Recuperação da função locomotora de cães com discopatia após cirurgia de fenestração discal tóraco-lombar: estudo retrospectivo
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Data
2007-03-01
Autores
Meirelles, Vanessa Morales [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
Objetivou-se neste trabalho avaliar a importância de intervenção cirúrgica precoce, em cães com discopatia tóraco-lombar (DTL), relacionando o tempo de recuperação (total ou parcial) da função locomotora, com o tempo de paralisia (TP) decorrido até o dia da cirurgia de fenestração tóraco-lombar (FTL), nos cães atendidos no HV-FCAV-UNESP de fevereiro de 2002 a novembro de 2006 . Foram incluídos 81 cães no estudo e classificados nos graus de lesão (GL) medular 1 a 5 e divididos em três grupos: GP (precoce), GI (intermediário) e GT (tardio) conforme o tempo decorrido do dia da paralisa até o dia da FTL. Destes, 74 obtiveram recuperação da função locomotora (RFL). Os cães foram avaliados quanto à correlação do TP com o tempo de recuperação dos movimentos voluntários (RMV) e RFL nos grupos GP, GI e GT, e também separadamente em cada GL. A análise estatística de todos os parâmetros foi realizada através do Teste de Fischer com nível de significância 5%. A raça mais prevalente foi a Teckel, com 78,3 % dos casos. O tempo de RMV em dias foi em média 8,84 l 11 para o GP, 9,18 l 8,6 para o GI e 27,71 l 21,6 para o GT. O tempo de RFL em dias foi em média 21,52 l 23,51 para o GP, 21,23 l 18,09 para o GI e 41,43 l 30,92 para o GT. À análise estatística verificou-se que existe relação entre RMV e TP com alto nível de significância (p = 0,002), mas não entre RFL e TP, pois o valor de p = 0,12. Concluiu-se que o tempo de RMV foi maior para os cães do GT, e o tempo de RFL foi maior, mas não estatisticamente significante, no GT comparado ao GP e GI.
The aim of this study was to evaluate the relevance of early surgical intervention in dogs with thoracolumbar disc disease (TLDD) by relating the recovery period (total or partial) of locomotive function with the duration of the paralysis (DP) till the day of the thoracolumbar fenestration surgery (TLF) for dogs admitted at the Veterinary Teaching Hospital of the FCAVUNESP (HV FCAV-UNESP) from February 2002 to November 2006. It has been included in the study 81 dogs, all classified according to the degree of spinal cord lesion (DL) from 1 to 5 and then divided into early (EG), intermediary (IG) and late (LG) groups, in regard to the time elapsed from the day of the lesion until the day of the TLF. Among these animals, 74 had their locomotive function reestablished (LFR). The dogs had been evaluated for the correlation of DP with the time of recovery of voluntary movements (RVM) and LFR in the EG, IG and LG groups, besides a separate evaluation for each DL. Statistical analysis for all parameters was done by use of the Fischer Test, with 5% significance. Most prevalent breed was the Teckel with 78.3% of cases. Time for RVM had an average of 8.84l11 days for EG, 9.18 l 8.6 for the IG and 27.71l21.6 for the LG. Time for LFR had an average of 21.52 l 23.51 for the PG, 21.23 l 18.09 for the IG and 41.43 l 30.92 for the LG. Statistically was verified a correlation between RVM and DP with high level of significance (p=0.002) but none between LFR and DP, hence p=0.12. It has been concluded that time of RVM was longer for dogs in the LG and that the time of LFR was longer, although not statistically significant, in the LG when compared to the EG and IG.
The aim of this study was to evaluate the relevance of early surgical intervention in dogs with thoracolumbar disc disease (TLDD) by relating the recovery period (total or partial) of locomotive function with the duration of the paralysis (DP) till the day of the thoracolumbar fenestration surgery (TLF) for dogs admitted at the Veterinary Teaching Hospital of the FCAVUNESP (HV FCAV-UNESP) from February 2002 to November 2006. It has been included in the study 81 dogs, all classified according to the degree of spinal cord lesion (DL) from 1 to 5 and then divided into early (EG), intermediary (IG) and late (LG) groups, in regard to the time elapsed from the day of the lesion until the day of the TLF. Among these animals, 74 had their locomotive function reestablished (LFR). The dogs had been evaluated for the correlation of DP with the time of recovery of voluntary movements (RVM) and LFR in the EG, IG and LG groups, besides a separate evaluation for each DL. Statistical analysis for all parameters was done by use of the Fischer Test, with 5% significance. Most prevalent breed was the Teckel with 78.3% of cases. Time for RVM had an average of 8.84l11 days for EG, 9.18 l 8.6 for the IG and 27.71l21.6 for the LG. Time for LFR had an average of 21.52 l 23.51 for the PG, 21.23 l 18.09 for the IG and 41.43 l 30.92 for the LG. Statistically was verified a correlation between RVM and DP with high level of significance (p=0.002) but none between LFR and DP, hence p=0.12. It has been concluded that time of RVM was longer for dogs in the LG and that the time of LFR was longer, although not statistically significant, in the LG when compared to the EG and IG.
Descrição
Palavras-chave
Neurologia veterinaria, Coluna vertebral, Medula espinhal, Cão, Neurology, Vertebral column, Spinal cord
Como citar
MEIRELLES, Vanessa Morales. Recuperação da função locomotora de cães com discopatia após cirurgia de fenestração discal tóraco-lombar: estudo retrospectivo. 2007. x, 74 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Ciências Agrárias e Veterinárias, 2007.