Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies
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Date
2019-11-19
Open Access Location
Journal Title
Journal ISSN
Volume Title
Publisher
Dove Medical Press
Rights
(c) 2019 The Author/s
CC BY-NC 3.0
CC BY-NC 3.0
Abstract
Canine degenerative lumbosacral stenosis (DLSS) is a syndrome of low back pain with or without neurologic dysfunction associated with compression of the cauda equina. Most commonly occurring in medium- to large-breed dogs of middle to older age, German shepherd and working dogs are predisposed. Diagnosis is based on a combination of clinical signs, advanced imaging and ruling out other differential diagnoses. The volume of the intervertebral foramina at the lumbosacral junction is naturally reduced on extension but degenerative changes lead to a more marked reduction that can impinge the L7 nerve roots. Evidence is lacking on which to base decision-making for treatment of dogs with DLSS. However, surgical intervention may be indicated in dogs that do not respond to conservative management, or for dogs in which there is a requirement to work that prevents lifestyle adjustments. Improvements in electrodiagnosis and novel intra-discal treatments may improve the management of DLSS in the future.
Description
Keywords
cauda equina, degenerative stenosis, low back pain, lumbosacral, review
Citation
Worth A, Meij B, Jeffery N. (2019). Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies.. Vet Med (Auckl). 10. (pp. 169-183).