
