🔍 Key Findings

• Extreme brachycephalic breeds (EBBs) presented more acutely and at younger ages, most often with neurological signs compared to other breeds.
• Preoperative signs such as facial nerve paresis, vestibular syndrome, and Horner’s syndrome were significantly more common in EBBs.
• EBBs showed more severe imaging findings, including higher rates of otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%).
• Intraoperative complications were more frequent in EBBs (11.1% vs. 5.3%), but this difference did not reach statistical significance (p = .078).
• Perioperative complication rates did not differ significantly between EBBs and other breeds (23.5% vs. 29.3%).
• Surgical time was significantly longer in EBBs (median 115 vs. 95 minutes; p = .011).
• MRI or combined CT/MRI were more frequently used in EBBs, likely due to the higher prevalence of neurological signs.
• Despite anatomical challenges, complication rates in EBBs were comparable, supporting TECA-LBO safety in these breeds.

🔍 Key Findings

• Extreme brachycephalic breeds (EBBs) presented more acutely and at younger ages, most often with neurological signs compared to other breeds.
• Preoperative signs such as facial nerve paresis, vestibular syndrome, and Horner’s syndrome were significantly more common in EBBs.
• EBBs showed more severe imaging findings, including higher rates of otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%).
• Intraoperative complications were more frequent in EBBs (11.1% vs. 5.3%), but this difference did not reach statistical significance (p = .078).
• Perioperative complication rates did not differ significantly between EBBs and other breeds (23.5% vs. 29.3%).
• Surgical time was significantly longer in EBBs (median 115 vs. 95 minutes; p = .011).
• MRI or combined CT/MRI were more frequently used in EBBs, likely due to the higher prevalence of neurological signs.
• Despite anatomical challenges, complication rates in EBBs were comparable, supporting TECA-LBO safety in these breeds.

🔍 Key Findings Summary

• Evaluated ideal dorsolateral implant trajectories in T1–T13 using CT in 30 dogs across five weight classes.
• Corridor widths were narrowest in the mid-thoracic vertebrae (as little as 1.8 mm) and increased cranially and caudally.
• Allowable deviation angles (ADA) were often very small (as little as 3°), indicating high risk for canal or thoracic structure breach.
• Distances to critical structures (lungs, aorta, subclavian artery, azygos vein) were often <1 mm, even in large dogs.
• Data suggest extreme caution and precision are needed for thoracic vertebral implant placement and support use of navigation or 3D-printed guides.

🔍 Key Findings

• First reported case of total cystectomy and bilateral cutaneous ureterostomy in a cat using a modified Toyoda technique.
• Histologically complete tumor resection was achieved, with tumor-free ureter and urethral margins >20 mm.
• The modified Toyoda technique involved shaping the ureter into a fish-mouth aperture and anastomosing it to a rectangular skin defect for stomal formation.
• Incontinence was managed using a diaper changed every 6–8 hours, with no dermatological complications.
• Obstruction of the right ureter occurred 14 months post-op, associated with a subcutaneous nodule at the anastomosis site.
• Despite incontinence, owner satisfaction and perceived quality of life were high, with the cat living ~16 months post-op.
• The stents were removed on days 7 (left) and 28 (right) postoperatively, with initial patency maintained until 14 months.
• This surgical approach may offer palliative or curative benefit for feline trigonal TCC where partial cystectomy is not feasible.

🔍 Key Findings

• 78% of cats that developed postattenuation neurologic signs (PANS) after congenital portosystemic shunt (cPSS) surgery survived to 30 days.
• Postattenuation seizures (PAS) were associated with significantly decreased 30-day survival (50% vs. 78%; OR: 0.015, p = .005).
• Treatment of PANS with propofol was a negative prognostic factor (OR: 0.112, p = .0008).
• Generalized PAS accounted for most seizure cases and were more frequently fatal than focal or unknown-type seizures.
• Pretreatment with levetiracetam (LEV1 protocol) showed a trend toward improved survival (100% vs. 60.6% in untreated cats), though not statistically significant (p = .06).
• Shunt morphology, method of attenuation, and study period (early vs. late) were not significantly associated with 30-day survival.
• Electrolyte, glucose, and ammonia abnormalities were not strongly linked to survival outcomes in this study.
• Majority of PAS-related deaths were due to uncontrolled generalized seizures or euthanasia because of severity.

🔍 Key Findings

• A novel caudo-medial arthroscopic portal allowed visualization of previously undescribed cartilage lesions on the caudal medial humeral condyle.
• A consistent focal cartilage lesion (HA lesion) was observed in 100% of elbows with HIF (21/21), but in none of the 31 elbows without HIF.
• Lesions varied from indentations to full-thickness cartilage loss, typically elliptical and located just medial to the humeral condyle isthmus.
• A clunk-like sensation and dynamic engagement of the anconeal process into the lesion were observed in 16/21 elbows with HIF during elbow manipulation.
• In 5/21 elbows, engagement of the anconeal process led to observable widening of the HIF line, suggesting dynamic instability.
• Findings support a novel concept of humero-anconeal incongruity as a contributor to the pathogenesis of HIF.
• Spaniel breed was not a confounder—the lesion was only present in elbows with HIF, regardless of breed.
• The study suggests potential for using arthroscopy as a screening tool for early detection of humero-anconeal incongruity and HIF risk.

🔍 Key Findings

Internal fixation (IF) group (n=59):

• Complication rate: 20.3%
• Major complications: 15.3%
• Longer time to discharge if complications occurred (median: 12.5 weeks)

External skeletal fixation (ESF) group (n=36):

• Complication rate: 55.6% (p < .001 vs IF)
• Major complications: 52.8%
• Most common issue: pin tract morbidity

Multivariable analysis:

• Use of IF significantly reduced odds of complications (OR 0.23, p = .004)
• Use of post-op antibiotics associated with increased odds of complications (OR 3.53, p = .028)

Fixation choice influenced by age:

• Older puppies more likely to receive IF (OR 1.25 per week increase in age, p < .001)

Breed & fracture distribution:

• Common breeds: Labrador, Border Collie, Whippet
• Common fracture sites: middle and proximal third of tibia

🔍 Key Findings Summary

• Tactical harness use altered kinematics in all forelimb joints
• Elbow most affected: increased extension, internal rotation, abduction at walk and trot
• Carpus: reduced flexion, increased abduction at walk
• Shoulder: least affected, but showed reduced flexion and increased abduction during walk
• Only significant ROM increases:
  • Shoulder frontal plane (22%)
  • Elbow transverse plane (19%) at walk
• Results suggest potential functional limitations from harness use during duty

🔍 Key Findings

• Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
• Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
• Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
• Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
• Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
• Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
• No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
• The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.

🔍 Key Findings

• Ala vestibuloplasty significantly reduced normalized pulmonary transit time (nPTT) (mean 5.43 → 3.89 sec; p <.001), suggesting improved cardiopulmonary function.
• Clinical respiratory signs improved, including reduced snoring, sneezing, nasal discharge, and open-mouth breathing (all p <.01).
• Activity tolerance increased, with less dyspnea during activity and longer time to onset of dyspnea (p <.005).
• Paradoxical sternal motion resolved in all affected cats after surgery.
• Hiatal hernias resolved in 75% of affected cats on follow-up CT.
• No serious complications occurred, with only mild, self-limiting epistaxis and hypersalivation in a few cases.
• Aberrant turbinates were detected on CT in all cats, though only 1 showed obstructive CATs endoscopically.
• Total clinical severity scores improved significantly postoperatively (median reduction of 30 points; p <.001).