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Spinal Arachnoid Diverticula: Outcome in 96 Medically or Surgically Treated Dogs.


ABSTRACT:

Background

Little is reported about the role of medical management in the treatment of spinal arachnoid diverticula (SAD) in dogs.

Objectives

To describe the outcome of 96 dogs treated medically or surgically for SAD.

Animals

Ninety-six dogs with SAD.

Methods

Retrospective case series. Medical records were searched for spinal arachnoid diverticula and all dogs with information on treatment were included. Outcome was assessed with a standardized questionnaire.

Results

Fifty dogs were managed medically and 46 dogs were treated surgically. Dogs that underwent surgery were significantly younger than dogs that received medical management. No other variables, related to clinical presentation, were significantly different between both groups of dogs. The median follow-up time was 16 months (1-90 months) in the medically treated and 23 months (1-94 months) in the surgically treated group. Of the 38 dogs treated surgically with available long-term follow-up, 82% (n = 31) improved, 3% (n = 1) remained stable and 16% (n = 6) deteriorated after surgery. Of the 37 dogs treated medically with available long-term follow-up, 30% (n = 11) improved, 30% (n = 11) remained stable, and 40% (n = 15) deteriorated. Surgical treatment was more often associated with clinical improvement compared to medical management (P = .0002).

Conclusions and clinical importance

The results of this study suggest that surgical treatment might be superior to medical treatment in the management of SAD in dogs. Further studies with standardized patient care are warranted.

SUBMITTER: Mauler DA 

PROVIDER: S-EPMC5435043 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature

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Publications

Spinal Arachnoid Diverticula: Outcome in 96 Medically or Surgically Treated Dogs.

Mauler D A DA   De Decker S S   De Risio L L   Volk H A HA   Dennis R R   Gielen I I   Van der Vekens E E   Goethals K K   Van Ham L L  

Journal of veterinary internal medicine 20170420 3


<h4>Background</h4>Little is reported about the role of medical management in the treatment of spinal arachnoid diverticula (SAD) in dogs.<h4>Objectives</h4>To describe the outcome of 96 dogs treated medically or surgically for SAD.<h4>Animals</h4>Ninety-six dogs with SAD.<h4>Methods</h4>Retrospective case series. Medical records were searched for spinal arachnoid diverticula and all dogs with information on treatment were included. Outcome was assessed with a standardized questionnaire.<h4>Resu  ...[more]

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