Your Custom Quiz

In Violini 2024 et al., on 3D-guided spinal stabilization in brachycephalic dogs, what postoperative complication occurred due to PMMA cement overextension?

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Correct. A fracture of T4 spinous process was attributed to PMMA extending cranially into a mobile segment:contentReference[oaicite:2]{index=2}.
Incorrect. The correct answer is T4 spinous process fracture.
A fracture of T4 spinous process was attributed to PMMA extending cranially into a mobile segment:contentReference[oaicite:2]{index=2}.

🔍 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-3

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

In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), what was the median suturing time for the unidirectional barbed suture group (UBS)?

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Correct. The UBS group had a significantly shorter median suturing time than the conventional group (p < .0002).
Incorrect. The correct answer is 12.7 minutes.
The UBS group had a significantly shorter median suturing time than the conventional group (p < .0002).

🔍 Key Findings

  • Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
  • UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
  • UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
  • Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
  • No suture breakage or urethral narrowing occurred in either group.
  • Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
  • Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
  • UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.

Monnet

Veterinary Surgery

5

2023

Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

2023-5-VS-monnet-2

Article Title: Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

Journal: Veterinary Surgery

In Cruciani 2022 et al., on feline pancreaticoduodenostomy, which postoperative finding was observed and monitored without clinical consequence?

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Correct. Ampulla-like dilation near the anastomosis was seen on ultrasound but was not clinically significant.
Incorrect. The correct answer is Progressive dilation of the pancreatic duct.
Ampulla-like dilation near the anastomosis was seen on ultrasound but was not clinically significant.

🔍 Key Findings

  • Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
  • No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
  • Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
  • No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
  • Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
  • The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
  • Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
  • Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.

Cruciani

Veterinary Surgery

8

2022

Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

2022-8-VS-cruciani-2

Article Title: Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

Journal: Veterinary Surgery

In Jones 2024 et al., on surgical technique mortality, what possible reason was proposed for increased mortality with BVSD?

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Correct. Authors hypothesized that thermal injury and edema may contribute to complications.
Incorrect. The correct answer is Thermal injury causing pharyngeal edema.
Authors hypothesized that thermal injury and edema may contribute to complications.

🔍 Key Findings

  • Study compared 606 dogs (English Bulldogs, French Bulldogs, Pugs) undergoing partial staphylectomy via CO₂ laser, bipolar vessel sealing device (BVSD), or conventional incision.
  • Mortality rate: 4.0% (24/606).
  • BVSD was associated with significantly increased perioperative mortality compared to other methods (OR = 6.0, 95% CI: 1.3–28.4, p = .023).
  • High-grade laryngeal collapse (stage II or III) independently increased mortality risk (OR = 4.6, 95% CI: 1.8–11.8, p = .002).
  • No difference in mortality between CO₂ laser and conventional incision techniques.
  • CO₂ laser and conventional techniques had similar complication rates.

Jones

Veterinary Surgery

1

2024

Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

2024-1-VS-jones-5

Article Title: Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

Journal: Veterinary Surgery

In Kurogochi 2025 et al., on cardioplegia in mitral repair, what was concluded about long-term outcomes between groups?

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Correct. Survival at 700 days was 90% in both groups; hospital stay was median 6 days.
Incorrect. The correct answer is No differences in survival or hospitalization duration.
Survival at 700 days was 90% in both groups; hospital stay was median 6 days.

🔍 Key Findings

  • No significant difference in cardiac troponin I levels 12h post-op between mDN and St. Thomas cardioplegia groups (p = 0.478)
  • Sinus rhythm returned faster in the mDN group after aortic cross-clamp removal (median 60s vs 362s, p = 0.027)
  • Lower serum potassium at cross-clamp removal in the mDN group (median 4.5 mEq/L vs 5.4, p = 0.005)
  • Fewer doses needed in the mDN group (median 2.5 vs 4.0, p = 0.040)
  • Higher total crystalloid volume used in mDN group (23.6 vs 12.6 mL/kg, p < 0.001)
  • No difference in survival (700-day survival 90% in both groups, p = 0.958)
  • No difference in hospitalization duration (median 6 days for both, p = 0.789)
  • Echocardiographic remodeling similar between groups at 24h post-op

Kurogochi

Veterinary Surgery

7

2025

Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial

2025-7-VS-kurogochi-5

Article Title: Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial

Journal: Veterinary Surgery

In Bergen 2024 et al., on biliary stent use, what material was used for most BEMBS?

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Correct. MP35N cobalt alloy was the most commonly used stent material.
Incorrect. The correct answer is MP35N cobalt alloy.
MP35N cobalt alloy was the most commonly used stent material.

🔍 Key Findings Summary

  • Subjects: 11 animals (8 dogs, 3 cats)
  • Technique: Uncovered balloon-expandable metallic biliary stents (BEMBS)
  • Indications: Cholelithiasis, strictures, neoplasia, cholangiohepatitis, etc.
  • Success: Patency achieved in all animals surviving to discharge
  • Complications:
    • Short-term mortality: 2/11 (1 euthanized for SIRS, 1 unknown)
    • Long-term issues: cholangiohepatitis, choledocholithiasis, stent occlusion (in cats only)
  • Long-term patency:
    • Dogs: median 650.5 days
    • Cats: median 446 days
  • Stent removal possible even after >600 days in some cats
  • Clinical outcome: Viable alternative to plastic stents or cholecystoenterostomy

Bergen

Veterinary Surgery

2

2024

Clinical use of uncovered balloon‐expandable metallic biliary stents for treatment of extrahepatic biliary tract obstructions in cats and dogs: 11 cases (2012–2022)

2024-2-VS-bergen-2

Article Title: Clinical use of uncovered balloon‐expandable metallic biliary stents for treatment of extrahepatic biliary tract obstructions in cats and dogs: 11 cases (2012–2022)

Journal: Veterinary Surgery

In Lomas 2025 et al., on DPO and dorsolateral subluxation, what percentage of hips had a post-DPO DLS score <55%, indicating higher OA risk?

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Correct. Only 5 of 45 hips had a post-op DLS <55%, suggesting the majority were low risk for OA development.
Incorrect. The correct answer is 11%.
Only 5 of 45 hips had a post-op DLS <55%, suggesting the majority were low risk for OA development.

🔍 Key Findings

  • DPO significantly improved femoral head coverage, increasing mean DLS from 36.1% to 71.4% postoperatively (p < 0.001).
  • No significant change in DLS between immediate postoperative and follow-up scans, suggesting stable surgical outcomes over time.
  • Greater plate angle (30°) yielded larger DLS improvement (mean increase: 39.8%) compared to 25° and 20° plates.
  • Only 3 hips had post-op DLS scores <55%, indicating most patients had lower risk of osteoarthritis progression.
  • No correlation found between DLS improvement and age, body weight, or side of surgery, suggesting broad applicability.
  • CT was used for DLS measurement in simulated weight-bearing, improving precision over radiographic methods.
  • Major limitations included small sample size, multiple surgeons, and variable sedation vs anesthesia during imaging.
  • DPO confirmed as effective for reducing dorsolateral subluxation, improving coxofemoral joint congruency in dysplastic dogs.

Lomas

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

2025-2-VCOT-lomas-4

Article Title: The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Ellis 2024 et al., what was the purpose of using standardized CT reconstruction planes?

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Correct. Standardized reconstruction planes were used to consistently define regions of interest and reduce interobserver variability:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is To ensure consistent HU measurements.
Standardized reconstruction planes were used to consistently define regions of interest and reduce interobserver variability:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 86 elbows assessed: 32 Guide Dogs, 11 Border Collies
  • Guide Dogs showed significantly higher HU values in:
    • MCP: min (p = 0.022), mean (p < 0.01), max (p < 0.01)
    • Humeral trochlea: mean (p < 0.01), max (p < 0.01)
  • Results imply breed-associated HU variation, not necessarily pathologic sclerosis
  • Relevance: Important to avoid false positives for elbow dysplasia during CT-based breeding screens
  • Good interobserver agreement for mean HU values (ICC ~0.82–0.90)

Ellis

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies

2024-3-VCOT-ellis-3

Article Title: Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Papacella-Beugger 2024 et al., what issue led to three screws being poorly positioned?

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Correct. All three poorly placed screws occurred in one cadaver due to poor drill handling by the novice surgeon:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Inexperience of the surgeon.
All three poorly placed screws occurred in one cadaver due to poor drill handling by the novice surgeon:contentReference[oaicite:2]{index=2}

🔍 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-3

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Payne 2024 et al., on HIF propagation pattern, what was the approximate rate of isthmus diameter increase per kilogram of body weight?

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Correct. Isthmus diameter increased by 0.13 mm for each 1 kg increase in body weight (p = 0.002).
Incorrect. The correct answer is 0.13 mm/kg.
Isthmus diameter increased by 0.13 mm for each 1 kg increase in body weight (p = 0.002).

🔍 Key Findings Summary

  • HIF typically originates 57° caudal to the supratrochlear foramen and propagates cranially in a segmental pattern.
  • %HIF correlated significantly with both fissure depth and length:
    • %DHIF increased linearly (r = 0.989, p < 0.001)
    • %LHIF followed a sigmoidal relationship with %HIF (p < 0.001)
  • Higher %HIF was significantly associated with:
    • Clinical lameness (p = 0.004)
    • Distal shift in the fissure center (CHIF)
  • Implant complications in 5/17 elbows treated with transcondylar screws
  • Isthmus diameter increased with weight (p = 0.002), relevant for screw sizing

Payne

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Computed Tomography Topographical Analysis of Incomplete Humeral Intracondylar Fissures in English Springer Spaniel Dogs

2024-2-VCOT-payne-5

Article Title: Computed Tomography Topographical Analysis of Incomplete Humeral Intracondylar Fissures in English Springer Spaniel Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

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