Tratamento clínico ou cirúrgico em cães com extrusão de disco intervertebral (Hansen tipo I) toracolombar

Bibliographic Details
Main Author: Chaves, Rafael Oliveira
Publication Date: 2017
Format: Doctoral thesis
Language: por
Source: Manancial - Repositório Digital da UFSM
dARK ID: ark:/26339/001300000brzw
Download full: http://repositorio.ufsm.br/handle/1/11299
Summary: The extrusion of the intervertebral disc is the most common cause of neurological disorders in dogs. Extrusion (Hansen type I) or protrusion (Hansen type II) of the disc may occur and consequent compression of the spinal cord and / or nerve roots. The objective of this thesis was, in a first step, to carry out a retrospective study for the epidemiological survey of the disease and to evaluate dogs in different degrees of neurological dysfunction after surgical decompression of the spinal cord. In article 1, of the 110 dogs with thoracolumbar DDIV submitted to surgical decompression, 74 (67.3%) improved clinical signs, 54 (49.1%) considered satisfactory and 20 (18.2%) were partially satisfactory. In article 2, of the 17 dogs with extrusion (Hansen type I) of thoracolumbar intervertebral disc without perception to deep pain (PDP) submitted to clinical treatment, nine (52.9%) presented satisfactory functional recovery, one (5.9%) satisfactory recovery without pain (Spinal walk) and seven (41.2%) were unsatisfactory. Of the 20 dogs submitted to surgical treatment, 10 (50%) presented satisfactory functional recovery, three (15%) satisfactory recovery without deep pain (spinal gait) and seven (35%) were unsatisfactory. There was no significant difference in functional recovery between dogs undergoing clinical or surgical treatment. In view of the results, the surgical treatment promotes a satisfactory functional recovery in the most of dogs with thoracolumbar disc extrusion, being the percentage of relapse in animals submitted to this type of therapy low. The functional clinical recovery in dogs with paraplegic thoracolumbar intervertebral disc extrusion and without perception to deep pain over 48 hours can occur independently of the treatment instituted. Other studies are needed with more cases to reinforce the evidence found.
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spelling Tratamento clínico ou cirúrgico em cães com extrusão de disco intervertebral (Hansen tipo I) toracolombarClinical or surgical treatment in dogs with thoracolumbar disk extrusionsNeurologiaMedula espinhalDoença do disco intervertebralNocicepçãoAnimais de companhiaNeurologySpinal cordIntervertebral disc diseaseNociceptionPet animalsCNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIAThe extrusion of the intervertebral disc is the most common cause of neurological disorders in dogs. Extrusion (Hansen type I) or protrusion (Hansen type II) of the disc may occur and consequent compression of the spinal cord and / or nerve roots. The objective of this thesis was, in a first step, to carry out a retrospective study for the epidemiological survey of the disease and to evaluate dogs in different degrees of neurological dysfunction after surgical decompression of the spinal cord. In article 1, of the 110 dogs with thoracolumbar DDIV submitted to surgical decompression, 74 (67.3%) improved clinical signs, 54 (49.1%) considered satisfactory and 20 (18.2%) were partially satisfactory. In article 2, of the 17 dogs with extrusion (Hansen type I) of thoracolumbar intervertebral disc without perception to deep pain (PDP) submitted to clinical treatment, nine (52.9%) presented satisfactory functional recovery, one (5.9%) satisfactory recovery without pain (Spinal walk) and seven (41.2%) were unsatisfactory. Of the 20 dogs submitted to surgical treatment, 10 (50%) presented satisfactory functional recovery, three (15%) satisfactory recovery without deep pain (spinal gait) and seven (35%) were unsatisfactory. There was no significant difference in functional recovery between dogs undergoing clinical or surgical treatment. In view of the results, the surgical treatment promotes a satisfactory functional recovery in the most of dogs with thoracolumbar disc extrusion, being the percentage of relapse in animals submitted to this type of therapy low. The functional clinical recovery in dogs with paraplegic thoracolumbar intervertebral disc extrusion and without perception to deep pain over 48 hours can occur independently of the treatment instituted. Other studies are needed with more cases to reinforce the evidence found.Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPqA extrusão do disco intervertebral é uma das causas mais comuns de alterações neurológicas em cães, sendo provocada pela degeneração do disco intervertebral. Pode ocorrer extrusão (Hansen tipo I) ou protrusão (Hansen tipo II) do disco e consequente compressão da medula espinhal e/ou raízes nervosas. O objetivo desta tese foi, em uma primeira etapa, realizar um estudo retrospectivo para levantamento epidemiológico da doença e avaliar clinicamente os cães submetidos a descompressão cirúrgica da medula espinhal em diferentes graus de disfunção neurológica. Na segunda etapa avaliou, mediante estudo prospectivo, a recuperação funcional de cães paraplégicos e sem percepção à dor profunda por mais de 48 horas em decorrência de extrusão de disco intervertebral toracolombar (Hansen tipo I) submetidos ao tratamento clínico ou cirúrgico. No artigo 1, dos 110 cães com DDIV toracolombar submetidos a descompressão cirúrgica, 74 (67,3%) tiveram melhora dos sinais clínicos, sendo 54 (49,1%) considerados satisfatórios e 20 (18,2%) parcialmente satisfatórios. No artigo 2, dos 17 cães com extrusão (Hansen tipo I) de disco intervertebral toracolombar sem percepção à dor profunda (PDP) submetidos ao tratamento clínico, nove (52,9%) apresentaram recuperação funcional satisfatória, um (5,9%) recuperação satisfatória sem dor profunda (andar espinhal) e sete (41,2%) insatisfatória. Já, dos 20 cães submetidos ao tratamento cirúrgico, 10 (50%) apresentaram recuperação funcional satisfatória, três (15%) recuperação satisfatória sem dor profunda (andar espinhal) e sete (35%) insatisfatória. Não houve diferença significativa em relação a recuperação funcional entre em cães submetidos ao tratamento clínico ou cirúrgico. Diante dos resultados, o tratamento cirúrgico promove recuperação funcional satisfatória na maioria dos cães com extrusão de disco toracolombar, sendo baixo o percentual de recidiva em animais submetidos a este tipo de terapia. A recuperação clínica funcional em cães com extrusão de disco intervertebral toracolombar paraplégicos e sem percepção à dor profunda superior a 48 horas pode ocorrer independente do tratamento instituído. Outros estudos são necessários com maior número de casos para reforçar as evidências encontradas.Universidade Federal de Santa MariaBrasilMedicina VeterináriaUFSMPrograma de Pós-Graduação em Medicina VeterináriaCentro de Ciências RuraisMazzanti, Alexandrehttp://lattes.cnpq.br/3504517995843014Raiser, Alceu Gasparhttp://lattes.cnpq.br/5375404372156000Müller, Daniel Curvello de Mendonçahttp://lattes.cnpq.br/9457849435452537Alievi, Marcelo Mellerhttp://lattes.cnpq.br/0027221474823330Beckmann, Diego Vilibaldohttp://lattes.cnpq.br/5625811036384501Chaves, Rafael Oliveira2017-08-04T15:57:06Z2017-08-04T15:57:06Z2017-01-26info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisapplication/pdfhttp://repositorio.ufsm.br/handle/1/11299ark:/26339/001300000brzwporAttribution-NonCommercial-NoDerivatives 4.0 Internationalinfo:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2017-08-06T22:44:34Zoai:repositorio.ufsm.br:1/11299Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/PUBhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.com||manancial@ufsm.bropendoar:2017-08-06T22:44:34Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false
dc.title.none.fl_str_mv Tratamento clínico ou cirúrgico em cães com extrusão de disco intervertebral (Hansen tipo I) toracolombar
Clinical or surgical treatment in dogs with thoracolumbar disk extrusions
title Tratamento clínico ou cirúrgico em cães com extrusão de disco intervertebral (Hansen tipo I) toracolombar
spellingShingle Tratamento clínico ou cirúrgico em cães com extrusão de disco intervertebral (Hansen tipo I) toracolombar
Chaves, Rafael Oliveira
Neurologia
Medula espinhal
Doença do disco intervertebral
Nocicepção
Animais de companhia
Neurology
Spinal cord
Intervertebral disc disease
Nociception
Pet animals
CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA
title_short Tratamento clínico ou cirúrgico em cães com extrusão de disco intervertebral (Hansen tipo I) toracolombar
title_full Tratamento clínico ou cirúrgico em cães com extrusão de disco intervertebral (Hansen tipo I) toracolombar
title_fullStr Tratamento clínico ou cirúrgico em cães com extrusão de disco intervertebral (Hansen tipo I) toracolombar
title_full_unstemmed Tratamento clínico ou cirúrgico em cães com extrusão de disco intervertebral (Hansen tipo I) toracolombar
title_sort Tratamento clínico ou cirúrgico em cães com extrusão de disco intervertebral (Hansen tipo I) toracolombar
author Chaves, Rafael Oliveira
author_facet Chaves, Rafael Oliveira
author_role author
dc.contributor.none.fl_str_mv Mazzanti, Alexandre
http://lattes.cnpq.br/3504517995843014
Raiser, Alceu Gaspar
http://lattes.cnpq.br/5375404372156000
Müller, Daniel Curvello de Mendonça
http://lattes.cnpq.br/9457849435452537
Alievi, Marcelo Meller
http://lattes.cnpq.br/0027221474823330
Beckmann, Diego Vilibaldo
http://lattes.cnpq.br/5625811036384501
dc.contributor.author.fl_str_mv Chaves, Rafael Oliveira
dc.subject.por.fl_str_mv Neurologia
Medula espinhal
Doença do disco intervertebral
Nocicepção
Animais de companhia
Neurology
Spinal cord
Intervertebral disc disease
Nociception
Pet animals
CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA
topic Neurologia
Medula espinhal
Doença do disco intervertebral
Nocicepção
Animais de companhia
Neurology
Spinal cord
Intervertebral disc disease
Nociception
Pet animals
CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA
description The extrusion of the intervertebral disc is the most common cause of neurological disorders in dogs. Extrusion (Hansen type I) or protrusion (Hansen type II) of the disc may occur and consequent compression of the spinal cord and / or nerve roots. The objective of this thesis was, in a first step, to carry out a retrospective study for the epidemiological survey of the disease and to evaluate dogs in different degrees of neurological dysfunction after surgical decompression of the spinal cord. In article 1, of the 110 dogs with thoracolumbar DDIV submitted to surgical decompression, 74 (67.3%) improved clinical signs, 54 (49.1%) considered satisfactory and 20 (18.2%) were partially satisfactory. In article 2, of the 17 dogs with extrusion (Hansen type I) of thoracolumbar intervertebral disc without perception to deep pain (PDP) submitted to clinical treatment, nine (52.9%) presented satisfactory functional recovery, one (5.9%) satisfactory recovery without pain (Spinal walk) and seven (41.2%) were unsatisfactory. Of the 20 dogs submitted to surgical treatment, 10 (50%) presented satisfactory functional recovery, three (15%) satisfactory recovery without deep pain (spinal gait) and seven (35%) were unsatisfactory. There was no significant difference in functional recovery between dogs undergoing clinical or surgical treatment. In view of the results, the surgical treatment promotes a satisfactory functional recovery in the most of dogs with thoracolumbar disc extrusion, being the percentage of relapse in animals submitted to this type of therapy low. The functional clinical recovery in dogs with paraplegic thoracolumbar intervertebral disc extrusion and without perception to deep pain over 48 hours can occur independently of the treatment instituted. Other studies are needed with more cases to reinforce the evidence found.
publishDate 2017
dc.date.none.fl_str_mv 2017-08-04T15:57:06Z
2017-08-04T15:57:06Z
2017-01-26
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufsm.br/handle/1/11299
dc.identifier.dark.fl_str_mv ark:/26339/001300000brzw
url http://repositorio.ufsm.br/handle/1/11299
identifier_str_mv ark:/26339/001300000brzw
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Medicina Veterinária
UFSM
Programa de Pós-Graduação em Medicina Veterinária
Centro de Ciências Rurais
publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Medicina Veterinária
UFSM
Programa de Pós-Graduação em Medicina Veterinária
Centro de Ciências Rurais
dc.source.none.fl_str_mv reponame:Manancial - Repositório Digital da UFSM
instname:Universidade Federal de Santa Maria (UFSM)
instacron:UFSM
instname_str Universidade Federal de Santa Maria (UFSM)
instacron_str UFSM
institution UFSM
reponame_str Manancial - Repositório Digital da UFSM
collection Manancial - Repositório Digital da UFSM
repository.name.fl_str_mv Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)
repository.mail.fl_str_mv atendimento.sib@ufsm.br||tedebc@gmail.com||manancial@ufsm.br
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