Quiz Question

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 Violini 2024 et al., on 3D-guided spinal stabilization in brachycephalic dogs, which of the following best describes the utility of 3D-printed drill guides?

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Correct. 3D-PSGs enabled accurate pedicle screw placement in small deformed vertebrae of brachycephalic dogs:contentReference[oaicite:4]{index=4}.
Incorrect. The correct answer is Enabled screw placement in deformed vertebrae.
3D-PSGs enabled accurate pedicle screw placement in small deformed vertebrae of brachycephalic dogs:contentReference[oaicite:4]{index=4}.

🔍 Key Findings

  • Spinal stabilization with 3D-printed patient-specific drill guides (3D-PSGs) was safe, with no immediate perioperative complications reported.
  • 84% of pedicle screws were optimally placed, and only 0.5% breached the spinal canal, reflecting high placement accuracy.
  • 80% of dogs experienced no neurologic deterioration postoperatively, indicating reliable short-term safety.
  • 3D-PSGs were accurate and reproducible, even across multiple institutions and surgeons.
  • Mid-term outcomes were favorable: all dogs were ambulatory, and 90% had static or improved neurologic signs.
  • 7 of 10 mid-term follow-ups showed abnormal gait, though owners rated lifestyle ≥3/5, suggesting acceptable function.
  • 3D-printed guides enabled precise pedicle screw placement in deformed vertebrae, expanding options in small breeds.
  • One dog suffered a T4 spinous process fracture due to overextension of PMMA cement, emphasizing the need for cement placement caution.

Violini

Veterinary Surgery

4

2024

Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

2024-4-VS-violini-5

Article Title: Clinical outcomes of 20 brachycephalic dogs with thoracolumbar spinal deformities causing neurological signs treated with spinal stabilization using 3D-printed patient-specific drill guides

Journal: Veterinary Surgery

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In İnal 2025 et al., on supracutaneous locking plates, what was one key advantage of SLPs over external skeletal fixation in bilateral fractures?

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Correct. The SLP design prevented interference in bilateral applications, unlike bulky external fixators.
Incorrect. The correct answer is Reduced bulk, no entanglement.
The SLP design prevented interference in bilateral applications, unlike bulky external fixators.

🔍 Key Findings

  • Supracutaneous locking plates (SLPs) were successfully used to manage 33 diaphyseal fractures (radial–ulnar and tibial) in 30 cats and dogs.
  • Median fracture healing time was 50.5 days (range: 27–88), with most patients regaining limb use within days postoperatively.
  • CT-based metrics (callus area, HU, and 3D bone volume) increased significantly during healing (p < 0.05), validating CT as a quantitative tool for assessing healing.
  • Complications were minimal: minor in 15/33 (e.g., screw tract discharge, edema), and major in 3/33 (e.g., implant failure, delayed union, nonunion).
  • Minimally invasive osteosynthesis required longer surgery times than closed reduction (p < 0.05), but both techniques were viable.
  • SLPs enabled successful bilateral fracture management without inter-plate interference due to their compact design.
  • Screw orientation challenges were noted in cats, especially with cranial application to the radius due to narrow anatomy.
  • Polyaxial locking screws were used safely and did not dislodge, allowing for angular insertion (≤10°) to avoid neurovascular structures.

İnal

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and Cats

2025-5-VCOT-inal-5

Article Title: Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and Cats

Journal: Veterinary and Comparative Orthopaedics 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 Perez Neto 2025 et al., on hip resurfacing arthroplasty, approximately how many times body weight did prosthetic femurs withstand before failure?

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Correct. Despite reduced load tolerance vs. controls, prosthetic femurs still exceeded ~6× body weight capacity.
Incorrect. The correct answer is 6.2×.
Despite reduced load tolerance vs. controls, prosthetic femurs still exceeded ~6× body weight capacity.

🔍 Key Findings

  • In an ex vivo study of 20 canine femur pairs, implantation of a novel hip resurfacing arthroplasty (HRA) prosthesis reduced maximum load (ML) by 22% and load at collapse (LC) by 27% vs. intact controls (p ≤ 0.05).
  • Displacement at maximum load (DML), displacement at collapse (DC), and stiffness (k) were not significantly different between prosthesis and control groups.
  • Both groups showed similar failure patterns, with 92% failing at the femoral neck.
  • All prosthetic femurs still withstood ~6.2× body weight — exceeding estimated in vivo peak loads (~1.64× BW).
  • Prosthesis positioning (neutral vs valgus) had no significant effect on biomechanical outcomes.
  • Implant design preserved more metaphyseal bone stock than total hip replacement, possibly explaining the smaller load reduction compared to other short-stem prostheses.
  • The press-fit cobalt–chromium design with conical stem allowed full contact and stress distribution over the femoral head/neck.
  • Authors conclude the device has adequate immediate biomechanical strength for clinical use, though long-term in vivo studies are needed.

Perez Neto

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study

2025-4-VCOT-perezneto-4

Article Title: Biomechanical Evaluation of a Femoral Implant for Hip Resurfacing Arthroplasty in Dogs: An Ex Vivo Study

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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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 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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In Kang 2023 et al., on 3DEP accuracy, what was the maximum acceptable screw intrusion depth into the spinal canal based on design?

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Correct. Drill stoppers were designed to limit screw penetration into the canal to 0.5 mm.
Incorrect. The correct answer is 0.5 mm.
Drill stoppers were designed to limit screw penetration into the canal to 0.5 mm.

2023-8-VS-kang-3

Article Title:

Journal:

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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 Kimura 2025 et al., on mini-THA in <4 kg dogs, what complication led to the discontinuation of a THA procedure in one case?

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Correct. In one case, cup impaction led to a rim fracture preventing stem placement:contentReference[oaicite:3]{index=3}.
Incorrect. The correct answer is Dorsal acetabular rim fracture.
In one case, cup impaction led to a rim fracture preventing stem placement:contentReference[oaicite:3]{index=3}.

🔍 Key Findings

  • Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
  • Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
  • Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
  • Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
  • Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
  • Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
  • No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
  • CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.

Kimura

Veterinary Surgery

6

2025

Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

2025-6-VS-kimura-4

Article Title: Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

Journal: Veterinary Surgery

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Quiz Results

Topic: Pelvic & Spinal Surgery
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