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Chapter 28: Guidelines for Postoperative Medical Care of the Neurosurgical Patient 255

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For patients that have had spinal fracture/luxation stabilization 20 Plumb DC. Plumb’s Veterinary Drug Handbook, 8th edn. Ames, IA: Wiley‐
using implants, exercise restriction should be implemented until Blackwell, 2015.
there is evidence of osseous healing or fusion, typically 6–8 weeks 21 Aghighi SA, Tipold A, Piechotta M, Lewczuk P, Kästner SBR. Assessment of the
effects of adjunctive gabapentin on postoperative pain after intervertebral disc sur-
postoperatively. Radiographs should be performed at 4 weeks to gery in dogs. Vet Anaesth Analg 2012;39:636–646.
evaluate implant position and repeated every 4–6 weeks until satis- 22 Dewey CW, Cerda‐Gonzalez S, Levine JM et al. Pregabalin as an adjunct to pheno-
factory healing is evident. Healing may be difficult to assess if bone barbital, potassium bromide, or a combination of phenobarbital and potassium
cement was used. If evidence of implant loosening or periosteal bromide for treatment of dogs with suspected idiopathic epilepsy. J Am Vet Med
Assoc 2009;235:1442–1449.
reaction is noted, more frequent radiographs may be required to 23 Lascelles BDX, Gaynor JS, Smith ES et al. Amantadine in a multimodal analgesic
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Video clips to accompany this book can be found on Symptom Manage 2004;28:140–175.
the companion website at: 26 Neiger R, Gaschen F, Jaggy A. Gastric mucosal lesions in dogs with acute interver-
www.wiley.com/go/shores/neurosurgery tebral disc disease: characterization and effects of omeprazole or misoprostol. J Vet
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27 Dowdle SM, Joubert KE, Lambrechts NE, Lobetti RG, Pardini AD. The prevalence
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