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Minimally invasive drainage of a post-laminectomy subfascial seroma with cervical spinal cord compression

Adriaan Kitshoff (UGent) , Bart Van Goethem (UGent) , Ine Cornelis (UGent) , Anaïs Combes (UGent) , Ingeborgh Polis (UGent) , Ingrid Gielen (UGent) , Peter Vandekerckhove and Hilde De Rooster (UGent)
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Abstract
A 14 mo old female neutered Doberman pinscher was evaluated for difficulty in rising, a wide based stance, pelvic limb gait abnormalities, and cervical pain of 2 mo duration. Neurologic examination revealed pelvic limb ataxia and cervical spinal hyperesthesia. Spinal reflexes and cranial nerve examination were normal. The pathology was localized to the C1-C5 or C6-T2 spinal cord segments. Computed tomography (CT) findings indicated bony proliferation of the caudal articular processes of C6 and the cranial articular processes of C7, resulting in bilateral dorsolateral spinal cord compression that was more pronounced on the left side. A limited dorsal laminectomy was performed at C6-C7. Due to progressive neurological deterioration, follow-up CT examination was performed 4 days postoperatively. At the level of the laminectomy defect, a subfacial seroma had developed, entering the spinal canal and causing significant spinal cord compression. Under ultrasonographic guidance a closed-suction wound catheter was placed. Drainage of the seroma successfully relieved its compressive effects on the spinal cord and the patient's neurological status improved. CT was a valuable tool in assessing spinal cord compression as a result of a postoperative subfascial seroma. Minimally invasive application of a wound catheter can be successfully used to manage this condition.
Keywords
SPONDYLOMYELOPATHY WOBBLER SYNDROME, CLOSED-SUCTION DRAINAGE, DOBERMAN-PINSCHER, MANAGEMENT, DOGS, ANIMALS

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MLA
Kitshoff, Adriaan, Bart Van Goethem, Ine Cornelis, et al. “Minimally Invasive Drainage of a Post-laminectomy Subfascial Seroma with Cervical Spinal Cord Compression.” JOURNAL OF THE AMERICAN ANIMAL HOSPITAL ASSOCIATION 52.3 (2016): 175–180. Print.
APA
Kitshoff, A., Van Goethem, B., Cornelis, I., Combes, A., Polis, I., Gielen, I., Vandekerckhove, P., et al. (2016). Minimally invasive drainage of a post-laminectomy subfascial seroma with cervical spinal cord compression. JOURNAL OF THE AMERICAN ANIMAL HOSPITAL ASSOCIATION, 52(3), 175–180.
Chicago author-date
Kitshoff, Adriaan, Bart Van Goethem, Ine Cornelis, Anaïs Combes, Ingeborgh Polis, Ingrid Gielen, Peter Vandekerckhove, and Hilde De Rooster. 2016. “Minimally Invasive Drainage of a Post-laminectomy Subfascial Seroma with Cervical Spinal Cord Compression.” Journal of the American Animal Hospital Association 52 (3): 175–180.
Chicago author-date (all authors)
Kitshoff, Adriaan, Bart Van Goethem, Ine Cornelis, Anaïs Combes, Ingeborgh Polis, Ingrid Gielen, Peter Vandekerckhove, and Hilde De Rooster. 2016. “Minimally Invasive Drainage of a Post-laminectomy Subfascial Seroma with Cervical Spinal Cord Compression.” Journal of the American Animal Hospital Association 52 (3): 175–180.
Vancouver
1.
Kitshoff A, Van Goethem B, Cornelis I, Combes A, Polis I, Gielen I, et al. Minimally invasive drainage of a post-laminectomy subfascial seroma with cervical spinal cord compression. JOURNAL OF THE AMERICAN ANIMAL HOSPITAL ASSOCIATION. 2016;52(3):175–80.
IEEE
[1]
A. Kitshoff et al., “Minimally invasive drainage of a post-laminectomy subfascial seroma with cervical spinal cord compression,” JOURNAL OF THE AMERICAN ANIMAL HOSPITAL ASSOCIATION, vol. 52, no. 3, pp. 175–180, 2016.
@article{8511059,
  abstract     = {A 14 mo old female neutered Doberman pinscher was evaluated for difficulty in rising, a wide based stance, pelvic limb gait abnormalities, and cervical pain of 2 mo duration. Neurologic examination revealed pelvic limb ataxia and cervical spinal hyperesthesia. Spinal reflexes and cranial nerve examination were normal. The pathology was localized to the C1-C5 or C6-T2 spinal cord segments. Computed tomography (CT) findings indicated bony proliferation of the caudal articular processes of C6 and the cranial articular processes of C7, resulting in bilateral dorsolateral spinal cord compression that was more pronounced on the left side. A limited dorsal laminectomy was performed at C6-C7. Due to progressive neurological deterioration, follow-up CT examination was performed 4 days postoperatively. At the level of the laminectomy defect, a subfacial seroma had developed, entering the spinal canal and causing significant spinal cord compression. Under ultrasonographic guidance a closed-suction wound catheter was placed. Drainage of the seroma successfully relieved its compressive effects on the spinal cord and the patient's neurological status improved. CT was a valuable tool in assessing spinal cord compression as a result of a postoperative subfascial seroma. Minimally invasive application of a wound catheter can be successfully used to manage this condition.},
  author       = {Kitshoff, Adriaan and Van Goethem, Bart and Cornelis, Ine and Combes, Anaïs and Polis, Ingeborgh and Gielen, Ingrid and Vandekerckhove, Peter and De Rooster, Hilde},
  issn         = {0587-2871},
  journal      = {JOURNAL OF THE AMERICAN ANIMAL HOSPITAL ASSOCIATION},
  keywords     = {SPONDYLOMYELOPATHY WOBBLER SYNDROME,CLOSED-SUCTION DRAINAGE,DOBERMAN-PINSCHER,MANAGEMENT,DOGS,ANIMALS},
  language     = {eng},
  number       = {3},
  pages        = {175--180},
  title        = {Minimally invasive drainage of a post-laminectomy subfascial seroma with cervical spinal cord compression},
  url          = {http://dx.doi.org/10.5326/JAAHA-MS-6414},
  volume       = {52},
  year         = {2016},
}

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