Degenerative lumbosacral stenosis in dogs - Veterinary Medicine
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Degenerative lumbosacral stenosis in dogs
You may not readily recognize degenerative lumbosacral disease in your large-breed patients because they commonly have other concurrent orthopedic diseases. Here's how to identify affected dogs and help them with the right therapy.


VETERINARY MEDICINE


Military working dogs present a unique population of dogs in which a greater degree of return of function is required after surgery in order for them to perform their high-activity work. Consequently, several studies have evaluated the outcome of surgical intervention in military dogs.32,41,42 Overall successful outcome ranged from 41% to 78% of military working dogs being able to return to normal function.32,41,42 Age and severity of neurologic deficits were prognostically significant factors affecting outcome postoperatively.42 Dog older than 9 years of age or dogs with severe deficits (paresis, muscle atrophy, and urinary or fecal incontinence) were unlikely to return to work activity.42

CONCLUSION

In summary, lumbosacral disease is a syndrome rather than a disease. The signs consistent with lumbosacral syndrome are the result of dysfunction of the L7, sacral, and caudal spinal cord segments or spinal nerve roots. Consequently, patients present with varying degrees of sensory and motor dysfunction to the pelvic limbs. While many conditions result in signs of lumbosacral disease, degenerative lumbosacral stenosis is relatively common. Affected patients can present with paraparesis, urinary and fecal incontinence, hyperesthesia, and abnormal tail function. Degenerative lumbosacral stenosis is the result of Hansen's Type II intervertebral disk disease, hypertrophy of the dorsal longitudinal ligament and interarcuate ligament, and degenerative changes of the articular facets at the L7-sacral articulation.

Various tests have been used to diagnose degenerative lumbosacral stenosis. MRI is now considered the premier method of imaging the lumbosacral vertebral column. Despite advanced imaging procedures, clinical signs do not always correlate with imaging findings. So care must be exercised when interpreting imaging findings. Treatment of affected dogs includes both medical and surgical procedures. The prognosis depends on several factors, including age and degree of dysfunction. Overall, many affected dogs can benefit from therapeutic interventions.

Marc Kent, DVM, DACVIM (neurology, internal medicine)
Department of Small Animal Medicine and Surgery
College of Veterinary Medicine
The University of Georgia
Athens, GA 30602

REFERENCES

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