A retrospective evaluation of complications associated with forkless tibial tuberosity advancement performed in primary care practice.

OBJECTIVE: To report postoperative complications associated with forkless tibial tuberosity advancement (TTA) performed in primary care veterinary practice and to compare results with previous publications. STUDY DESIGN: Retrospective study. SAMPLE POPULATION: Three hundred seventy-four forkless TTAs in 329 dogs performed by six nonspecialist veterinarians. METHODS: Medical records of dogs treated with a standard forkless TTA (2013-2016) and with at least 12 months of postoperative follow-up were reviewed. Complications recorded by the referring practice or the operating veterinarian were classified as minor (medically treated) or major (surgically treated). RESULTS: Complications occurred in 57 of 374 (15.2%) TTAs; 28 (7.5%) complications were major, and 29 (7.7%) complications were minor. Postliminary meniscal injuries were documented in 12 of 374 (3.2%) TTAs (12/57 major complications) and were more common when the ratio of cage size to bodyweight was ≤0.25 (P = .019). Mean TTA (cage size) was greater in this population than what has been previously reported for a lower median bodyweight. CONCLUSION: The incidence of major complications was low and within the range previously reported for TTA in referral practice after adjusting for study design. The magnitude of advancement was greater, and the incidence of postliminary meniscal injury was lower than what has been previously reported, after accounting for dogs that had a preliminary meniscal injury or medial meniscal release. CLINICAL SIGNIFICANCE: Forkless TTA may be successfully performed by experienced veterinarians in primary care practice with a low rate of complications. The incidence of postliminary meniscal injury may be reduced by a greater degree of advancement of the tibial tuberosity.

Feasibility of open-chest cardiopulmonary resuscitation through a transdiaphragmatic approach in dogs.

OBJECTIVE: To describe and evaluate the feasibility of a transdiaphragmatic (TD) approach for open-chest cardiopulmonary resuscitation (OCCPR) as an alternative to a traditional lateral thoracotomy (LT) in a canine cadaver model. STUDY DESIGN: Randomized noninferiority ex vivo study. ANIMALS: Fourteen canine cadavers weighing 17.4-30.2 kg. METHODS: An LT and a TD approach to the heart were performed in each cadaver. The order of procedures as well as an assignment to specific operators were randomized before starting the study. Data recorded included the time between incision and initiation of cardiac compressions; time between initiation of the first suture placement and closure of the intrapleural space; time between initiation of the first suture placement and final skin suture; trauma to pulmonary, cardiac, hepatic and neurovascular structures; distance between the caval foramen and diaphragmatic incision; the intercostal space entered during LT; and appropriate closure. RESULTS: The mean time between incision and initiation of cardiac compressions for the TD approach (85 ± 35 seconds) was noninferior to the LT (84 ± 28 seconds). The pleural space was closed faster after the TD approach (531 ± 276 seconds) than after the lateral approach (817 ± 294 seconds, P = .03). Total duration of closure did not differ between techniques (P = .11). There was no difference between the complication rates of each approach. CONCLUSION: The TD approach did not prolong the procedure or increase the complication rate compared with an LT. CLINICAL SIGNIFICANCE: This study provides evidence to support additional investigation of the TD approach for OCCPR to determine its efficacy and safety in live animals.

Evaluation of the rostral projection of the sacral lamina as a component of degenerative lumbosacral stenosis in German shepherd dogs.

OBJECTIVE: To determine the association between a greater rostral projection of the sacral lamina and clinical signs of cauda equina syndrome (CES) in German shepherd dogs (GSD) with presumptive degenerative lumbosacral disease (DLSS). STUDY DESIGN: Retrospective cohort study. SAMPLE POPULATION: One hundred forty-three GSD (125 police dogs and 18 pet dogs) presenting for either CES or prebreeding evaluation. Fifty-five were classified as affected by CES and diagnosed with DLSS, and 88 were classified as unaffected on the basis of clinical and imaging findings. METHODS: The position of the rostral edge of the sacral lamina was measured from radiographs and/or computed tomography (CT) scans. This position was compared between affected and unaffected dogs. In dogs that underwent both radiography and CT scanning, the agreement between sacral lamina localization using each imaging modality was determined. Owners/handlers were contacted to determine whether dogs subsequently developed clinical signs compatible with CES at a mean of 29 months (unaffected). RESULTS: The sacral lamina did not extend as far rostrally in affected dogs, compared to unaffected dogs (P = .04). Among the 88 dogs unaffected by CES at initial evaluation, 2 developed clinical signs consistent with CES at follow-up. CONCLUSION: Rostral projection of the sacral lamina, previously proposed as a potential risk factor in dogs with CES due to lumbosacral degeneration, was not associated with a diagnosis of DLSS in this study; the opposite was true. CLINICAL SIGNIFICANCE: Rostral projection of the sacral lamina may not be a predisposing factor in the development of CES due to DLSS in GSD.

A prospective study of breed differences in the thermal pain sensitivity of dogs.

OBJECTIVE: To compare the thermal nociceptive thresholds (TNTs) of dogs from three working/sport breeds. STUDY DESIGN: Experimental prospective study. ANIMALS: Thirty healthy adult dogs of mixed age, sex and reproductive status, 10 of each of three breeds: Harrier Hound, Greyhound and New Zealand Huntaway. METHODS: On one day of each week for 4 weeks, unrestrained dogs were tested six times. TNTs were measured using a remotely activated device comprising a thermode attached to the thoracic limb, controlled by a microprocessor attached to the animal. Latency to exhibit behaviour indicative of nociception after initiation of heating and the temperature of the thermode at the point of behavioural response were measured. Linear mixed-effects models were fitted to the data, with dog included as a random effect, initial thermode temperature as a covariate and day, week and breed as fixed effects. RESULTS: Initial thermode temperature significantly affected dogs' latency to respond (p < 0.001). Breed had a significant effect on both latency to respond and response temperature. Huntaways took longer to respond than Harriers or Greyhounds. For example, when the initial thermode temperature was 30 °C, Huntaways took 39.0 seconds to respond compared with 35.8 seconds for Harriers and 36.8 seconds for Greyhounds. Huntaways also responded at higher temperatures (mean±standard deviation: Huntaways 49.7±1.3 °C, Harriers 48.4±1.6 °C and Greyhounds 48.7±1.6 °C). CONCLUSIONS AND CLINICAL RELEVANCE: Huntaways appeared to be less sensitive to thermal pain than the other breeds. Such information could be used by researchers and clinicians to better understand the generalizability of data gathered from a specific breed to the wider canine population or to tailor more effective pharmacological approaches to pain management in dogs.

Nonlinear mixed models of growth curves from domestic shorthair cats in a breeding colony, housed in a seasonal facility to predict obesity.

Obesity is highly prevalent in pet cats (Felis silvestris catus) and is associated with several comorbidities, yet very little is understood about the early life risk factors. The aim of this study was to develop a mathematical model that describes growth in cats, to determine which early life variables were associated with being overweight in adulthood and to identify when during life the overweight phenotype developed in a colony of cats. We used pedigree, birth and growth data of 212 colony cats that were fed ad libitum from weaning. A nonlinear mixed-effects model was fitted to the body weight data to describe growth curves. A subset of 146 cats that had reached 9 years of age was used to evaluate the body weight curves to 9 years, and candidate early life predictors of peak weight were evaluated using logistic regression. In contrast with other species, candidates such as maternal factors, birth weight and litter size were not significant risk factors for adult obesity. Male sex, body weight around 15 weeks of age and being born during the increasing photoperiod were significantly associated with being overweight at 9 years. The growth equation created can be used to predict peak body weight, when sex and season of birth are included. Thus, the trajectory to obesity is determined early in life in cats, and early intervention appears essential to prevent obesity in pet cats.

Effect of dorsal laminectomy and dorsal annulectomy with partial lumbosacral discectomy on the volume of the lateral intervertebral neuroforamina in dogs when the lumbosacral junction is extended.

OBJECTIVE: To determine the effect of dorsal annulectomy and partial discectomy on the volume of the lumbosacral lateral intervertebral neurovascular foramina (intervertebral foramina) in canine cadavers during extension of the lumbosacral junction. STUDY DESIGN: Ex vivo experiment. SAMPLE POPULATION: Lumbosacral specimens from 10 large breed dogs euthanatized for reasons unrelated to lumbosacral disease. METHODS: The lumbosacral specimens were clamped in a wooden jig and scanned using computed tomography (CT) with the lumbosacral junction in a neutral position and loaded in extension using a tensioning device. The 3-dimensional volumes of the lumbosacral intervertebral neurovascular foramina were measured and the extent of any disc degeneration was determined from the CT data. A limited dorsal laminectomy of S1 and a dorsal LS annulectomy and partial discectomy were then performed. The lumbosacral specimens were remounted into the jig and loaded into extension at the same tension and were re-scanned. Measurements of intervertebral foraminal volume were then repeated. RESULTS: The mean volume of the lumbosacral foramina (n = 20) was 381 mm3 in neutral (unloaded) positioning and 137 mm3 when loaded in extension. Following dorsal annulectomy, the mean volume was significantly reduced by a mean of 28% to 98 mm3 (P < .01). The foraminal volume was reduced in 19/20 lumbosacral foramen, with the post-annulectomy volume ranging from 31% to 97% of the pre-annulectomy volume (3%-69% reduction). CONCLUSIONS: This study suggests that a dorsal annulectomy with partial discectomy may induce further dynamic collapse of the lumbosacral articulation in the dog.

Computed tomographic evaluation of dynamic alteration of the canine lumbosacral intervertebral neurovascular foramina.

OBJECTIVE: To develop a computed tomographic (CT) method to measure the volume of the lumbosacral intervertebral neurovascular foramina (IVF) in dogs, and determine the effect of the range of motion of the lumbosacral (LS) junction on this measurement in German shepherd dogs (GSDs) with degenerative lumbosacral stenosis (DLSS) compared to unaffected controls. STUDY DESIGN: In vivo analysis and retrospective case series. SAMPLE POPULATION: Twenty-four working Police GSDs, 12 diagnosed with DLSS and 12 unaffected by DLSS were compared to 10 Greyhounds without DLSS. METHODS: Three-dimensional renderings of CT data were used to measure the lumbosacral foraminal volume of dogs positioned in dorsal recumbency with the LS junction alternately positioned in extension, neutral position, and flexion. RESULTS: Volumetric analysis of the IVF was found repeatable for the extended and neutral positions (interclass correlation coefficient of 0.89 and 0.8, respectively). The mean lumbosacral IVF volume was decreased by 74% between LS flexion and extension in Greyhounds, compared to 79 and 85% reductions in GSDs unaffected and affected by DLSS, respectively. The lumbosacral IVF volume was decreased by 23% when comparing extended to neutral LS positions in Greyhounds, 29% in unaffected GSDs, and 31% in affected GSDs. IVF volumes were smaller in affected GSDs compared to unaffected GSDs (P < .05) and Greyhounds (P < .01). CONCLUSIONS: Positioning the LS junction in full extension decreases the volume of the lumbosacral IVF. This dynamic narrowing was more pronounced in GSDs with signs of DLSS than in GSDs not overtly affected by DLSS.

ACCURACY OF RADIOGRAPHIC DETECTION OF THE CRANIAL MARGIN OF THE DORSAL LAMINA OF THE CANINE SACRUM.

An elongated sacral lamina has been described as one of the contributing factors for dogs with cauda equina syndrome due to degenerative lumbosacral stenosis (DLSS); however, published evidence is lacking on the accuracy of radiographic screening for the presence of this lesion. Objectives of this prospective, cross-sectional cadaver study were to describe the accuracy and repeatability of detection of the cranial sacral lamina margin on plain lateral radiographs of the lumbosacral junction in dogs. Twenty-five medium and large breed canine cadavers were radiographed before and after placement of a radiopaque hook in the cranial margin of the sacral lamina. Three independent evaluators placed digital markers at the perceived margin on preinterventional radiographs. The distance from perceived location to the true location on postinterventional radiographs was recorded for each dog and observer. A discordance threshold (distance between perceived and actual margin) of 1.5 mm was subjectively defined as clinically relevant. The three evaluators demonstrated good repeatability, although the accuracy for margin detection was only fair (mean discordance 1.7 mm). Evaluators demonstrated greater accuracy in identifying the landmark in juveniles (1.4 mm) vs. adults (1.8 mm; P < 0.01). Results of this study indicated that observer repeatability is good and accuracy is fair for correctly identifying the radiographic cranial margin of the sacral lamina in dogs. This should be taken into consideration when interpreting elongation of the sacral lamina in radiographs of dogs with suspected DLSS, especially adults.

Canine soft tissue sarcoma managed in first opinion practice: outcome in 350 cases.

OBJECTIVE: To determine outcome of dogs with a diagnosis of soft tissue sarcoma managed in first opinion practice. STUDY DESIGN: Retrospective, case-controlled study ANIMALS: Dogs (n = 350) with primary occurrence of a soft tissue sarcoma. METHODS: A previously validated questionnaire was sent to all veterinarians requesting clinical information and ultimate outcome for all dogs. Histologic sections were reviewed by a single pathologist. RESULTS: Most surgeries were unplanned, with only 15 (4%) dogs having a histologic and 59 (16.8%) dogs having a cytologic diagnosis before surgery. Median survival time for all dogs was not reached with 70% proportional survival at 5 years. Local recurrence developed in 73 (20.8%) cases. The extent of resection performed was not associated with improved survival (P = .2) or tumor recurrence (P = .8). Age <8 years (χ(2) = 6.1; P = .01), tumors <5 cm in size (χ(2) = 9.6; P = .002) and discrete tumors (χ(2) = 16.6; P < .001) had improved survival outcomes. On multivariate analysis, a high tumor grade was significant for recurrence (HR 5.8; P < .001; 95% CI: 2.2-14.8). Evidence of a selection bias towards less aggressive tumors being managed in first opinion practice was confirmed. CONCLUSIONS: Wide resection margins are not the primary determinant of outcome for all soft tissue sarcoma. Veterinarians need to better understand the biologic behavior of a suspected soft tissue sarcoma before treatment to allow surgical margins to be adjusted accordingly.

Accuracy of Lumbosacral Pedicle Screw Placement in Dogs: A Novel 3D Printed Patient-Specific Drill Guide versus Freehand Technique in Novice and Expert Surgeons.

OBJECTIVE: The aim of this study was to compare the accuracy of pedicle screw placement at the canine lumbosacral junction using a novel unilateral three-dimensional printed patient-specific guide (3D-PSG) versus a freehand drilling technique. Additionally, accuracy of screw placement between a novice and an experienced surgeon was determined. STUDY DESIGN: Preoperative computed tomography images from 20 lumbosacral cadaveric specimens were used to design a novel unilateral 3D-PSG for the L7 and sacral vertebrae which was printed in acryl-nitrile butadiene styrene plastic. A novice and an expert surgeon each placed 3.5mm cortical screws in 10 cadavers; on the left using the unilateral 3D-PSG and by the freehand (anatomic landmark) technique on the right. RESULTS: Sixty screws were placed using the unilateral 3D-PSG and 60 using the freehand technique. There was no statistical difference in accuracy for the comparison between methods performed by the expert (p = 0.679) and novice (p = 0.761) surgeon, nor between an expert and novice surgeon overall (p = 0.923). Unexpectedly, the use of a unilateral 3D-PSG increased variability for the expert surgeon in our study (p = 0.0314). CONCLUSION: Using a novel unilateral 3D-PSG did not improve the accuracy of screw placement for lumbosacral stabilization by a novice surgeon compared with an expert surgeon in lumbar spine surgery. This may reflect a suboptimal PSG design.

Evaluation of a modified proportional margin approach for complete surgical excision of canine cutaneous mast cell tumours and its association with clinical outcome.

Canine cutaneous mast cell tumours (MCTs) represent a common neoplasm in veterinary practice. Several reported techniques are available to guide surgical excision. Our study examined one hundred cutaneous MCTs that were excised surgically using a modified proportional margin approach. A 2 cm lateral margin upper limit was applied for any tumour diameter that exceeded this size with a deep surgical margin of one fascial plane applied. A retrospective, cross-sectional study with follow-up was used to determine the clinical utility of this excision technique. Associations between explanatory variables of tumour size and grade were compared with outcomes of complete excision and size of histologic tumour-free margins (HTFM) using the appropriate Pearson's χ2 and Fisher's exact tests. Follow-up data evaluated tumour recurrence and patient survival. Ninety-five percent of MCTs (95/100) were completely excised. No significant association in the achievement of complete excision between low- and high-grade MCTs (P = .48) was noted. Tumour size was not associated with the rate of complete excision (P = .06). Tumour grade and size did not influence the size of the HTFM (P = .94 and P = .14, respectively). Overall, a recurrence rate of 3% (3/100 tumours) and de novo MCT development rate of 7.7% (5/65 dogs) was noted, with median follow-up period of 593 days (range 180-1460 days). Post-operative metastases were seen in 4.6% of dogs (3/65). Therefore, a modified proportional margin approach with 2 cm lateral margin upper limit is a suitable technique to guide surgical excision of canine cutaneous MCTs.

Computed Tomographic Measurement of Trochlear Depth in Three Breeds of Brachycephalic Dog.

OBJECTIVE: The aim of this study was to determine the trochlear sulcus depth of three common brachycephalic breeds at risk of medial patellar luxation. STUDY DESIGN: Retrospective blinded clinical study using a previously validated ratio (T/P) of maximal trochlear sulcus depth (T) and maximal patellar craniocaudal thickness (P) measured on computed tomography, to assess trochlear sulcus depth in Pugs, French Bulldogs and English Bulldogs without clinical patellar luxation. The effect of breed on T/P was assessed using one-way linear regression models. RESULTS: The mean T/P was affected by breed (p < 0.001). There was significant difference between Pugs (0.45) and French Bulldogs (0.38) and between Pugs and English Bulldogs (0.4). There was no significant difference between Pugs and previously published data for non-brachycephalic and mixed breed dogs (0.46) (p = 0.39). Mean T/P was significantly reduced in the brachycephalic dog breeds combined compared with the previously published data (p < 0.001). CONCLUSION: The trochlear sulcus varies by breed and was more shallow in French and English Bulldogs than Pugs, hence a shallow sulcus may be a breed-driven characteristic. The three breeds assessed are at risk of patellar luxation but sulcus depth did not directly correlate with previously published risk factors-the contribution of sulcus depth to the aetiopathogenesis of patellar luxation remains unclear. Trochlear recession to achieve patellar coverage of 50% may be excessive considering maximal breed normal depth.

A Cross-Sectional Survey of the Training and Management of a Cohort of 2-Year-Old Standardbred Racehorses in New Zealand.

There are limited data on the training and management practices of Standardbred trainers in New Zealand. The aims of this study were to describe the 2-year-old training practices of Standardbred trainers and to examine if there were differences in the production process between public (commercial) and amateur (licensed-to-train) trainers. An online Qualtrics survey was conducted after the 2016/7 racing season and completed by 154 Standardbred trainers, 88 (57%) of which had 2-year-olds in training. Descriptive statistics were used to describe the data stratified by public and licensed-to-train trainers. Most of the 2-year-old horses in work were homebred (bred by the trainer), with public trainers more likely to break in their horses themselves (85% vs. 64%, P = .04). The training pattern of 2-year-olds was similar for public trainers and licensed-to-train trainers, and was influenced by either convenience or the physical maturity of individual horses. Most trainers were reluctant to retire any 2-year-old. The prevalence of involuntary breaks for 2-year-olds was low (9.1%, 95% CI 6.6%-12.4%). Most trainers used 800 m (½ mile) oval, crusher dust ("all-weather") or sand tracks, with most public trainers using tracks with banked corners (88% vs. 59%, P < .01) and recording the times of horse workouts (79% vs. 45%, P < .01). The cross-section of trainers surveyed reflected the nature of the Standardbred industry in New Zealand with a high bias toward amateur owner/breeder/trainers, with few horses in work than public trainers who had a more commercial focus.

Isolates, Antimicrobial Susceptibility Profiles and Multidrug Resistance of Bacteria Cultured from Pig Submissions in New Zealand.

Data on the scope of bacterial pathogens present and the frequency of antimicrobial resistance (AMR) in New Zealand's pigs are limited. This study describes bacterial isolates, antimicrobial susceptibility data, and multidrug resistance (MDR; resistance to ≥3 antimicrobial classes) from New Zealand pig submissions. Porcine test data from June 2003 to February 2016 were obtained from commercial veterinary pathology laboratory records. In total, 470/477 unique submissions resulted in bacterial growth, yielding 779 isolates. Sample type was recorded for 360/477 (75.5%); lung (79/360; 21.9%), faecal (61/360; 16.9%) and intestinal (45/360; 12.5%) were most common. The most common isolates were Escherichia coli (186/779, 23.9%), Actinobacillus pleuropneumoniae (43/779; 5.5%), Streptococcus suis (43/779; 5.5%), unidentified Campylobacter spp. (38/779; 4.9%), alpha haemolytic Streptococci (32/779; 4.1%), coagulase negative Staphylococcus spp. (26/779; 3.3%), and Pasteurella multocida (25/779; 3.2%). Susceptibility results were available for 141/779 (18.1%) isolates from 62/470 (13.2%) submissions. Most were susceptible to trimethoprim-sulphonamide (75/81; 92.6%), but fewer were susceptible to penicillin (37/77; 48.1%), tilmicosin (18/43; 41.9%), or tetracyclines (41/114; 36.0%). No susceptibility data were available for Salmonella spp., Campylobacter spp., or Yersinia spp. isolates. MDR was present in 60/141 (42.6%) isolates. More data on sample submission drivers, antimicrobial drug use, and susceptibilities of important porcine bacterial isolates are required to inform guidelines for prudent antimicrobial use, to reduce their prevalence, human transmission, and to minimise AMR and MDR.

Survey of Handlers of 158 Police Dogs in New Zealand: Functional Assessment and Canine Orthopedic Index.

Objectives: To determine the functional assessment (FA) of fitness and Canine Orthopedic Index (COI) scores of 158 police dogs. The hypothesis was the dogs would have excellent fitness and no evidence of orthopedic disease regardless of age as reported by the handlers. Study Design:Observational, prospective study. Sample Population: Handlers of dogs >1 year of age in active duty or breeding/active duty. Methods: COI and FA questionnaires were completed via e-mail. Fisher's Exact test for count data assessed scores by age group (<2 years, 2-5 years, >5 years); Wilcoxon Signed-rank test correlated COI parameters (stiffness, function, gait, quality of life) to FA. Results: The dogs were 3.2 ± 2.4 (mean ± standard deviation) years-old, 96% were German Shepherds and 111 were male. 32% of dogs could hold the "Hup" position for no longer than 4 s and 8% frequently had difficulty with this task. Difficulty jumping into vehicles occurred in 1/3 of the dogs. Overall FA was impaired in 20% (score >8), abnormal in 15% (score = 5-7), and reduced (score = 1-4) in 36% of dogs. Only 29% had normal function (FA score = 0) and these were significantly younger (2.8 ± 1.7 years, p < 0.05) than impaired dogs (6.6 ± 2.2 years). COI stiffness score was abnormal in 37% (3.3 ± 2.2) and gait was abnormal in 41% (5.4 ± 4.0). Quality of life (QOL) was excellent in 69% of dogs. Stiffness for the <2 year-old group was 0.2 ± 0.8, for the 2-5 year-old group was 1.1 ± 2.0 and for the >5 year-old group was 3.2 ± 2.4. Gait score for the <2 year group was 0.8 ± 2.2, and for the 2-5 year group was 1.9 ± 3.2 and for the >5 year group was 6.0 ± 4.3. Quality of life was close to excellent for the <2 year-olds (0.3 ± 1.1) and 2-5 year-olds (0.8 ± 2.0) but the >5 year-olds scored higher (3.0 ± 2.5). Only the COI gait score correlated with the FA score (p = 0.30). Conclusions and Clinical Relevance: Police dogs were reported by handlers to have good to excellent QOL, however, increasing age was associated with declining FA and COI scores.

Characteristics of Endurance Competitions and Risk Factors for Elimination in New Zealand during Six Seasons of Competition (2010/11-2015/16).

The welfare of horses in endurance competitions has been the focus of recent media attention. Epidemiological studies have examined the sport at the international (FEI) level. However, much of the participation in the sport occurs at a national level in preparation for FEI level competition. The aims of this study were to describe participation in, and risk factors for elimination, from New Zealand endurance competitions. Data were collated from all endurance competitions (≥40 km) held in New Zealand during the 2010/11-2015/16 competition seasons. There were 6885 starts (n = 775 horses, n = 665 riders), horses had a median age of 9 years (IQR 6.2-10.0) and had a median of 3 (IQR 2-5) starts per season. Accumulated ride distance per season per horse decreased from a median of 240 km/horse (IQR 120-440) in 2010/11 to 180 km/horse (IQR 80-320) in 2015/16. Ride entries were dominated by the 40 km (n = 2834, 41%) and 80 km (n = 2517, 37%) distances. Eliminations increased with ride distance, from 7% in 40 km rides to 53% in the 160 km rides. Lameness accounted for the majority of eliminations (64%). The odds of elimination due to lameness were significantly associated with ride distance, location (North or South island) and time of year. The 11% of starters eliminated for metabolic reasons of the horse had increased odds of elimination associated with horse age, ride distance, location and time of year.

Owner perceptions of their cat's quality of life when treated with a modified University of Wisconsin-Madison protocol for lymphoma.

Objectives The objectives of this study were to assess owner perceptions of their cat's quality of life during treatment for lymphoma with a doxorubicin-containing multi-agent chemotherapy protocol, whether various health-related parameters correlated with quality of life scores, and to assess owner satisfaction with the protocol. Methods A postal questionnaire was sent to the owners of 33 treated cats. Owners retrospectively assessed their cat's quality of life using a Likert scale (1-10) before lymphoma was diagnosed, at diagnosis and during chemotherapy. Owners assigned scores to various health-related parameters previously reported to affect quality of life at the three time points, and correlations with quality of life scores were sought. Owners were asked to rate the importance of these health-related parameters. Satisfaction with the protocol was investigated. Results Twenty questionnaires were completed (61% response rate). The median quality of life score before diagnosis (10, range 5-10) was higher than at diagnosis (3, range 1-9) ( P <0.05). The median quality of life score during chemotherapy (7, range 3-9) was lower than before diagnosis ( P <0.05) and higher than at diagnosis, but this was not statistically significant. Quality of life scores did not correlate with individual health-related parameter scores consistently; however, quality of life scores did correlate with appetite scores during chemotherapy. Appetite, vomiting and diarrhoea were parameters perceived as important in affecting quality of life. Most owners (75%) were happy they had treated their cat. Conclusions and relevance The quality of life scores observed were comparable to a previous study using cyclophosphamide, vincristine and prednisolone, employing the same scoring system. Although quality of life scores during chemotherapy were not significantly improved at diagnosis, owner satisfaction with the protocol was high. The factors perceived by owners to determine quality of life in their pets may be different to those previously conjectured, but appetite during chemotherapy remains important.

Risk Factors for Transport-Related Problem Behaviors in Horses: A New Zealand Survey.

Transport-related problem behaviors (TRPBs) are common in horses and can cause injury to both the horses and their handlers. This study aimed to identify possible risk factors for TRPBs to inform approaches to mitigate TRPBs incidence and enhance horse welfare. An online cross-sectional survey was conducted to explore the prevalence of TRPBs and their association with human-, training- and transport management-related factors in New Zealand. The survey generated 1124 valid responses that were analyzed using descriptive statistics, and logistic regression analyses. Having at least one horse with TRPB was reported by 249/1124 (22.2%) respondents during the two previous years. Of these, 21/249 (8.4%) occurred during pre-loading, 78/249 (31.3%) during loading, 132/249 (53.0%) while travelling, and 18/249 (7.3%) during unloading. Our findings indicate that the use of negative reinforcement and positive punishment as training methods, using a whip or food for loading, and travelling in a straight load trailer/float while offering food were associated with a higher likelihood of TRPBs. Cross-sectional studies cannot determine causality and findings should be interpreted with caution, and evaluated in further experimental studies. The authors suggest that education on appropriate training methods for transport, and vehicle selection may mitigate the risk for TRPBs in horses.

Repeatability of Three-Dimensional Computed Tomographic Volumetric Measurement of Lumbosacral Intervertebral Foramina in German Shepherd Dogs.

OBJECTIVES: This article determines the repeatability of a recently reported method of volumetric measurement of the lateral intervertebral neurovascular foramina at the lumbosacral junction in German shepherd dogs. MATERIALS AND METHODS: Batch files including the intervertebral neurovascular foramina were derived from previously obtained computed tomography studies of the extended lumbosacral junction of 20 German shepherd dogs and converted into volume datasets. Three observers independently performed five measurements of the left and right lumbosacral intervertebral neurovascular foramina in each dog, using an Extended Brilliance Workstation (Phillips, The Netherlands) to generate a volume of the lumbosacral intervertebral foramina in cubic millimetres, as described by Worth and colleagues in 2017. The inter-observer repeatability of the mean of the five-volume measurements (40 foramina) was assessed using the Bland-Altman limits of agreement method. One observer, blinded to the previous measurements, repeated the volumetric analysis on 20 lumbosacral intervertebral foramina for an assessment of intra-observer repeatability using the same statistical methods. RESULTS: This method of volumetric analysis showed good intra- and inter-observer repeatability with 95% of paired comparisons falling within two standard deviations of the mean difference between them. CLINICAL SIGNIFICANCE: This method of measuring the volume of the lumbosacral intervertebral neurovascular foramina is repeatedly reliable and may be a useful tool when testing the effects of motion and disease on the lumbosacral junction, and could help guide surgical intervention when foraminal narrowing is implicated in the clinical signs.

Medium-Term Outcome and CT Assessment of Lateral Foraminotomy at the Lumbosacral Junction in Dogs with Degenerative Lumbosacral Stenosis.

OBJECTIVE: This article aims to report the medium-term clinical outcome and assess persistence of enlargement of the lumbosacral lateral intervertebral neurovascular foramen using computed tomography (CT) volumetric analysis in dogs following lateral foraminotomy. MATERIALS: Six dogs that underwent lumbosacral lateral foraminotomy on one or both sides were evaluated with CT prior to, immediately postoperatively (n = 2) and at 12 to 44 months of follow-up. Five out of six dogs had successful clinical outcomes with alleviation of pain and increased levels of activity, according to subjective assessment. Immediate postoperative CT volumetric analysis of the lateral intervertebral neurovascular foramina in two dogs indicated a 650 to 800% increase in volume in extension achieved by foraminotomy (four foramens). At subsequent follow-up, bone regrowth had occurred with reduction in foraminal volume, though in both dogs foraminal volume remained higher than preoperative values. Follow-up CT at a median of 24 months postoperatively indicated a mean 335% increase in volume of the lumbosacral lateral intervertebral neurovascular foramina in extension compared with the preoperative foraminal volume. The follow-up volume was substantially greater than the presurgical volume in four out of six dogs. CLINICAL SIGNIFICANCE: In this limited case series, lateral foraminotomy achieved persistent enlargement of the lumbosacral lateral intervertebral neurovascular foramen in the medium term, but osseous regrowth at the site was demonstrated which may limit the effectiveness of lateral foraminotomy in the longer term. One of two working dogs had recurrent clinical signs that necessitated further surgery.