{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T03:34:33Z","timestamp":1792553673633,"version":"4.5.0"},"reference-count":31,"publisher":"American Veterinary Medical Association (AVMA)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2001,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Objective<\/jats:bold>\u2014To identify predictive factors of long-term\noutcome after dorsal decompressive laminectomy for\nthe treatment of degenerative lumbosacral stenosis\n(DLSS) in dogs.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Design<\/jats:bold>\u2014Retrospective study.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Sample Population<\/jats:bold>\u201469 client-owned dogs.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Procedure<\/jats:bold>\u2014Medical records of dogs that had undergone\ndorsal laminectomy at North Carolina State\nUniversity and the University of Tennessee between\n1987 and 1997 were reviewed. Dogs with\ndiskospondylitis, traumatic lesions, or neoplasia of\nthe lumbosacral region were excluded. All dogs had\nevidence of cauda equina compression on myelography,\nepidurography, computed tomography, or magnetic\nresonance imaging, along with subsequent confirmation\nof the lesion at surgery. Follow-up was performed\nby telephone inquiries to the referring veterinarian,\nthe owner, or both, using a detailed questionnaire.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Results<\/jats:bold>\u2014The outcome was excellent or good in 54 of\n69 (78%) dogs over a mean follow-up period of 38 \u00b1\n22 months. Five of these 54 dogs had been incontinent\nfor a median of 2 weeks prior to surgery. Six of\nthe 15 dogs with a poor outcome had been incontinent\nfor a median of 8 weeks before surgery. A significant\ncorrelation was detected between the presence\nof urinary and fecal incontinence prior to surgery\nand outcome. When duration of signs was considered,\nurinary incontinence was the only variable that\nsignificantly affected outcome.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Conclusions and Clinical Relevance<\/jats:bold>\u2014Decompressive\nlaminectomy is an effective treatment for\nDLSS, although dogs with urinary or fecal incontinence\nhave a worse prognosis than dogs that are continent\nbefore surgery. Chronic urinary incontinence is\na predictor of poor outcome for dogs with DLSS. 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