Approach to and Practice of Disc Fenestration in the Management of Intervertebral Disc Extrusions in Dogs: A Questionnaire Survey

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0041-1731809 ◽

2021 ◽

Author(s):

Jessica Falconer Hall ◽

Paul Freeman

Keyword(s):

Cervical Spine ◽

Intervertebral Disc ◽

Study Design ◽

Questionnaire Survey ◽

Decompressive Surgery ◽

Microsoft Excel ◽

Web Based ◽

Thoracolumbar Region ◽

Disc Extrusion

Abstract Objective Intervertebral disc fenestration has been shown to reduce the risk of extrusion in the thoracolumbar region in dogs, but use of the technique varies between individual neurologists and surgeons. Our aim was to investigate opinions and practices regarding disc fenestration amongst those involved in neurosurgery in dogs. Study Design A web-based survey containing questions relating to the use of fenestration during treatment of intervertebral disc extrusion in dogs was distributed to board-certified neurologists and surgeons. Results were analysed using Microsoft Excel. Results There were 323 responses from 190 neurologists and 133 surgeons. Seventy-one per cent of respondents routinely used concurrent disc fenestration when performing decompressive surgery in the thoracolumbar region, although the rate was lower amongst surgeons (55%) than neurologists (82%). Only 25% of respondents performed concurrent fenestration in the cervical spine. Forty-five per cent of respondents reported having experienced complications, with haemorrhage being the most common. Conclusion Fenestration is widely used in the management of thoracolumbar intervertebral disc extrusion, but a universally accepted approach does not exist, and differences are seen between neurologists and surgeons.

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Introduction of Disc Material into the Vertebral Canal by Fenestration of Thoracolumbar Discs Following Decompressive Surgery

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0039-1700554 ◽

2019 ◽

Vol 33 (01) ◽

pp. 066-070

Author(s):

Georgina Harris ◽

Paul Freeman

Keyword(s):

Intervertebral Disc ◽

Intervertebral Discs ◽

Decompressive Surgery ◽

Common Disease ◽

Additional Material ◽

Vertebral Canal ◽

Disc Material ◽

Before And After ◽

Preliminary Study ◽

Disc Extrusion

Abstract Objective Intervertebral disc extrusion is a common disease affecting chondrodystrophic dogs. It has been reported that fenestration of thoracolumbar intervertebral discs reduces recurrence of disc extrusion and is associated with a low complication rate. One complication reported is iatrogenic introduction of disc material into the canal directly following fenestration. This study aimed to ascertain if, and at what frequency, additional disc material may be introduced into the vertebral canal by fenestration of the affected disc following decompressive surgery. Study Design Twenty-one dogs that underwent hemilaminectomy and disc fenestration for the treatment of thoracolumbar intervertebral disc extrusion had intraoperative assessment of the vertebral canal before and after fenestration. The spinal cord was first decompressed by hemilaminectomy and removal of all visible extruded disc material within the vertebral canal. Once no further material was visible, manual fenestration of the affected disc was performed. The vertebral canal was re-inspected, and the presence or absence of additional material was noted and included in the surgery report. Results Seven dogs showed the presence of new disc material in the vertebral canal post fenestration.This preliminary study shows that additional disc material can be forced into the vertebral canal by fenestration following decompressive surgery, with a frequency of 7/21. Conclusion This illustrates the importance of checking the vertebral canal after fenestration of an extruded intervertebral disc.

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Gadolinium Administration in Low Field MRI Examination of Suspected Intervertebral Disc Extrusion in Dogs Rarely Alters the Location or Surgical Approach of the Decompressive Surgery but May Improve the Certainty of Diagnosis

BSAVA Congress 2021: Clinical abstract presentations ◽

10.22233/9781913859039.20 ◽

2021 ◽

Author(s):

Ioana Craciun ◽

Jonathan Hughes ◽

Paul Freeman

Keyword(s):

Intervertebral Disc ◽

Surgical Approach ◽

Decompressive Surgery ◽

Low Field ◽

Gadolinium Administration ◽

Mri Examination ◽

Low Field Mri ◽

Disc Extrusion

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Spontaneous regression of a cervical intervertebral disc extrusion in French bulldogs documented on MRI after medical management

Veterinary Record Case Reports ◽

10.1136/vetreccr-2019-000817 ◽

2019 ◽

Vol 7 (2) ◽

pp. e000817

Author(s):

Victoria Argent ◽

Anne Fraser ◽

Lisa Alves ◽

Paul Freeman

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Intervertebral Disc ◽

Medical Management ◽

Spontaneous Regression ◽

Myoclonic Twitching ◽

Disc Extrusion

Spontaneous regression of cervical intervertebral disc extrusion (cIVDE) has been reported in people. It has also been reported in a dog after four months of medical management. Two French bulldogs were presented to two different referral centres for signs of neck pain or myoclonic twitching. Both were diagnosed with cIVDE on MRI and were managed medically. One dog re-presented after six weeks with recurrent signs while it was still being strictly rested. Repeat MRI showed a new disc extrusion with apparent spontaneous regression of the initial cIVDE. The same re-presentation occurred in the second dog with a year intermission. These two cases demonstrate that spontaneous regression of intervertebral disc extrusion is a phenomenon occurring in the cervical spine of dogs. Notably one dog had a new disc extrusion during a period of rest, thus illustrating that further work is needed to understand how best to utilise medical management and crate rest.

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Comparative Analysis of Outcomes and Side Effects in Chondrodystrophic Dogs Treated With Preoperative Methylprednisolone Versus Non-steroidal Anti-inflammatory Drugs

10.21203/rs.3.rs-265648/v1 ◽

2021 ◽

Author(s):

William McCartney ◽

Ciprian Andrei Ober ◽

Maria Benito

Keyword(s):

Side Effects ◽

Intervertebral Disc ◽

Small Animal ◽

Decompressive Surgery ◽

Intervertebral Disc Herniation ◽

Cord Injury ◽

Inflammatory Drugs ◽

Preliminary Study ◽

Anti Inflammatory ◽

Disc Extrusion

Abstract BackgroundThoracolumbar intervertebral disc herniation is likely the most common neurologic disease presented to the small-animal practitioner. The use of methylprednisolone (MPSS) as an adjunct to surgical decompression in cases of acute spinal cord injury following intervertebral disc extrusion is controversial. A prospective preliminary study was undertaken to compare the preoperative use of MPSS and non-steroidal anti-inflammatory drugs (NSAIDs) in 40 chondrodystrophic dogs presenting with similar signs and undergoing spinal decompressive surgery. ResultsTwenty dogs received MPSS and 20 had NSAIDs administered preoperatively. The outcomes were similar in both groups, but the frequency of side effects such as vomiting (MPSS group: 90% versus NSAIDs group: 55%), and anorexia within the first three days (present in all 20 dogs pretreated with MPSS) was significantly different, with complications being more prevalent in the MPSS group. This study details the preoperative use of MPSS in a cohort of similar dogs undergoing spinal decompressive surgery and compares the use of MPSS to NSAIDs. The use of MPSS is associated with higher adverse side effects than NSAIDs.ConclusionsOur results shows that MPSS use is associated with higher side effects than when using NSAIDs instead. Side effects are significantly more evident with MPSS –including vomiting and anorexia during the first 3 days after surgery– than with NSAID, with an outcome recovery similar in both groups.

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Relationships between nasal obstruction, observed apnea, and daytime sleepiness

Otolaryngology ◽

10.1016/j.otohns.2007.04.016 ◽

2007 ◽

Vol 137 (4) ◽

pp. 669-673 ◽

Cited By ~ 7

Author(s):

Tsuyoshi Udaka ◽

Hideaki Suzuki ◽

Takeyuki Fujimura ◽

Nobuaki Hiraki ◽

Teruo Shiomori ◽

...

Keyword(s):

Body Mass Index ◽

Nasal Obstruction ◽

Study Design ◽

Excessive Daytime Sleepiness ◽

Daytime Sleepiness ◽

Questionnaire Survey ◽

Epworth Sleepiness Scale ◽

Sleep Disordered Breathing ◽

Confounding Factors ◽

Working Population

Objective We administered a questionnaire survey to a working population in an attempt to clarify the relationships between self-reported nasal obstruction, observed apnea during sleep, and daytime sleepiness. Study Design A total of 7980 daytime workers were asked to complete questionnaires about nasal obstruction, apnea during sleep, and daytime sleepiness. Of the 7702 responses, the data from 4818 subjects were analyzed. Nasal obstruction and observed apnea were graded into 3 categories. Daytime sleepiness was assessed by the Epworth Sleepiness Scale. Results Subjects with chronic nasal obstruction had 5.22 and 2.17 times higher odds for having habitual observed apnea and excessive daytime sleepiness (EDS), respectively, compared with those without nasal obstruction ( P < 0.001). After adjusting for 3 potential confounding factors (age, sex, and body mass index) and the presence of habitual observed apnea, odds ratios for having EDS decreased, but still remained significant. Conclusion Nasal obstruction is likely to cause daytime sleepiness, at least in part, by causing sleep-disordered breathing including apnea during sleep.

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Serum C‐reactive protein in dogs with paraplegia secondary to acute intervertebral disc extrusion

Journal of Veterinary Internal Medicine ◽

10.1111/jvim.16179 ◽

2021 ◽

Author(s):

Max Foreman ◽

Enzo Vettorato ◽

Abby Caine ◽

Paola Monti ◽

Giunio Bruto Cherubini ◽

...

Keyword(s):

Intervertebral Disc ◽

C Reactive Protein ◽

Reactive Protein ◽

Disc Extrusion

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The recognition and expectations of ex-inpatients of mental health services: A web-based questionnaire survey in Japan

PLoS ONE ◽

10.1371/journal.pone.0197639 ◽

2018 ◽

Vol 13 (10) ◽

pp. e0197639

Author(s):

Akihiro Shiina ◽

Yasutaka Ojio ◽

Aiko Sato ◽

Naoya Sugiyama ◽

Masaomi Iyo ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Questionnaire Survey ◽

Web Based

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Systematic Prioritization of the STARE-HI Reporting Items

Methods of Information in Medicine ◽

10.3414/me10-01-0072 ◽

2012 ◽

Vol 51 (02) ◽

pp. 104-111 ◽

Cited By ~ 5

Author(s):

J. Talmon ◽

E. Ammenwerth ◽

J. Brender ◽

M. Rigby ◽

P. Nykanen ◽

...

Keyword(s):

Study Design ◽

Health Informatics ◽

Evaluation Studies ◽

Evaluation Criteria ◽

Laboratory Simulation ◽

Conference Paper ◽

Web Based ◽

Measure Evaluation ◽

Conference Papers ◽

Prioritization Framework

SummaryBackground: We previously devised and published a guideline for reporting health informatics evaluation studies named STARE-HI, which is formally endorsed by IMIA and EFMI.Objective: To develop a prioritization framework of ranked reporting items to assist authors when reporting health informatics evaluation studies in space restricted conference papers and to apply this prioritization framework to measure the quality of recent health informatics conference papers on evaluation studies.Method: We deconstructed the STARE-HI guideline to identify reporting items. We invited a total of 111 authors of health informatics evaluation studies, reviewers and editors of health Informatics conference proceedings to score those reporting items on a scale ranging from “0 – not necessary in a conference paper” through to “10 – essential in a conference paper” by a web-based survey. From the responses we derived a mean priority score. All evaluation papers published in proceedings of MIE2006, Medinfo2007, MIE2008 and AMIA2008 were rated on these items by two reviewers. From these ratings a priority adjusted completeness score was computed for each paper.Results: We identified 104 reporting items from the STARE-HI guideline. The response rate for the survey was 59% (66 out of 111). The most important reporting items (mean score ≥ 9) were “Interpret the data and give an answer to the study question – (in Discussion)”, “Whether it is a laboratory, simulation or field study – (in Methods-study design)” and “Description of the outcome measure/evaluation criteria – (in Methods-study design)”. Per reporting area the statistically more significant important reporting items were distinguished from less important ones. Four reporting items had a mean score ≤ 6. The mean priority adjusted completeness of evaluation papers of recent health informatics conferences was 48% (range 14 –78%).Conclusion: We produced a ranked list of reporting items from STARE-HI according to their prioritized relevance for inclusion in space-limited conference papers. The priority adjusted completeness scores demonstrated room for improvement for the analyzed conference papers. We believe that this prioritization framework is an aid to improving the quality and utility of conference papers on health informatics evaluation studies.

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Rancang Bangun Sistem Informasi Penjualan Obat Berbasis Website dengan Menggunakan Metode Waterfall

Indonesian Journal on Software Engineering (IJSE) ◽

10.31294/ijse.v6i1.7911 ◽

2020 ◽

Vol 6 (1) ◽

pp. 71-82

Author(s):

Ahmad Fauzi ◽

Dewi Wulandari

Keyword(s):

Information System ◽

Data Processing ◽

Quality Of Data ◽

Microsoft Excel ◽

Web Based ◽

Drug Sales ◽

Uml Modeling ◽

Computer Based ◽

A Company

Abstract: In this era of globalization, information technology is speeding up. In managing the information required good technology because the information has a greatvalue for a company. And computer technology today with its increasingly sophisticated processing speed has enabled the development of computer-based information systems. Problems that exist in Kauman Apothecary is about the data processing that is still done manually, ranging from the admission process of incoming drugs, drugs out, often the absence of matching stock between the data with the original drug, as well as in making reports that still use microsoft excel. The design of the system is described by UML modeling, drug sales information system on web-based pharmacy kauman intranet this is the best solution, can improve the quality of data processing drugs in pharmacies kauman. And with the creation of this information system, can help simplify data processing moreleverage, while keeping data safe and minimize the data kerangkapan. The design of web-based drug sales information system is made using PHP and MySQL.Keywords: Information System, Sales, Kauman PharmacyAbstrak: Dalam era globalisasi sekarang ini, teknologi informasi melaju dengan cepatnya.Dalam mengelola informasi dibutuhkan teknologi yang baik karena informasi mempunyai nilai yang besar bagi suatu perusahaan. Dan teknologi komputer sekarang ini dengan kecepatan prosesnya yang semakin canggih telah memungkinkan pengembangan sistem informasi berbasis komputer. Masalah yang ada pada Apotek Kauman yaitu mengenai pengolahan data-datanya yang masih dilakukan secara manual, mulai dari proses penerimaan obat masuk, obat keluar, sering tidak adanya kecocokan stok antara data dengan obat aslinya, serta dalam membuat laporan yang masih menggunakan microsoft excel. Perancangan sistem digambarkan dengan pemodelan UML, sistem informasi penjualan obat pada apotek kauman berbasis web intranet ini merupakan solusi yang terbaik, dapat meningkatkan kualitas pengolahan data obat di apotek kauman. Dan dengan dibuatnya sistem informasi ini, dapat membantu mempermudah pengolahan data lebih maksimal, sekaligus menjaga data tetap aman dan meminimalisir adanya kerangkapan data. Perancangan sistem informasi penjualan obat berbasis web ini dibuat menggunakan PHP dan MySQLKata Kunci: Sistem Informasi, Penjualan, Apotek Kauman.

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