RESUMO
Background: Postoperative care after thoracolumbar hemilaminectomy in dogs generally includes rest, physical therapy,and analgesics such as opioids. Currently, there is no established standard for the management of postoperative pain inpatients undergoing hemilaminectomy. Ideally, an analgesic protocol should provide adequate pain relief with limited sedation, low adverse effects, and postoperative patient comfort. Therefore, this study aimed to evaluate postoperative analgesiausing transdermal fentanyl or intramuscular methadone in dogs undergoing thoracolumbar hemilaminectomy associatedwith intervertebral disc fenestration (HT) for the treatment of intervertebral disc extrusion (IVDE).Materials, Methods & Results: Eight dogs from the Department of Neurology and Neurosurgery of a Veterinary TeachingHospital, submitted to HT for the treatment of IVDE, were included. The dogs were randomly distributed into 2 groups ofequal numbers, namely the transdermal fentanyl (FT) group and the intramuscular methadone (IM) group. At the end ofthe surgical procedure, a fentanyl adhesive patch was applied to the animals in the FT group, which remained there for 72h. In the IM group, analgesia was induced by intramuscular administration of methadone at intervals of 6 h until 72 h aftersurgery. The animals were evaluated using the short form of the Glasgow Composite Measure Pains Scale (CMPS-SF).Evaluations of physiological parameters, side effects, and pain were performed by 2 assessors who had experience usingthe pain scale and were blinded to the analgesic protocol. Pain evaluations were performed every 2 h (from T4) until 24h after the surgical procedure. Evaluations were performed every 4 h from 24 h to 48 h after the surgical procedure and...
Assuntos
Animais , Cães , Cuidados Pós-Operatórios/veterinária , Disco Intervertebral/cirurgia , Disco Intervertebral/patologia , Fentanila/administração & dosagem , Manejo da Dor/veterinária , Metadona/administração & dosagem , Administração Cutânea , Injeções Intramusculares/veterináriaRESUMO
The objective of this study was to verify the clinical recovery of dogs that underwent ventral slot surgical decompression with lateralized compressions of the cervical spinal cord caused by intervertebral disc disease (IVDD). Twenty patients were selected in different degrees of neurological dysfunction with definitive diagnosis of lateralized compression by cervical IVDD. Postoperative clinical recovery was assessed in patients who had undergone at least two months of the surgical procedure. There was a satisfactory recovery in 19 dogs (95%) and unsatisfactory recovery in another (5%), showing a significant clinical improvement (p 0.05) in the use of this technique in lateralized compression cases. The ventral slot promotes satisfactory clinical recovery of dogs with lateralized compression of the spinal cord caused by cervical IVDD and may be indicated as a surgical alternative.(AU)
O objetivo desse estudo foi verificar a recuperação clínica de cães submetidos a descompressão cirúrgica por fenda ventral em compressões lateralizadas da medula espinhal cervical ocasionada pela doença do disco intervertebral (DDIV). Foram selecionados 20 pacientes em diferentes graus de disfunção neurológica com diagnóstico definitivo de compressões lateralizadas por DDIV cervical. A recuperação clínica pós-operatória foi avaliada nos pacientes decorridos, no mínimo, dois meses do procedimento cirúrgico. Houve recuperação satisfatória em 19 cães (95%) e um insatisfatório (5%), demonstrando melhora clínica significativa (p 0,05) no emprego desta técnica em casos de compressões lateralizadas. A fenda ventral promove recuperação clínica satisfatória de cães com compressões lateralizadas da medula espinhal, ocasionadas pela DDIV cervical, e pode ser indicada como alternativa cirúrgica.(AU)
Assuntos
Animais , Cães , Doenças do Cão , Disco Intervertebral/patologia , Descompressão Cirúrgica/veterináriaRESUMO
Patients who undergo excisional surgical procedures such as femoral head and neck ostectomy (FHO) require a postoperative rehabilitation plan which includes different physical therapy modalities. Therefore, this retrospective study was done to demonstrate the different physical therapy modalities utilized in 20 dogs who were subjected to FHO, and to provide data on the frequency of physical therapy modalities, the protocol duration and time interval from the commencement of physiotherapy and surgery and the patients functional recovery. All the protocols included the modalities of thermotherapy (heat), massage, passive stretching and passive joint movement. In the initial phase, electrotherapy and therapeutic ultrasound were most often used, while the water treadmill was continued until the treatment was completed. Physiotherapy sessions varied from 3 to 50 in number, and physiotherapy was commenced from day 5 until day 214 post the surgical procedure. The functional recovery of the limb was in the following range: 65% (13/20) satisfactory, 25% (5/20) partially satisfactory and 10% (2/20) unsatisfactory. Physical therapy treatment was thus concluded to be most influential in the functional recovery of the limb, even if was started late.(AU)
Um plano de reabilitação no pós-operatório incluindo diferentes modalidades fisioterapêuticas é de suma importância em pacientes submetidos à procedimentos cirúrgicos excisionais como a ostectomia da cabeça e colo femoral (OCCF). Sendo assim, o objetivo desse estudo retrospectivo foi demonstrar as diferentes modalidades fisioterapêuticas empregadas nos 20 cães após OCCF e fornecer dados referentes à frequência das modalidades fisioterapêuticas, a duração dos protocolos e o tempo entre o início da fisioterapia e a cirurgia e a recuperação funcional do paciente. A termoterapia (calor), a massagem, o alongamento passivo e a movimentação passiva articular foram as modalidades empregadas em todos os protocolos. A eletroterapia e o ultrassom terapêutico foram as mais utilizadas na fase inicial e, a esteira aquática foi mantida até o final do tratamento. O número de sessões de fisioterapia variou de 3 a 50 e o início da fisioterapia de 5 a 214 dias após o procedimento cirúrgico. Quanto à recuperação funcional do membro, em 65% (13/20) foram satisfatórias, em 25% (5/20) parcialmente satisfatórias e em 10% (2/20) insatisfatórias. Pode-se concluir que o tratamento fisioterapêutico influenciou na recuperação funcional do membro, mesmo que iniciado tardiamente.(AU)
Assuntos
Animais , Cães , Doenças do Cão , Modalidades de Fisioterapia , Ortopedia/veterinária , Cabeça do Fêmur/cirurgia , Colo do Fêmur/cirurgiaRESUMO
ABSTRACT: Patients who undergo excisional surgical procedures such as femoral head and neck ostectomy (FHO) require a postoperative rehabilitation plan which includes different physical therapy modalities. Therefore, this retrospective study was done to demonstrate the different physical therapy modalities utilized in 20 dogs who were subjected to FHO, and to provide data on the frequency of physical therapy modalities, the protocol duration and time interval from the commencement of physiotherapy and surgery and the patient's functional recovery. All the protocols included the modalities of thermotherapy (heat), massage, passive stretching and passive joint movement. In the initial phase, electrotherapy and therapeutic ultrasound were most often used, while the water treadmill was continued until the treatment was completed. Physiotherapy sessions varied from 3 to 50 in number, and physiotherapy was commenced from day 5 until day 214 post the surgical procedure. The functional recovery of the limb was in the following range: 65% (13/20) satisfactory, 25% (5/20) partially satisfactory and 10% (2/20) unsatisfactory. Physical therapy treatment was thus concluded to be most influential in the functional recovery of the limb, even if was started late.
RESUMO: Um plano de reabilitação no pós-operatório incluindo diferentes modalidades fisioterapêuticas é de suma importância em pacientes submetidos à procedimentos cirúrgicos excisionais como a ostectomia da cabeça e colo femoral (OCCF). Sendo assim, o objetivo desse estudo retrospectivo foi demonstrar as diferentes modalidades fisioterapêuticas empregadas nos 20 cães após OCCF e fornecer dados referentes à frequência das modalidades fisioterapêuticas, a duração dos protocolos e o tempo entre o início da fisioterapia e a cirurgia e a recuperação funcional do paciente. A termoterapia (calor), a massagem, o alongamento passivo e a movimentação passiva articular foram as modalidades empregadas em todos os protocolos. A eletroterapia e o ultrassom terapêutico foram as mais utilizadas na fase inicial e, a esteira aquática foi mantida até o final do tratamento. O número de sessões de fisioterapia variou de 3 a 50 e o início da fisioterapia de 5 a 214 dias após o procedimento cirúrgico. Quanto à recuperação funcional do membro, em 65% (13/20) foram satisfatórias, em 25% (5/20) parcialmente satisfatórias e em 10% (2/20) insatisfatórias. Pode-se concluir que o tratamento fisioterapêutico influenciou na recuperação funcional do membro, mesmo que iniciado tardiamente.
RESUMO
ABSTRACT: The objective of this study was to verify the clinical recovery of dogs that underwent ventral slot surgical decompression with lateralized compressions of the cervical spinal cord caused by intervertebral disc disease (IVDD). Twenty patients were selected in different degrees of neurological dysfunction with definitive diagnosis of lateralized compression by cervical IVDD. Postoperative clinical recovery was assessed in patients who had undergone at least two months of the surgical procedure. There was a satisfactory recovery in 19 dogs (95%) and unsatisfactory recovery in another (5%), showing a significant clinical improvement (p<0.05) in the use of this technique in lateralized compression cases. The ventral slot promotes satisfactory clinical recovery of dogs with lateralized compression of the spinal cord caused by cervical IVDD and may be indicated as a surgical alternative.
RESUMO: O objetivo desse estudo foi verificar a recuperação clínica de cães submetidos a descompressão cirúrgica por fenda ventral em compressões lateralizadas da medula espinhal cervical ocasionada pela doença do disco intervertebral (DDIV). Foram selecionados 20 pacientes em diferentes graus de disfunção neurológica com diagnóstico definitivo de compressões lateralizadas por DDIV cervical. A recuperação clínica pós-operatória foi avaliada nos pacientes decorridos, no mínimo, dois meses do procedimento cirúrgico. Houve recuperação satisfatória em 19 cães (95%) e um insatisfatório (5%), demonstrando melhora clínica significativa (p<0,05) no emprego desta técnica em casos de compressões lateralizadas. A fenda ventral promove recuperação clínica satisfatória de cães com compressões lateralizadas da medula espinhal, ocasionadas pela DDIV cervical, e pode ser indicada como alternativa cirúrgica.