Med. Weter. 81
full text
| PIOTR KOWALCZYK, MARTA DOLSKA, JACEK STERNA, MAREK GALANTY |
| Transilial vertebral blocking procedure (TVBP) using a dedicated titanium implant in cats with lumbosacral instability – clinical case studies and anatomical basis |
| This article describes the use of the Transilial Vertebral Blocking (TVBP) procedure in 10 cats with varying degrees of defecation disorders, including difficulty assuming the defecation position, constipation, and, ultimately, the development of megacolon. Clinical signs alsoincluded reluctance to engage in physical activity, lameness, difficulty jumping onto elevated surfaces, and behavioral abnormalities. A theoretical Framework is also presented, based on the anatomical aspects of defecation disorders resulting from pathology of the lumbosacral junction. Each patient experienced hypersensitivity and tenderness in the lumbosacral spine. In All patients, dynamic radiographic examination revealed changes in the width of the L7-S junction with a marked narrowing in the hip-extended position. In one patient, static MRI may not detect the dynamic nature of lumbosacralin stability. The clinical conditio improved in All patients after surgery. In two patients who experienced small amounts of streaky feces, this tendency remained, but physical activity impairment and difficulty in posturing for defecation improved permanently. All patients experienced sustained and significant improvement after surgery. One patient experienced a complication involving the distal end of the implant from a right iliac wing being dislodged. No postoperative complications were observed in the remaining cats. Practical implications: Transilial Vertebral Blocking Procedure may be a potential alternative requiring further investigation in cats with mega colon syndrome, and can be aneffective, minimaly invasive solution for the treatment of lumbosacral instability in cats. |
| Keywords: cat, constipation, lumbosacral instability, megacolon, pain |