Tratamento cirúrgico em cão com doença do disco Intervertebral – Hansen tipo I

Abstract

This report describes the infrastructure and casuistry of the Veterinary Hospital of UFG and the Public Veterinary Hospital of Brasília where the ESO was carried out and the respective activities carried out, in addition to containing a literature review based on a clinical case followed on a canine patient with Hansen. type I. Among spinal cord diseases, intervertebral disc disease (IVD) is the most common in dogs, accounting for 2.3 to 3.7% of admissions to veterinary hospitals. Herniated disc may be a misnomer because it is not the entire disc that herniates, but mainly parts of the nucleus pulposus and/or the ruptured annulus. Diagnosis is based on the animal's history, affected breed, clinical signs and a detailed neurological examination to identify the location of the lesion. A mixed breed dog (SRD), male, 14 years old, weighing 13,900 kg was attended by the Small Animal Medical Clinic sector of the HV-EMVZ/UFG. In the anamnesis, the tutor's main complaint was that the animal had a herniated disc and had stopped walking. It was then defined that the lesion was located in the region of the cervical spinal cord, justified by the evident alteration in the response to some neurological tests and the signs attributed to the NMS. The computed tomography report showed the presence of mineral attenuation material located in the ventromedial aspect of the vertebral canal in C3-C4 transition, which promotes moderate spinal cord compression, occluding approximately 70% of the vertebral canal. With these results, the patient was referred to the small animal surgery sector in order to perform the surgical intervention for the extrusion of the cervical disc with the ventral cleft procedure (ventral slot). The animal's prognosis was excellent, returning to ambulation 6 days after surgery, validating the literature in which patients with type I cervical disc disease functional recovery is good to excellent, small and large breed dogs treated surgically had a success rate Overall 99%, return to ambulation after surgery for dogs with tetraparesis or non-ambulatory quadriplegic is, on average, 1 week. Completion of the mandatory supervised internship is very important for personal and professional development. Through this internship, it was possible to acquire knowledge about various pathologies, especially in the area of neurology. As important as the diagnosis is the ability to employ the appropriate treatment that can improve clinical symptoms with conservative treatment, but realize that in some cases surgery is the best option. Also, learn to live and deal with different people and situations and gain more experience dealing with tutors.