Greetings to everyone from
Lexington, KY!
My name is Megan, and I am
working for the summer as a surgery technician at Rood and Riddle Equine
Hospital. This hospital employs over 50 veterinarians, and currently has
approximately 10 interns (both rotating and ambulatory) and 2 residents. RREH
serves just about every type of horse you can imagine, but as you might guess,
we see quite a few racing thoroughbreds from this great Bluegrass state. The
hospital provides services in internal medicine, podiatry, surgery, radiology,
neurology, theriogenology, regenerative medicine… really, almost any equine
medical service you might ever need. Thus, even in the few short days that I
have been here, I have been exposed to many new techniques and services that
are rarely offered elsewhere.
For instance, today Drs.
Steve Reed (neurology) and Brett Woodie (surgery) performed a “basket” surgery
on a show Hackney pony. What is a “basket” surgery, you ask? This procedure was
developed at Washington State’s CVM in order to stabilize vertebral bodies that
are injured, arthritic, etc. and are causing damage and functional impairment
to the spinal cord itself. It involves fusing two adjacent vertebral bodies by
means of an implant, specifically in this case, a Cloward Bagby Basket or a
Seattle Slew implant.
This surgery aims to correct
cervical stenotic myelopathy, a.k.a. Wobbler’s Syndrome, a condition in which
the vertebral canal impinges on the spinal cord, especially when the neck is
flexed, causing the horse to become ataxic (exhibit abnormal gaits), and lose
motor and sensory coordination in its limbs. The most common reasons that this
condition occurs include cervical vertebral stenosis (the canal or points along
the canal may be too narrow for the spinal cord to pass through), cervical
vertebral malformation (deformities of the vertebral bodies or the canal
itself), or osteoarthropathy/degenerative joint disease affecting the
articulating surfaces of the vertebrae.
Here’s a fun fact about
basket surgeries: one of the first successful basket surgeries was done on none
other than Seattle Slew, the 1977 Triple Crown winner, in 2002. His owners
began a fund through the Washington State CVM to promote equine spinal cord
research.
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