Quiz Question

In Poggi 2024 et al., on laparoscopic resection of pancreatic masses in dogs, what was the most common histopathologic diagnosis among the pancreatic masses resected laparoscopically?

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Correct. 9 of 12 dogs had insulinomas, making it the most frequent diagnosis.
Incorrect. The correct answer is Insulinoma.
9 of 12 dogs had insulinomas, making it the most frequent diagnosis.

🔍 Key Findings

  • Laparoscopic pancreatic mass resection (LPMR) was successfully performed in all 12 dogs, with no conversion to open laparotomy required.
  • Median operative time was 69 minutes (range 35–100 min); 11/12 dogs were discharged within 48 hours, and one was discharged after 7 days.
  • No major intraoperative complications occurred; minor complications included mild bleeding (2/12) and cannula malfunction (1/12).
  • All dogs survived the procedure and were discharged.
  • Histopathology confirmed neoplasia in all dogs: 9 insulinomas and 3 pancreatic carcinomas; all tumors were completely excised with clear margins.
  • No recurrences were reported; 3 dogs died of unrelated causes, and 9 were still alive at the time of reporting.
  • No postoperative hypoglycemia was observed; 1 dog had transient hyperglycemia, and minor complications included vomiting, idiopathic seizures, and pancreatitis, all of which resolved.
  • Authors concluded that LPMR is a safe, effective, and minimally invasive alternative to open surgery for selected distal pancreatic masses in dogs.

Poggi

Veterinary Surgery

5

2024

Laparoscopic resection of pancreatic masses in 12 dogs

2024-5-VS-poggi-2

Article Title: Laparoscopic resection of pancreatic masses in 12 dogs

Journal: Veterinary Surgery

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In Dalton 2023 et al., In Minimally invasive acetabular fracture repair in dogs, what was the clinical outcome of the Chihuahua case treated with minimally invasive acetabular repair?

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Correct. The clinical case achieved rapid functional recovery and bone union, despite one screw fracture without consequence.
Incorrect. The correct answer is Weight-bearing within 24 hours and radiographic union at 3 months.
The clinical case achieved rapid functional recovery and bone union, despite one screw fracture without consequence.

🔍 Key Findings

  • Feasibility study in 5 canine cadavers plus 1 clinical case (Chihuahua, 5.5 kg).
  • Technique used two small approaches (caudal and craniolateral) connected with an epiperiosteal tunnel.
  • Plates were precontoured on mirrored 3D-printed hemipelves to improve fit and reduce intraoperative bending.
  • Cadaver outcomes: fracture gap <2 mm, step defect <1 mm, pelvic angulation <5°.
  • Sciatic nerve injury was minimal: 1/5 cadavers had a mild indentation; others had no gross injury.
  • Median total surgical time: ~46 minutes in cadavers; incisions ~5 cm.
  • Clinical Chihuahua case: weight-bearing within 24 hrs, radiographic union at 3 months; one screw fractured but no adverse effect.
  • Authors conclude: MIAF with 3D printing is feasible and accurate, but requires further evaluation before routine use.

Dalton

Veterinary Surgery

7

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-7-VS-dalton-5

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

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In Kang 2024 et al., on sacroiliac fixation strength, which construct had significantly higher maximum failure load under rotational force testing?

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Correct. Double HCS provided significantly higher failure load vs single lag screw fixation
Incorrect. The correct answer is Double 2.3-mm headless cannulated screws.
Double HCS provided significantly higher failure load vs single lag screw fixation

🔍 Key Findings Summary

  • 20 cats with pelvic fractures treated using locking plates with only cortical screws
  • 28 fractures stabilized (ilium: 17, acetabulum: 6, ischium: 3, pubis: 2)
  • Implants: Primarily 1.5/2.0 mm LCPs or String-of-Pearls plates
  • Major complications in 2/20 cases (10%): sciatic entrapment, malunion requiring THA
  • Minor complications in 2/20 cases (10%): plate impingement, transient lameness
  • Clinical union in all cats by 8 weeks; all cats returned to full function
  • Authors conclude cortical screws alone can provide adequate fixation in feline pelvic fractures if screw purchase and bone quality are sufficient

Kang

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

2024-1-VCOT-kang-1

Article Title: Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Papacella-Beugger 2024 et al., which anatomical limitation required a custom reference array?

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Correct. Human trackers were too large for miniature dogs; a 3D-printed lightweight array was used instead:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Small spinous processes in miniature breeds.
Human trackers were too large for miniature dogs; a 3D-printed lightweight array was used instead:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • Cadaveric study using 3 miniature breed dogs (6 hemipelves) to assess spinal neuronavigation accuracy for lumbar plate fixation
  • 20 screws placed using CBCT-based navigation with real-time tracking
  • 85% (17/20) of screws were safely and accurately placed
  • Median deviation of screw entry points from plan: 1.8 mm
  • All 3 misplaced screws occurred in a single cadaver, attributed to inexperienced drill handling
  • Custom 3D-printed lightweight tracking array was necessary due to small spinous processes in miniature dogs
  • No iatrogenic canal perforations or vertebral damage in any specimen
  • Concludes neuronavigation offers precise, safe placement of spinal implants in small dogs, with minimal anatomic disruption

Papacella

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs

2024-6-VCOT-papacella-beugger-5

Article Title: Spinal Neuronavigation for Lumbar Plate Fixation in Miniature Breed Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Espinel Rupérez 2023 et al., in Arthroscopic-assisted hip toggle stabilization in cats, what was the most challenging intraoperative step during AA-HTS in cats?

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Correct. Authors reported toggle passage through the femoral tunnel as the most challenging step, difficult in 6 joints.
Incorrect. The correct answer is Toggle passage through the femoral tunnel.
Authors reported toggle passage through the femoral tunnel as the most challenging step, difficult in 6 joints.

🔍 Key Findings

  • 14 joints from 7 cat cadavers underwent AA-HTS successfully.
  • Median surgical time: 46.5 min (29–144), including 7 min for arthroscopy and 40 min for toggle placement.
  • Intraoperative complications in 5/14 joints: 4 related to femoral tunnel creation, 1 toggle lodging.
  • Toggle passage through femoral tunnel was the most challenging step, mildly difficult in 6 joints.
  • Cartilage injury occurred in 10 joints, but all were minor (<10% of cartilage area).
  • 13 deviations from planned technique were identified (8 major, 5 minor), all involving femoral tunnel placement.
  • No neurovascular, intrapelvic, or major periarticular injuries occurred.
  • Authors conclude: AA-HTS is feasible in cats, but associated with high rates of minor iatrogenic cartilage damage, intra-op complications, and technique deviations.

Espinel Rupérez

Veterinary Surgery

7

2023

Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

2023-7-VS-espinel-1

Article Title: Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

Journal: Veterinary Surgery

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In Nicolas 2024 et al., what spinal level was targeted using the lateral scapular osteotomy approach?

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Correct. The novel lateral approach was used for a foraminal disc extrusion at T1–T2:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is T1–T2.
The novel lateral approach was used for a foraminal disc extrusion at T1–T2:contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • The lateral approach via scapular osteotomy allowed safe access to the T1-2 foramen in a French Bulldog with foraminal disc extrusion.
  • A mini-hemilaminectomy was performed, preserving articular facets.
  • The dog had no neurologic deficits postoperatively, returned to ambulation within 24 hours, and was discharged in 3 days.
  • At 10 months, CT confirmed excellent scapular healing and no recurrence.
  • Double 2.4-mm locking plates provided stable fixation across the scapular spine.
  • The technique avoided thoracic entry or dorsal spine dissection, suggesting a less invasive alternative for select T1-2 foraminal cases.

Nicolas

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

2024-2-VCOT-nicolas-1

Article Title: Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Guevara 2024 et al., on implant placement accuracy, which surgeon had significantly higher odds of success?

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Correct. Surgeon 2, who also designed the guides, had the highest odds (OR = 9.61, p = .001).
Incorrect. The correct answer is Surgeon 2.
Surgeon 2, who also designed the guides, had the highest odds (OR = 9.61, p = .001).

🔍 Key Findings:

  • Sample: 24 canine cadavers, 477 total pins across 240 vertebrae.
  • Technique Comparison: 3D printed guides (3DPG) vs freehand (FH).
  • Acceptable Placement Rates: 3DPG = 87.5%, FH = 69.8% (p < .0001).
  • Odds Ratio for FH: 0.28 (95% CI 0.16–0.47), significantly less likely to yield acceptable placement.
  • Worst Accuracy Locations: T10 (OR 0.10), T11 (OR 0.35).
  • Surgeon Impact: Surgeon 2 outperformed others (OR 9.61, p = .001).
  • Modified Zdichavsky Classification used to score implant accuracy (Grades I–IIIb).
  • Primary Benefit of 3DPG: Increased safety and precision, regardless of surgeon experience.

Guevara

Veterinary Surgery

2

2024

Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

2024-2-VS-guevara-5

Article Title: Ex vivo comparison of pin placement with patient-specific drill guides or freehand technique in canine cadaveric spines

Journal: Veterinary Surgery

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In Nicolas 2024 et al., what surgical technique was used to decompress the foramen at T1–2?

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Correct. The foramen was decompressed using a minimally invasive mini-hemilaminectomy while preserving articular facets:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Mini-hemilaminectomy.
The foramen was decompressed using a minimally invasive mini-hemilaminectomy while preserving articular facets:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • The lateral approach via scapular osteotomy allowed safe access to the T1-2 foramen in a French Bulldog with foraminal disc extrusion.
  • A mini-hemilaminectomy was performed, preserving articular facets.
  • The dog had no neurologic deficits postoperatively, returned to ambulation within 24 hours, and was discharged in 3 days.
  • At 10 months, CT confirmed excellent scapular healing and no recurrence.
  • Double 2.4-mm locking plates provided stable fixation across the scapular spine.
  • The technique avoided thoracic entry or dorsal spine dissection, suggesting a less invasive alternative for select T1-2 foraminal cases.

Nicolas

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

2024-2-VCOT-nicolas-5

Article Title: Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Ciammaichella 2025 et al., on lymphadenectomy complications, which lymphadenectomy site had the highest rate of postoperative complications?

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Correct. Ilio-sacral lymphadenectomy had a 41% postoperative complication rate, the highest among the groups.
Incorrect. The correct answer is Ilio-sacral.
Ilio-sacral lymphadenectomy had a 41% postoperative complication rate, the highest among the groups.

🔍 Key Findings

  • Ilio-sacral lymphadenectomy had the highest complication rates: intraoperative (7%) and postoperative (41%)
  • Axillary lymphadenectomy showed the lowest complication rates: intraoperative (1%) and postoperative (16%)
  • Enlarged or metastatic lymph nodes were significantly associated with intraoperative complications (p = .030)
  • Postoperative complications were mostly minor (Grade 1) and self-limiting (seromas, edema)
  • Medial retropharyngeal lymphadenectomy had intermediate complication rates: postoperative complications in 26%
  • No significant predictors retained significance in multivariate analysis
  • Use of methylene blue was associated with fewer complications, although not statistically significant
  • Complication rates did not result in mortality, and all were manageable; MST was 374 days

Ciammaichella

Veterinary Surgery

7

2025

Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

2025-7-VS-ciammaichella-1

Article Title: Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors

Journal: Veterinary Surgery

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In Scott 2025 et al., on acetabular cup revision, what was the functional outcome in dogs that completed follow-up?

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Correct. All 6 dogs available for follow-up showed good to excellent clinical outcomes over 621 days.
Incorrect. The correct answer is Good to excellent.
All 6 dogs available for follow-up showed good to excellent clinical outcomes over 621 days.

🔍 Key Findings

Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)

Revision Indications:

  • 7 luxations (5 ventral, 2 craniodorsal)
  • 1 femoral stem fracture
  • 1 aseptic stem loosening

Implants:

  • 8 BFX cups, 1 Helica; all revised to BFX
  • 7/9 required a larger cup than original

Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted

Complications:

  • 1 recurrent luxation
  • 1 low-grade infection with possible metallic debris-associated osteolysis
  • 2 femoral fissures managed intraoperatively

Outcomes:

  • Good to excellent function in 6/6 dogs available at median 621 days
  • Minimal complications with success in re-osteointegration of new cup

Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing

Scott

Veterinary Surgery

3

2025

Revision of osteointegrated acetabular cup prostheses in nine dogs

2025-3-VS-scott-5

Article Title: Revision of osteointegrated acetabular cup prostheses in nine dogs

Journal: Veterinary Surgery

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Quiz Results

Topic: Pelvic & Spinal Surgery
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