Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies

Andrew Worth,1 Björn Meij,2 Nicholas Jeffery3 1Massey University Veterinary Teaching Hospital, School of Veterinary Science, Massey University, Palmerston North 4442, New Zealand; 2Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utre...

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Autores principales:	Worth A, Meij B, Jeffery N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	lumbosacral cauda equina review degenerative stenosis low back pain Veterinary medicine SF600-1100
Acceso en línea:	https://doaj.org/article/8b989bbd44fb483688441506eee3528f
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spelling	oai:doaj.org-article:8b989bbd44fb483688441506eee3528f2021-12-02T06:50:08ZCanine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies2230-2034https://doaj.org/article/8b989bbd44fb483688441506eee3528f2019-11-01T00:00:00Zhttps://www.dovepress.com/canine-degenerative-lumbosacral-stenosis-prevalence-impact-and-managem-peer-reviewed-article-VMRRhttps://doaj.org/toc/2230-2034Andrew Worth,1 Björn Meij,2 Nicholas Jeffery3 1Massey University Veterinary Teaching Hospital, School of Veterinary Science, Massey University, Palmerston North 4442, New Zealand; 2Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utrecht 3508 TD, The Netherlands; 3Texas A&M Veterinary Medical Teaching Hospital, College Station, TX 77845, USACorrespondence: Andrew WorthMassey University Veterinary Teaching Hospital, School of Veterinary Science, Massey University, Palmerston North 4442, New ZealandTel +64 6 3505329Email a.j.worth@massey.ac.nzAbstract: 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.Keywords: lumbosacral, cauda equina, review, degenerative stenosis, low back painWorth AMeij BJeffery NDove Medical Pressarticlelumbosacralcauda equinareviewdegenerative stenosislow back painVeterinary medicineSF600-1100ENVeterinary Medicine: Research and Reports, Vol Volume 10, Pp 169-183 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	lumbosacral cauda equina review degenerative stenosis low back pain Veterinary medicine SF600-1100
spellingShingle	lumbosacral cauda equina review degenerative stenosis low back pain Veterinary medicine SF600-1100 Worth A Meij B Jeffery N Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies
description	Andrew Worth,1 Björn Meij,2 Nicholas Jeffery3 1Massey University Veterinary Teaching Hospital, School of Veterinary Science, Massey University, Palmerston North 4442, New Zealand; 2Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utrecht 3508 TD, The Netherlands; 3Texas A&M Veterinary Medical Teaching Hospital, College Station, TX 77845, USACorrespondence: Andrew WorthMassey University Veterinary Teaching Hospital, School of Veterinary Science, Massey University, Palmerston North 4442, New ZealandTel +64 6 3505329Email a.j.worth@massey.ac.nzAbstract: 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.Keywords: lumbosacral, cauda equina, review, degenerative stenosis, low back pain
format	article
author	Worth A Meij B Jeffery N
author_facet	Worth A Meij B Jeffery N
author_sort	Worth A
title	Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies
title_short	Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies
title_full	Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies
title_fullStr	Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies
title_full_unstemmed	Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies
title_sort	canine degenerative lumbosacral stenosis: prevalence, impact and management strategies
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/8b989bbd44fb483688441506eee3528f
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Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies

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