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Microfenestration Using the CUSA Excel Ultrasonic Aspiration System in Chondrodystrophic Dogs with Thoracolumbar Disk Extrusion: A Descriptive Cadaveric and Clinical Study
Author(s) -
Forterre Franck,
Dickomeit Mark,
Senn David,
Gorgas Daniela,
Spreng David
Publication year - 2011
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2010.00780.x
Subject(s) - cadaveric spasm , medicine , extrusion , orthodontics , anatomy , composite material , materials science
Objective: To describe an ultrasonic surgical aspirator assisted disk fenestration technique in dogs. Study design: Descriptive cadaveric and prospective clinical study. Animals: Fresh Beagle cadavers (n=5) and 10 chondrodystrophic dogs with thoracolumbar disk extrusion. Methods: Cadaveric study: Intervertebral disks T12‐L2 were fenestrated with the CUSA Excel in 5 Beagle cadavers, and fenestration efficacy assessed by morphologic examination of the completeness of fenestration and size of annulotomy. Clinical study: the affected intervertebral disk was fenestrated in 10 chondrodystrophic dogs treated by hemilaminectomy for thoracolumbar disk disease. Efficacy of fenestration was evaluated. Results: Mean time necessary to perform CUSA assisted fenestration was 8 minutes (range, 5‐10 minutes) for each disk in cadavers and patients. In cadaver spines, removal of the nucleus pulposus was complete in 11/15 disks. In 4 disks, remnants of nucleus pulposus material were observed on the contralateral side. Nuclear material was normal in 9/15 disks and showed evidence of chondroid degeneration on histopathologic examination in the 6 disks. Median annulotomy size was 3 mm. Clinically, no signs of early recurrence were observed and all dogs recovered uneventfully. Conclusions: CUSA assisted fenestration is a safe and efficient method of fenestration for removal of most of the nucleus pulposus through a limited annulotomy.