Transiliac approach for exposure of lumbosacral intervertebral disk and foramen: technique description

Veterinary Surgery : VS
Claude CarozzoEric Viguier

Abstract

To describe and evaluate a transiliac approach to the L7-S1 disk and intervertebral foramen in dogs. Cadaver study. Fresh canine cadavers (n=10). A craniolateral approach was made to each iliac wing of 10 fresh canine mixed breed cadavers. An 18 mm hole was drilled in a standardized position through the iliac wing. The musculature connected to the cranial aspects of the sacral wing was dissected and retracted cranially through this iliac window. Endoscopic exploration of the area was performed. The foramen and intervertebral disk were clearly observed in all specimens without iatrogenic injury of the L7 nerve branch. Access to the foramen was possible in 16 of 20 specimens without excision of the sacral wing; however, it was always partially excised to observe the intervertebral disk which lies more caudally and ventrally. Transiliac approach to the lumbosacral joint allows direct exposure of the intervertebral disk and foramen through an iliac window. Endoscopic exploration provided good observation of the intervertebral disk and/or foramen. Transiliac approach could be used for lateral corpectomy and foraminotomy in dogs with degenerative lumbosacral stenosis caused by ventral or ventrolateral disk protrusion, foramen stenosi...Continue Reading

References

Feb 1, 1988·Journal of Neurosurgery·M J Javid
Apr 1, 1999·Veterinary Surgery : VS·F Danielsson, L Sjöström
Sep 11, 2001·Journal of the American Veterinary Medical Association·L De RisioW B Thomas
Apr 24, 2004·Veterinary Surgery : VS·Brett C WoodPeter K Shires

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Citations

Jun 24, 2015·New Zealand Veterinary Journal·B T DentB F Hettlich
Aug 25, 2010·The Veterinary Clinics of North America. Small Animal Practice·Björn P Meij, Niklas Bergknut
Jul 21, 2011·Veterinary Surgery : VS·Claude CarozzoEric Viguier
Sep 22, 2018·The Veterinary Record·Frank Steffen
May 2, 2017·Frontiers in Veterinary Science·Ditte Skytte, Hugo Schmökel
Aug 2, 2017·The Journal of Veterinary Medical Science·Hee-Sup MoonJae-Hoon Lee
Jun 6, 2017·Frontiers in Veterinary Science·Barbara Dyall, Hugo Schmökel

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