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. 2020 Jul;34(4):1547-1555.
doi: 10.1111/jvim.15800. Epub 2020 May 28.

Long-term postoperative pain evaluation in dogs with thoracolumbar intervertebral disk herniation after hemilaminectomy

Affiliations

Long-term postoperative pain evaluation in dogs with thoracolumbar intervertebral disk herniation after hemilaminectomy

Natalia Zidan et al. J Vet Intern Med. 2020 Jul.

Abstract

Background: Chronic neuropathic pain is a common complication in people with spinal cord injury (SCI) but has not been investigated in dogs.

Objective: To determine the reliability of measuring spinal mechanical sensory thresholds (MSTs) in dogs and to compare MSTs of healthy dogs and dogs with SCI caused by acute thoracolumbar intervertebral disk extrusion after hemilaminectomy over a 1-year period.

Study design: Prospective study.

Animals: Thirty-two healthy and 40 SCI dogs.

Methods: Dogs were divided into group 1 (healthy Dachshunds), group 2 (healthy dogs including several breeds), and SCI group. The MSTs were measured using algometry at an incision (thoracolumbar) and control site. Dogs in group 1 were tested once; those in group 2 were tested for 5 consecutive days; and SCI dogs were tested on days 7, 14, 28, 42, 180, and 365 postoperatively. The MSTs were compared among days in healthy and SCI dogs and between SCI and healthy dogs using mixed effect models. P < .05 was considered significant.

Results: At the incision site of SCI dogs, MST was significantly lower than in healthy dogs for 42 days postoperatively, but not subsequently. However, 4/27 dogs had control site MST below the reference range 1 year after surgery.

Conclusions and clinical importance: Mechanical sensory thresholds normalize by 6 months after surgery in most dogs with SCI. Approximately 15% of SCI dogs may develop chronic neuropathic pain. Improving long-term pain assessment of SCI dogs is important for offering treatment options and advising owners.

Keywords: algometry; mechanical thresholds; neuropathic pain; postoperative pain; spinal cord injury.

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Conflict of interest statement

Authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
Interaction plot for MST in healthy Dachshunds (group 1) between two observers. Agreement between observers was excellent (κ = 0.91). MST, mechanical sensory threshold
FIGURE 2
FIGURE 2
Box and whisker plot showing comparison between control and incision (thoracolumbar) sites among group 1 and SCI dogs. Mechanical sensory threshold of SCI dogs were significantly lower 7 days postoperatively at the control site and on days 7, 14, 28, and 42 after surgery at the incision site when compared with group 1 dogs (P < .001*). MST, mechanical sensory threshold; SCI, spinal cord injury; TL, thoracolumbar
FIGURE 3
FIGURE 3
Box and whisker plot of MST values in SCI dogs grouped according to CTR category at 6 weeks, 6 months, and 1 year postoperatively. Top graphs (A, B, and C) represent MST at incision site, bottom graphs (D, E, and F) MST at control site. There is a significant correlation between the CTR categories and the MST values at both time points (P < .001). CTR, cutaneous trunci reflex; MST, mechanical sensory threshold; SCI, spinal cord injury

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