{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,15]],"date-time":"2024-09-15T22:15:10Z","timestamp":1726438510044},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,3,3]],"date-time":"2019-03-03T00:00:00Z","timestamp":1551571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To report the combined use of novel and commercially available implants for ventral distraction\u2010stabilization of 5 continuous compressive sites in a Great Dane with cervical spondylomyelopathy (CSM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Case report.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>One 4\u2010year\u2010old male Great Dane weighing 78\u2009kg.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A tetraparetic 4\u2010year\u2010old Great Dane with osseous\u2010associated CSM (OA\u2010CSM) with 5 sites of dorsolateral compression was presented for surgical intervention. Custom designed Fitz intervertebral traction screws (FITS) and a commercially available polyaxial spinal system were used for ventral distraction\u2010stabilization of all lesions. Multiple neurological reevaluations were performed, with the final evaluation at 27\u2009months postoperatively. Preoperative, immediate\u2010postoperative, and 27\u2009month\u2010postoperative computed tomography (CT) images were retrospectively reviewed to compare the vertebral canal dimensions at the affected sites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Multilevel distraction\u2010stabilization technique resulted in improvement of the dog's neurological function by 10\u2009days postoperatively. The vertebral canal measurements were revealed to have improved in over half of the measured variables when the 27\u2010month\u2010postoperative images were compared with the preoperative CT images. Increased vertebral canal dimensions were observed immediately after surgery, and some of these measurements continued to improve by 27\u2009months postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Ventral distraction\u2010stabilization technique with custom\u2010designed FITS and a polyaxial spinal system resulted in both clinical improvement and objective improvement in spinal canal measurements in an OA\u2010CSM\u2010affected Great Dane.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>An indirect decompression technique can eliminate dynamic movements and result in regression of vertebral canal bony proliferation in dogs with 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