The veterinary hospital at Oklahoma State University’s Center for Veterinary Health Sciences offers percutaneous laser disc ablation surgery for canines and is the sole provider worldwide of the treatment option for dogs. First investigated at OSU’s Veterinary Center by Drs. George Henry and Kenneth Bartels, initial studies focused on the effects of laser treatment on tissues similar to the intervertebral disc material. The scope of the research was to discover the effects of laser energy on intervertebral disc material and how the denatured disc might be kept from extruding or herniating in the future, causing spinal cord injury. In late 1993, the procedure was used on clinically affected dogs. Since, more than 300 cases have been treated at OSU’s Veterinary Medical Teaching Hospital with very good results. The procedure is designed to prevent the recurrence of disc herniation with subsequent spinal cord damage. The success rate is based on the rate of recurrence in the treated dogs. “Our success rate is 96.6 percent,” explains Dr. Robert Bahr. “That means that out of all the dogs treated since the project began in 1993 (some 325 dogs total), only 9 dogs (3.4 percent) have had repeat disc herniations.”
The disease can be treated with “sharp” surgical procedures as well. However, the most commonly performed surgical procedure, known as disc fenestration, is more complicated and painful for the animal. Fenestration calls for the veterinarian to surgically open the dog’s back and isolate the intervertebral discs by dissecting the muscle away from the vertebrae. Then, using a surgical instrument shaped like a hook, the disc material is scraped out of its anatomic location which prevents it from herniating in the future. This is tremendously painful for the dog because the back muscles are cut, usually bluntly to lessen bleeding, which causes a great deal of post-operative pain as well as two to three weeks of post-surgery rehabilitation. The laser surgery is done by placing needles through the skin into the centers of seven different disc locations while the dog is under general anesthesia. The locations are based on the most common sites of thoracolumbar intervertebral disc disease as described in the veterinary literature. An x-ray is taken to ensure that each needle tip is precisely in the center of each treated disc. Then a Holmium:YAG laser fiber is put through the needle, into the center of the disc, and the laser energy turned on. This laser surgical treatment liquefies the disc material, and scar tissue forms, which prevents the disc from herniating and injuring the spinal cord in the future.
If left untreated, diseased discs can extrude or herniate from their normal location and put pressure on the spinal cord. This could eventually lead back pain, other physical limitations such as permanent abnormal gait, lameness, loss of bowel and bladder control that can take away from the quality of a pet’s life or, even, permanent paralysis. The laser disc ablation procedure can prevent such ailments. Of the various treatments available, laser disc ablation surgery, an interventional radiologic procedure, results in a lower rate of recurrence than the other methods of prevention which have been tried in the past. The procedure is indicated for dogs that are experiencing only “back pain.” It is not recommended for dogs with signs of spinal compression.
Certain breeds of dogs are more likely to require some form of treatment to prevent future recurrence of degenerative disc disease with disc herniation. These include Dachshund, Shih Tzu, Lhasa Apso, Pomeranian, Miniature Schnauzer, Miniature and Toy Poodle, Yorkshire Terrier and Cocker Spaniel, among other small breeds of dogs. Large breed dogs can also be affected, but the disease is slower to develop and has a somewhat different pathophysiology. In small dogs, it is more acute and more likely to cause permanent paralysis. In larger dogs, the disease may cause less severe spinal cord damage and is less likely to recur. According to Bahr, the Veterinary Teaching Hospital at the CVHS treats two to five disc cases each week and sees patients from Oklahoma and the surrounding states of the south-central and mid-west to the east coast of the United States. OSU veterinarians have also used the procedure to treat patients from as far away as Idaho and Oregon. The procedure costs approximately $1,500 inclusive. For more information on laser disc ablation surgery, visit http://www.cvhs.okstate.edu.
July 24, 2007
Original web page at Science Daily