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Discussion on Research Summary: Surgical correction of impinging processes
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Moderator:
DrO
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Posted on Wednesday, May 2, 2007 - 8:50 am:
This is the first review of cases where removal of the offending part of impinging dorsal spinous processes is reviewed and overall seemed to be a help.
DrO
Vet Surg. 2007 Feb;36(2):149-55.
Endoscopic resection of dorsal spinous processes and interspinous ligament in ten horses.
Desbrosse FG, Perrin R, Launois T, Vandeweerd JM, Clegg PD.
Departme nt of Veterinary Clinical Science and Animal Husbandry, The University of Liverpool, South Wirral, UK and Clinique Equine Desbrosse-Perrin-Launois, St. Lambert-des-Bois, France.
Objective- To describe endoscopic surgical subtotal resection of the dorsal spinous processes (DSP) and interspinous ligament in horses. Study Design- Descriptive clinical study. Animals- Adult horses (n=10) with back pain and impinging dorsal spinous processes Methods- Diseased portions of DSP and interspinous ligament were resected by endoscopic surgery, using Destandau Endospine to create a surgical space and provide triangulation for the endoscope, suction cannula, and surgical instruments. Medical records of 10 horses with pain attributable to DSP pathology treated by endoscopic resection of DSP were reviewed to determine intra- and postoperative complications and outcome. Results- Affected portions of DSP were successfully resected with minimal hemorrhage. Limited periosteal reaction was noticed after 3 months in 2 horses. Nine horses had no complications and returned to full work within 8 weeks; 1 developed a subcutaneous abscess, which was successfully managed, and returned to work after 3 months. Surgical resection improved presenting clinical signs and owner's complaint although 2 horses did not return to previous performance levels. Conclusion- Resection of DSP and interspinous ligament can be successfully performed endoscopically in horses. Hemorrhage was minimal but reduced visibility. Complications were minimal and most horses returned to work by 8 weeks. Clinical Relevance- Endoscopic resection of DSP is a safe and reliable surgical procedure in horses.
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Member:
hwood
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Posted on Wednesday, May 2, 2007 - 9:03 am:
Dr. O.,
Are you aware of any university veterinary hospitals or private equine hospitals here in the States that are practicing this surgery?
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Moderator:
DrO
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Posted on Monday, May 7, 2007 - 10:16 am:
Holly, I am not aware of how available this surgical option is but presume following this report we will see it become more wide spread.
DrO
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