한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제27권6호
  • /
  • Pages.713-717
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  • 2010
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

개에서 경추 추간판 탈출증의 비수술적 치료와 수술적 치료의 결과 : 60 증례

Outcome of Non-surgical and Surgical Treatments in Dogs with Cervical Intervertebral Disc Disease: 60 cases

  • 성규진 (서울대학교 수의과대학 수의 외과학 교실) ;
  • 류학현 (서울대학교 수의과대학 수의 외과학 교실) ;
  • 박성수 (서울대학교 수의과대학 수의 외과학 교실) ;
  • 강병재 (서울대학교 수의과대학 수의 외과학 교실) ;
  • 임성준 (서울대학교 수의과대학 수의 외과학 교실) ;
  • 김용선 (서울대학교 수의과대학 수의 외과학 교실) ;
  • 이승훈 (서울대학교 수의과대학 수의 외과학 교실) ;
  • 조성호 (서울대학교 수의과대학 수의 외과학 교실) ;
  • 김준영 (서울대학교 수의과대학 수의 외과학 교실) ;
  • 윤정희 (서울대학교 수의과대학 수의 영상의학 교실) ;
  • 김완희 (서울대학교 수의과대학 수의 외과학 교실) ;
  • 권오경 (서울대학교 수의과대학 수의 외과학 교실)
  • Sung, Gyu-Jin (Departments of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Ryu, Hak-Hyun (Departments of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Park, Sung-Su (Departments of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kang, Byung-Jae (Departments of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Lim, Sung-Jun (Departments of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Yong-Sun (Departments of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Lee, Seung-Hoon (Departments of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Cho, Sung-Ho (Departments of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Jun-Young (Departments of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Yoon, Jung-Hee (Veterinary Medical Imaging, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Wan-Hee (Departments of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kweon, Oh-Kyeong (Departments of Veterinary Surgery, College of Veterinary Medicine, Seoul National University)
  • 심사 : 2010.12.07
  • 발행 : 2010.12.31
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초록

추간판 탈출증은 개에서 일반적인 신경학적 질병이다. 수의 신경학 임상에서 흉요추 추간판 탈출증의 비수술적 치료 또는 수술적 치료의 결과는 잘 보고되어 있다. 그러나 경추 추간판 탈출증의 비수술적 치료 또는 수술적 치료의 결과에 대해서는 상대적으로 적게 알려져 있다. 우리의 목적은 경추 추간판 탈출증을 가진 개에서의 수술적 치료와 비수술적 치료후의 결과에 대해 체계적으로 조사하는 것이다. 수술적 치료를 실시한 개의 치료 성공률(100%, 25/25) 이 비수술적 치료를 실시한 개의 치료 성공률(51.4%, 18/35) 에 비해 유의적으로 높았다. 비수술적 치료군에서 치료 성공률과 척수 압박률과는 부정적인 상관관계가 있음을 확인하였다. 본 연구에서는 경추 추간판 탈출증을 가진 개에서의 수술적 치료는 비수술적 치료에 비해 더 효과적이었다. 또한 CT 또는 MRI 상에서 확인된 척수압박의 정도는 비수술적 치료에서 유용한 예후의 지표가 되었다.

Outcomes of non-surgical and surgical treatments for thoracolumbar intervertebral disc disease (IVDD) are well-reported. However, little is known regarding the outcome for treatments of cervical IVDD. This study systematically reviewed the outcomes in dogs with cervical IVDD that were managed non-surgically and surgically. Clinical success rates for surgical treatment were significantly higher (100%) than for non-surgical treatment (51.4%). In the non-surgical treatment group, clinical success rates were negatively correlated with spinal cord compression rates. Based on the results of this study, surgical treatment is deemed more effective than non-surgical treatment for dogs with cervical IVDD. Also, the degree of spinal cord compression on computed tomography or magnetic resonance imaging is a useful prognostic indicator before non-surgical treatment.

키워드

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