Publications by authors named "John David Stack"

Background: Caudal wedge ostectomy has not been investigated for overriding or impinging spinous processes (SPs).

Objectives: To establish the feasibility of caudal wedge ostectomy and compare measures of surgical trauma and error between hypothetical caudal and cranial wedge ostectomies on SPs of different inclinations.

Study Design: Experimental, method comparison study.

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Background: Computed tomography (CT) of the axial skeleton is increasing across many equine hospitals. CT of the pelvis and caudal spine in a large group of clinical cases has not been reported previously.

Objective: To describe the pathological lesions identified in the caudal spine/pelvis in horses and ponies undergoing CT spine of this region.

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Article Synopsis
  • Cross-sectional imaging, specifically CT scans, can enhance the diagnosis of complex areas in live horses, particularly the pelvis and caudal spine, which has not been extensively studied before.
  • The study involved a retrospective case series of 56 horses, revealing that the CT scans could be safely performed under general anesthesia, typically lasting around 30 minutes, and resulted in diagnostic-quality images with common anatomical variations noted.
  • Limitations included inconsistent scanning regions, potential image noise in larger horses, and reduced image quality for soft tissue evaluation, but overall, the procedure was deemed effective and safe.
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Objective: To determine the outcome of tenoscopically guided palmar/plantar annular ligament (PAL) desmotomy to treat PAL constriction without concurrent intrathecal soft-tissue injury, notably of the digital flexor tendons and manica flexoria.

Study Design: Retrospective multicenter cohort study.

Animals: Sixty-five horses.

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Synovial fluid analysis is utilized to diagnose septic synovitis. However, not all cases are clearly and rapidly discernible with the diagnostic tools available in the laboratory. Serum amyloid A (SAA), an acute phase protein, has been shown to be elevated in synovial fluid from inflamed synovial structures.

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Objective: To evaluate the effect of arthroscopic lavage and repeated intra-articular administration of antibiotic in adult horses and foals with septic arthritis.

Study Design: Retrospective clinical study.

Animals: Adult horses and foals with septic arthritis (n = 62).

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Objectives: To compare accuracy of the ultrasound-guided craniodorsal (CrD) approach with the dorsal (D) approach to the cervical articular process joints, and to evaluate the effect of the transducer, needle gauge, and operator experience.

Methods: Cervical articular process joints from 14 cadaveric neck specimens were injected using either a D or CrD approach, a linear (13 MHx) or microconvex transducer (10 MHz), and an 18 or 20 gauge needle, by an experienced or inexperienced operator. Injectate consisted of an iodinated contrast material solution.

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Objectives: To compare the accuracy and distribution of injectate for cranial (CR) and caudomedial (CM) ultrasound-guided injections of equine sacroiliac joints.

Methods: Both sacroiliac joints from 10 lumbosacropelvic specimens were injected using cranial parasagittal (CR; curved 18 gauge, 25 cm spinal needles) and caudomedial (CM; straight 18 gauge, 15 cm spinal needles) ultrasound-guided approaches. Injectate consisted of 4 ml iodinated contrast and 2 ml methylene blue.

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