PESQUISA VETERINÁRIA BRASILEIRA

Abstract in English:

ABSTRACT.- Mendes D.S. & Bahr Arias M.V. 2012. [Spinal cord injuries in dogs and cats: prospective study of 57 cases.] Traumatismo da medula espinhal cães e gatos: estudo prospectivo de 57 casos. Pesquisa Veterinária Brasileira 32(12):1304-1312. Departamento de Clínicas Veterinárias, Universidade Estadual de Londrina, Rodovia Celso Garcia Cid, PR 445 Km 380, Campus Universitário, Londrina, PR 86051-990, Brazil. E-mail: vicky@uel.br Spinal cord injury is a common cause of neurological dysfunction in dogs and cats. Lesions in these species are due to various types of accident, which can cause sequelae that impair the patient for life as a pet, or cause life-threatening injury. The main purpose of this work was the accompaniment of animals with spinal cord trauma seen from August 2009 to November 2010 at the Veterinary Hospital of Universidade Estadual de Londrina, studying the epidemiology and etiology, risk factors, spinal cord segments most affected, outcome of conservative or surgical treatment, ratio of time of patient care with recovery, efficacy and side effects of neuroprotective drugs, complications, sequels and evolution of patients. During this period we monitored 57 animals (48 dogs and nine cats). We observed a predominance of males (68%) and indoors (79%). The main cause of injury was being hit by a car (66%). The time between injury and first attendance was less than eight hours in 42% of cases and more than a day in 51%. The spinal segment most affected was the thoracolumbar (52%). Twenty animals were euthanized after the initial attendance due to poor prognosis. The conservative treatment such as rest and/or external immobilization was performed on 29 animals, and a good outcome was seen in 72.4% of this patients: total functional recovery was observed in 17 (58.6%) animals and partial functional recovery was seen in four (13.8%). Four animals did not recover, and four animals died. Surgical treatment was performed in eight patients, and three animals recovered, one patient did not recover and four animals died or were subjected to euthanasia due to complications during intraoperative or postoperative period. Conservative treatment was a viable therapy, mainly in dogs with cervical spinal cord trauma.

• spinal cord vertebral fracture medula espinhal fratura vertebral

Abstract in Portuguese:

RESUMO.- Mendes D.S. & Bahr Arias M.V. 2012. [Spinal cord injuries in dogs and cats: prospective study of 57 cases.] Traumatismo da medula espinhal cães e gatos: estudo prospectivo de 57 casos. Pesquisa Veterinária Brasileira 32(12):1304-1312. Departamento de Clínicas Veterinárias, Universidade Estadual de Londrina, Rodovia Celso Garcia Cid, PR 445 Km 380, Campus Universitário, Londrina, PR 86051-990, Brazil. E-mail: vicky@uel.br O traumatismo da medula espinhal é uma causa comum de disfunção neurológica em cães e gatos. Lesões nestas espécies ocorrem devido a vários tipos de acidentes, podendo ocasionar sequelas que prejudicam o paciente como animais de estimação ou lesões que comprometam a vida. O objetivo principal deste estudo foi a monitoração intensiva de animais com lesão medular atendidos entre 8/2009 e 11/2010 no Hospital Veterinário da Universidade Estadual de Londrina, estudando os fatores epidemiológicos e etiológicos, fatores de risco, segmentos medulares mais afetados, resultados dos tratamentos conservativo ou cirúrgico, relação entre o tempo de atendimento e a recuperação do animal, eficácia e efeitos colaterais do succinato sódico de metilprednisolona, complicações, sequelas e evolução do quadro. Durante este período foram acompanhados 57 animais (48 cães e nove gatos). Observou-se predominância de animais machos (68%) e domiciliados (79%). A principal causa de lesão foi o atropelamento (66%). O tempo entre o trauma e o atendimento foi menos de oito horas em 42% dos casos e mais de um dia em 51%. O segmento medular mais atingido foi o toracolombar (52%). Vinte animais foram submetidos à eutanásia após o atendimento inicial devido ao prognóstico reservado. O tratamento conservativo com repouso e/ou imobilização externa foi realizado em 29 animais e um bom resultado com esta modalidade foi obtida em 72,4% dos casos: houve recuperação funcional total em 17 (58,6%) animais e parcial em quatro (13,8%). Quatro animais não se recuperaram e quatro animais morreram. Oito pacientes foram submetidos ao tratamento cirúrgico, sendo que três animais recuperaram-se, um paciente não apresentou recuperação e quatro morreram ou foram submetidos a eutanásia devido a complicações no trans ou pós-operatório. O tratamento conservativo foi viável, principalmente em cães com lesão medular cervical.

Abstract in English:

ABSTRACT.- Ferrigno CRA., Schmaedecke A., Pantané C., Baccarin D.C.B. & Silveira L.M.G. 2008. [A critical study about the treatment of 196 cases of diphiseal radial and ulnar fractures in dogs.] Estudo crítico do tratamento de 196 casos de fratura diafisária de rádio e ulna em cães. Pesquisa Veterinária Brasileira 28(8):371-374. Departamento de Cirurgia, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Av. Prof. Dr. Orlando Marques de Paiva 87, São Paulo, SP 05508-900, Brazil. E-mail: cassioaf@usp.br The results from three osteosynthesis methods in cases of proximal, mid and distal fractures of radio and ulna in dogs were compared: the skeletal external fixation, plates and screws and the external immobilization. Shaft fractures of radius and ulna in dogs are frequent among the orthopedic morbid cases in Veterinary Medicine and their treatment deserves special attention, due to the high number of unsuccessful cases observed. The demographic data with reference to distribution and classification of fractures, as well as the method used for osteosynthesis and its consequences, were tabulated and the data were statistically compared. As results, from the 196 fractures observed, patients with up to 6.0 kilograms were the most affected (46.4%) with lesions mainly in the distal third (64.93% of the fractures). Animals that have been operated with smaller interval between the fracture occurrence and the surgery showed better results. There was a significant difference between osteosynthesis by external fixators and screwed plates when compared to external immobilization, independent on the fracture site.

• Fractures radius and ulna diaphysis osteosynthesis dogs

Abstract in Portuguese:

ABSTRACT.- Ferrigno CRA., Schmaedecke A., Pantané C., Baccarin D.C.B. & Silveira L.M.G. 2008. [A critical study about the treatment of 196 cases of diphiseal radial and ulnar fractures in dogs.] Estudo crítico do tratamento de 196 casos de fratura diafisária de rádio e ulna em cães. Pesquisa Veterinária Brasileira 28(8):371-374. Departamento de Cirurgia, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Av. Prof. Dr. Orlando Marques de Paiva 87, São Paulo, SP 05508-900, Brazil. E-mail: cassioaf@usp.br The results from three osteosynthesis methods in cases of proximal, mid and distal fractures of radio and ulna in dogs were compared: the skeletal external fixation, plates and screws and the external immobilization. Shaft fractures of radius and ulna in dogs are frequent among the orthopedic morbid cases in Veterinary Medicine and their treatment deserves special attention, due to the high number of unsuccessful cases observed. The demographic data with reference to distribution and classification of fractures, as well as the method used for osteosynthesis and its consequences, were tabulated and the data were statistically compared. As results, from the 196 fractures observed, patients with up to 6.0 kilograms were the most affected (46.4%) with lesions mainly in the distal third (64.93% of the fractures). Animals that have been operated with smaller interval between the fracture occurrence and the surgery showed better results. There was a significant difference between osteosynthesis by external fixators and screwed plates when compared to external immobilization, independent on the fracture site.

Abstract in English:

ABSTRACT.- Fecchio R.S., Gomes M.S., Kolososki J., Petri B.S.S., Rossi Jr J.L. & Gioso M.A. 2008. [Study of the occlusion biomechanics and adherence of acrylic resin (polimetilmetacrilate) in fractures of rhinotheca in toucans (Ramphastos toco).] Estudo da biomecânica oclusal e da aderência da resina acrílica auto-polimerizável (polimetilmetacrilato) em fraturas de rinoteca de tucanos (Ramphastos toco). Pesquisa Veterinária Brasileira 28(7):335-340. Departamento de Cirurgia, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Prof. Dr. Orlando de Marques de Paiva 87, Bloco 8 superior, Cidade Universitária, São Paulo, SP 05508-270, Brazil. E-mail: rfecchio@gmail.com Traction effort was applied perpendicularly to the axis of toucan beaks and for accomplishment of the essay a dynamometer was used. The beak was completely fractured when submitted to traction of 270.40 N. For fixation of the fractured beaks acrylic resin was applied using a strip of 2.0cm of width. The second beak presented resistance up to 69.75 N. The third beak was submitted to acid conditioning and resisted to force of 63.29 N. Other two new tests were accomplished the whole surface of the rhinotheca filled out. The fourth beak was not submitted to the acid attack and it resisted up to 134.40 N, and the fifth was submitted to the acid etch and it resisted up to 101.50 N. The present work did not observe statistical correlation and, consequently, differences among the procedures with previous use of acid attack and those without the use of the same.

• Toucans rhinotheca fracture beak tucano rinoteca bico Ramphastos toco polimetilmetacrilate polimetilmetacrilato fraturas

Abstract in Portuguese:

ABSTRACT.- Fecchio R.S., Gomes M.S., Kolososki J., Petri B.S.S., Rossi Jr J.L. & Gioso M.A. 2008. [Study of the occlusion biomechanics and adherence of acrylic resin (polimetilmetacrilate) in fractures of rhinotheca in toucans (Ramphastos toco).] Estudo da biomecânica oclusal e da aderência da resina acrílica auto-polimerizável (polimetilmetacrilato) em fraturas de rinoteca de tucanos (Ramphastos toco). Pesquisa Veterinária Brasileira 28(7):335-340. Departamento de Cirurgia, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Prof. Dr. Orlando de Marques de Paiva 87, Bloco 8 superior, Cidade Universitária, São Paulo, SP 05508-270, Brazil. E-mail: rfecchio@gmail.com Traction effort was applied perpendicularly to the axis of toucan beaks and for accomplishment of the essay a dynamometer was used. The beak was completely fractured when submitted to traction of 270.40 N. For fixation of the fractured beaks acrylic resin was applied using a strip of 2.0cm of width. The second beak presented resistance up to 69.75 N. The third beak was submitted to acid conditioning and resisted to force of 63.29 N. Other two new tests were accomplished the whole surface of the rhinotheca filled out. The fourth beak was not submitted to the acid attack and it resisted up to 134.40 N, and the fifth was submitted to the acid etch and it resisted up to 101.50 N. The present work did not observe statistical correlation and, consequently, differences among the procedures with previous use of acid attack and those without the use of the same.

Abstract in English:

ABSTRACT.- Romano L., Ferrígno C.R.A., Ferraz,V.C.M. Della Nina M., Ito K.C. 2008. [Evaluation of the use of interlocking nail and transcortical blockade for the repair of diaphyseal fractures of the femur in cats.] Avaliação do uso de haste bloqueada e bloqueio transcortical no reparo de fraturas diafisárias de fêmur em felinos. Pesquisa Veterinária Brasileira 28(4):201-206. Departamento de Cirurgia do Hospital Veterinário, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Avenida Prof. Dr. Orlando Marques de Paiva 87, São Paulo, SP 05508-270, Brazil. E-mail: lromano@usp.br Interlocking nails allow rigid fracture stabilization and present biomechanical advantages when compared to other immobilization techniques. It acts along the central mechanical axis of the bone and preserves biological concept standards for osteosynthesis. The use of interlocking nail in cats is limited because the intramedullary space is relatively small for the available nail sizes. We reported 10 cases of cats that had simple or multiple closed fractures of the femoral diaphysis. The animals weighed 3.5 to 5 kg , which allowed using nails of 4.0mm and 4.7mm in diameter. For the nail insertion, retrograde and normograde routs were used, and four 2mm titanium screws were used to lock all the perforations. No trans-surgical complication occurred, however, due to a new trauma, one of the animals suffered femoral neck fracture and transversal distal fracture to the nail, three days after surgery. Radiographies were made up to four months after surgery, and in most cases secondary bone formation was seen, showing bone consolidation in 61-89 days, excluding the animal who suffered new trauma, who presented bone healing in 150 days. Clinically, occasional lameness occurred; however, except for the animal that had new trauma, all animals initiated adequate limb support in 3 to 8 days after surgery. In conclusion, the use of 4.0mm and 4.7mm interlocking nails in felines was adequate, with bone healing in all cases, and also return of good limb function after surgery.

• Fractures interlocking nail surgery cats

Abstract in Portuguese:

ABSTRACT.- Romano L., Ferrígno C.R.A., Ferraz,V.C.M. Della Nina M., Ito K.C. 2008. [Evaluation of the use of interlocking nail and transcortical blockade for the repair of diaphyseal fractures of the femur in cats.] Avaliação do uso de haste bloqueada e bloqueio transcortical no reparo de fraturas diafisárias de fêmur em felinos. Pesquisa Veterinária Brasileira 28(4):201-206. Departamento de Cirurgia do Hospital Veterinário, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Avenida Prof. Dr. Orlando Marques de Paiva 87, São Paulo, SP 05508-270, Brazil. E-mail: lromano@usp.br Interlocking nails allow rigid fracture stabilization and present biomechanical advantages when compared to other immobilization techniques. It acts along the central mechanical axis of the bone and preserves biological concept standards for osteosynthesis. The use of interlocking nail in cats is limited because the intramedullary space is relatively small for the available nail sizes. We reported 10 cases of cats that had simple or multiple closed fractures of the femoral diaphysis. The animals weighed 3.5 to 5 kg , which allowed using nails of 4.0mm and 4.7mm in diameter. For the nail insertion, retrograde and normograde routs were used, and four 2mm titanium screws were used to lock all the perforations. No trans-surgical complication occurred, however, due to a new trauma, one of the animals suffered femoral neck fracture and transversal distal fracture to the nail, three days after surgery. Radiographies were made up to four months after surgery, and in most cases secondary bone formation was seen, showing bone consolidation in 61-89 days, excluding the animal who suffered new trauma, who presented bone healing in 150 days. Clinically, occasional lameness occurred; however, except for the animal that had new trauma, all animals initiated adequate limb support in 3 to 8 days after surgery. In conclusion, the use of 4.0mm and 4.7mm interlocking nails in felines was adequate, with bone healing in all cases, and also return of good limb function after surgery.

Abstract in English:

ABSTRACT.- Ferrigno C.R.A.,Della Nina M.I. & Fantoni D.T. 2007. [A comparative study of osteosynthesis with plates and plates associated with grafts of bone morphogenic proteins (Gen-Techâ) in distal radio-ulna fractures in dogs with less than 6 quilograms.] Estudo comparativo entre as osteossínteses com placas e osteossínteses com placas associadas a enxertos de proteína morfogenética óssea (Gen-Techâ) em fraturas distais de rádio-ulna em cães com menos de 6 quilos. Pesquisa Veterinária Brasileira 27(2):65-69. Departamento de Cirurgia do Hospital Veterinário, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Av. Prof. Orlando Marques de Paiva 87, São Paulo, SP 05508-900. E-mail: cassioaf@usp.br It is well known that bone morphogenic proteins (BMP) cause osteogenesis, yet clinical research must be performed in order to really show their benefits. Animals weighing less than 6 kg show well known difficulties regarding radius and ulna fracture repair mainly with bone non-union, due to poor vascularization of the distal portion of the radius. Therefore this study aimed to compare the velocity of bone callus formation in the treatment of fracture repair with plates and screws alone or with plates and screws plus BMP. Thirty three dogs with radius and ulna fractures were distributed into two groups, where animals of the control group received the conservative treatment performed with screws and plates alone, whilst the other group received the conservative treatment and BMP. The time of bone callus formation was evaluated comparatively through radiographic exams 30, 60, 90, 120, 180 and 210 days after the surgical procedure. Animals treated with BMP showed a healing time of 32±15 days, which was significantly different (p <0.001) from the control group which required 127±34 days. With the results obtained, it can be concluded that the distal radio-ulna fractures of dogs weighing less than 6 kg suffered a significant reduction of the bone callus formation time, which was around 90 days.

• Bone morphogenic proteins BMP bone fractures bone plate dogs

Abstract in Portuguese:

ABSTRACT.- Ferrigno C.R.A.,Della Nina M.I. & Fantoni D.T. 2007. [A comparative study of osteosynthesis with plates and plates associated with grafts of bone morphogenic proteins (Gen-Techâ) in distal radio-ulna fractures in dogs with less than 6 quilograms.] Estudo comparativo entre as osteossínteses com placas e osteossínteses com placas associadas a enxertos de proteína morfogenética óssea (Gen-Techâ) em fraturas distais de rádio-ulna em cães com menos de 6 quilos. Pesquisa Veterinária Brasileira 27(2):65-69. Departamento de Cirurgia do Hospital Veterinário, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Av. Prof. Orlando Marques de Paiva 87, São Paulo, SP 05508-900. E-mail: cassioaf@usp.br It is well known that bone morphogenic proteins (BMP) cause osteogenesis, yet clinical research must be performed in order to really show their benefits. Animals weighing less than 6 kg show well known difficulties regarding radius and ulna fracture repair mainly with bone non-union, due to poor vascularization of the distal portion of the radius. Therefore this study aimed to compare the velocity of bone callus formation in the treatment of fracture repair with plates and screws alone or with plates and screws plus BMP. Thirty three dogs with radius and ulna fractures were distributed into two groups, where animals of the control group received the conservative treatment performed with screws and plates alone, whilst the other group received the conservative treatment and BMP. The time of bone callus formation was evaluated comparatively through radiographic exams 30, 60, 90, 120, 180 and 210 days after the surgical procedure. Animals treated with BMP showed a healing time of 32±15 days, which was significantly different (p <0.001) from the control group which required 127±34 days. With the results obtained, it can be concluded that the distal radio-ulna fractures of dogs weighing less than 6 kg suffered a significant reduction of the bone callus formation time, which was around 90 days.