[논문]개에서 경추 추간판 탈출증의 비수술적 치료와 수술적 치료의 결과 : 60 증례

성규진; 류학현; 박성수; 강병재; 임성준; 김용선; 이승훈; 조성호; 김준영; 윤정희; 김완희; 권오경

[국내논문] 개에서 경추 추간판 탈출증의 비수술적 치료와 수술적 치료의 결과 : 60 증례
Outcome of Non-surgical and Surgical Treatments in Dogs with Cervical Intervertebral Disc Disease: 60 cases 원문보기

Journal of veterinary clinics = 한국임상수의학회지, v.27 no.6 = no.77, 2010년, pp.713 - 717

초록
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추간판 탈출증은 개에서 일반적인 신경학적 질병이다. 수의 신경학 임상에서 흉요추 추간판 탈출증의 비수술적 치료 또는 수술적 치료의 결과는 잘 보고되어 있다. 그러나 경추 추간판 탈출증의 비수술적 치료 또는 수술적 치료의 결과에 대해서는 상대적으로 적게 알려져 있다. 우리의 목적은 경추 추간판 탈출증을 가진 개에서의 수술적 치료와 비수술적 치료후의 결과에 대해 체계적으로 조사하는 것이다. 수술적 치료를 실시한 개의 치료 성공률(100%, 25/25) 이 비수술적 치료를 실시한 개의 치료 성공률(51.4%, 18/35) 에 비해 유의적으로 높았다. 비수술적 치료군에서 치료 성공률과 척수 압박률과는 부정적인 상관관계가 있음을 확인하였다. 본 연구에서는 경추 추간판 탈출증을 가진 개에서의 수술적 치료는 비수술적 치료에 비해 더 효과적이었다. 또한 CT 또는 MRI 상에서 확인된 척수압박의 정도는 비수술적 치료에서 유용한 예후의 지표가 되었다.

Abstract ▼ AI-Helper

Outcomes of non-surgical and surgical treatments for thoracolumbar intervertebral disc disease (IVDD) are well-reported. However, little is known regarding the outcome for treatments of cervical IVDD. This study systematically reviewed the outcomes in dogs with cervical IVDD that were managed non-surgically and surgically. Clinical success rates for surgical treatment were significantly higher (100%) than for non-surgical treatment (51.4%). In the non-surgical treatment group, clinical success rates were negatively correlated with spinal cord compression rates. Based on the results of this study, surgical treatment is deemed more effective than non-surgical treatment for dogs with cervical IVDD. Also, the degree of spinal cord compression on computed tomography or magnetic resonance imaging is a useful prognostic indicator before non-surgical treatment.

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AI 본문요약
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제안 방법

Information obtained from the medical records consisted of breed, age, weight, sex, pre-treatment grade of myelopathy, duration of clinical signs, methods of diagnosis (CT or MRI), location of the main lesion, methods of treatment (non-surgical or surgical), and surgical techniques. The neurological grades were divided into the following four categories based on neurological status according to a previous study with minor modification (6,10): Grade I, normal ambulation with neck pain; Grade II, mild ataxia with motor function adequate for weight bearing; Grade III, severe ataxia with motor function inadequate for weight bearing; Grade IV, non-ambulatory tetraparesis.

대상 데이터

The surgical treatment group consisted of 25 dogs (14 males and 11 females) that included Cocker Spaniel (n = 7), Miniature Dachshund (n = 5), Pekingese (n = 5), Shih Tzu (n =4), Pomeranian (n = 2), Maltese (n = 1), Miniature Schnauzer (n = 1), and Yorkshire Terrier (n = 1). Mean age was 7.
Medical records of the Seoul National University Hospital for Animals from June 2005 to February 2010 were searched to identify cases of patients with cervical IVDD. Dogs were included in the study if the diagnosis had been made on the basis of results of magnetic resonance imaging (MRI) or computed tomography (CT); the dog had been treated non-surgically or surgically at the Seoul National University Hospital for Animals; a complete medical record was available; and longterm follow-up information (minimum, 6 months) was available. Dogs with congenital malformations and traumatic, infectious, or neoplastic lesions were excluded from the study population.

데이터처리

Spearman’s correlation test was used to examine the association between the degree of SCC and the grade of myelopathy or outcome.

참고문헌 (22)

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상세보기
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상세보기
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