Summary
Objective: To describe the surgical treatment and outcome for juvenile dogs with cranial thoracic
vertebral canal stenosis treated by unilateral hemilaminectomy.
Study design: Case series.
Animals: Three large-breed brachycephalic dogs of various breeds (Dogue de Bordeaux, Australian
Bulldog, Boerboel) with neurological signs consistent with a myelopathy of the third
thoracic (T) to third lumbar (L) spinal cord segment.
Methods: Information on clinical presentation, diagnostic imaging, surgical procedures, postoperative
complications, recovery and outcome is described.
Results: Neurological signs were present and progressive for two to four weeks prior to surgery
and ranged from mild ataxia to paralysis. Cranial thoracic vertebral canal stenosis
was diagnosed with computed tomography imaging. Lateral and dorsolateral spinal cord
compression was present at multiple sites between T2 and T6. Alternating left and
right-sided compressions were common. Surgical treatment was by unilateral, continuous
hemilaminectomy over three to six vertebral spaces. Postoperative morbidity was minimal
and return of independent ambulation was rapid (median: 13.5 days, range: 2–29 days).
Neurological status in one dog worsened four months after surgery due to reoccurrence
of osseous compression; unilateral hemilaminectomy was repeated in this dog. Long-term
follow-up ranged from six to 10 months; neurological signs had completely resolved
in one dog and substantially improved in the other two dogs.
Clinical significance: Unilateral hemilaminectomy was associated with rapid return of independent ambulation
and substantial improvement in neurological scores.
Keywords
Cranial thoracic vertebral canal stenosis - hemilaminectomy - brachycephalic - Molosser
- large-breed dog