Paraplegia

Vikram Dave a mixed breed 3 yrs old male, came yesterday with paraplegia, X- ray revealed # of 2 nd last sacrum, have never done hemilaminectomy, can someone advice nething or atleast a video of lamiectomy where fracture is immobilized or the spinal cord or medications

18 July at 08:44 · Comment · · Flag

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    Vikram Dave currently put on prednisolone 15mg bid and neurobion tabs

    18 July at 08:46 ·
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    Saurabh Saxena

    u need advice from dr ayyapan from madras veterinary college.he is an authority on any thg related to canine orthopaedics in asia.this is his profile link.if u need his cell number,give me an email.
    
    http://www.facebook.com/profile.php?id=100000313114300

    18 July at 11:29 ·
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    Rajshankar Tony Sarma

    Send xrays please.
    
    Whether you need to fix depends on degree of instability and clinical signs. What is the patient's neurological status? Proprioception, deep and superficial pain to distal limbs, patellar reflexes, anal tone, urinary andfaecal continence?
    
    Even for discs, it's exceptionally rare to need hemilaminectomy in the sacrum, dorsal conservative laminectomy is generally preferred.
    
    NB - steroids are non-negotiably contraindicated for traumatic spinal disease! This surprises a lot of people, but if you need anti-inflammatory medication for spinal trauma, use NSAIDs. Steroids' roles in CNS disease are restricted to the inflammatory group (e.g. steroid-responsive meningitides). One of the most frustrating things about dealing in spinal referrals is having to manage the steroidal effects in the peri- and post- operative periods. Their use is based on extremely old-school thinking, although there are a huge number of practitioners who still use them like this.
    
    The methylprednisolone sodium succinate story is a separate issue... MPSS was supposed to exert its action through a free-radical binding effect rather than through steroidal/inflammatory effects. The 30mg/kg dose rate was in fact an extrapolation from a graph, and was never even trialled; a perfect example of a complete lack of science not preventing a story making it through to the wider Veterinary Bible (much like acepromazine and seizures).
    

    18 July at 19:11 · · 3 people
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    Premal Darji pls share the xrays with us..

    19 July at 11:52 ·
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    Sheila C. Jamora I'm giving high dose of steroids in dogs with spinal trauma just to reduce inflammation in the area where there is problem or injury for 3 to 5 days then taper the dose depending on the severity... so far the result is excellent...

    21 July at 06:59 ·