Update on Surgical Treatment of Wobblers.

The research paper provides an update on various surgical procedures used for treating Cervical Vertebral Compressive Myelopathy (CVCM), a major spinal cord disease in horses. The study further introduces new potential techniques and highlights the role of advancements in diagnostic imaging for better preoperative identification of the locations of spinal cord compression, which could enhance postoperative outcomes.

Surgical Methods for CVCM Treatment

The paper initially talks about the current surgical procedures used to treat CVCM in horses. The methods mentioned are:

• Ventral Interbody Fusion with Kerf Cut Cylinders: A procedure that involves the fusion of the vertebrae in the neck to reduce spinal cord compression.
• Dorsal Laminectomy: An operation where portion of the vertebral bone called the lamina is removed to relieve pressure on the spinal cord.

Introduction of New Techniques

The study additionally introduces newer techniques that could promise a better approach to ventral interbody fusion. These methods include:

• Polyaxial Pedicle Screw and Rod Constructs: This newer technique uses screws and rods to stabilize and support the area where the spinal fusion is performed.
• Ventral Locking Compression Plating: A treatment where a plate is attached to the front of the vertebrae to provide support and promote fusion.

Advancements in Diagnostic Imaging

The authors also stress that advancements in diagnostic imaging and cervical vertebral canal endoscopy could vastly improve the accurate identification of the exact locations of spinal cord compression ahead of an operation. This is important because:

• It helps in effective planning of the surgical procedure by providing clear and detailed images.
• It can improve postoperative outcomes by ensuring the surgical procedure precisely targets the compressed areas.