An unusual case of intervertebral disc extrusion in a dog

Author(s):  
Koen Santifort ◽  
Jeanette Pijnenburg ◽  
Martijn Beukers ◽  
Wilhelmina Bergmann ◽  
Niklas Bergknut

Author(s):  
Max Foreman ◽  
Enzo Vettorato ◽  
Abby Caine ◽  
Paola Monti ◽  
Giunio Bruto Cherubini ◽  
...  


Author(s):  
Joint Halley Guimbard Pérez ◽  
Andrés Barriga-Martín ◽  
Luis María Romero-Munóz

Las hernias discales intraesponjosas vertebrales o nódulos de Schmörl consisten en una herniación o una extrusión del núcleo pulposo del disco intervertebral a través del platillo vertebral hacia el cuerpo adyacente. Suelen asociarse a deformidades vertebrales, como la enfermedad de Scheuermann, o a enfermedades reumáticas, como la espondilitis anquilopoyética. En general, son hallazgos casuales y cuadros asintomáticos; son pocos los casos publicados de nódulos sintomáticos. Su aparición estaría relacionada con un platillo vertebral debilitado por traumatismo o estrés repetido. Cuando el nódulo es agudo o reciente, puede ser difícil diferenciar la degeneración benigna de una infiltración maligna o una infección. Presentamos un caso inusual de un nódulo de Schmörl doloroso en un hombre sin antecedentes de relevancia, que enmascaró una lesión metastásica de carcinoma pancreático a nivel lumbar. Se realiza una revisión bibliográfica.  ABSTRACTIntraosseous disc herniation –or Schmörl nodes (SN)– are a herniation or prolapse of the nucleus pulposus of the intervertebral disc through the vertebral plate and into the adjacent vertebral body. They are usually associated with vertebral deformities, suchas Scheuermann’s disease, or rheumatic diseases, such as ankylopoietic spondylitis. In general, they are spontaneous and asymptomatic findings, and there are only a few reported cases of symptomatic nodes. The etiology is supposedly related to a weakened spinal plate due to trauma or repeated stress. When the node is acute or recent, it can be difficult to differentiate a benign degeneration from a malignant infiltration or infection. In this paper, we discuss the unusual case of a painful Schmörl node in a man with no relevant history and a masked metastatic lumbar spinal tumor originated from pancreatic cancer. We performed a literature review.



2012 ◽  
Vol 26 (5) ◽  
pp. 786-789
Author(s):  
Sei Fukui ◽  
Kazuhito Nitta ◽  
Narihito Iwashita ◽  
Hisashi Tomie ◽  
Shuichi Nosaka


2020 ◽  
Vol 8 (1) ◽  
pp. e001042
Author(s):  
Koen Maurits Santifort

A 5-year-old 8. 2-kg Dachshund was presented with progressive paraparesis and ataxia of several weeks’ duration and signs of pain persisting despite conservative treatment consisting of (cage) rest and analgesic treatment with gabapentin (12.2-mg/kg three times a day) and meloxicam (0.1-mg/kg once a day). Neurological examination was consistent with a T3–L3 myelopathy. CT images showed a mineralised mass in the ventrolateral (right) vertebral canal with severe compression of the spinal cord, taking up >50% of the vertebral canal. An intervertebral disc extrusion (Hansen type I intervertebral disc herniation) with compressive myelopathy was (presumptively) diagnosed. A combination of a partial lateral corpectomy and pediculectomy ('mini-hemilaminectomy') was performed. This surgical approach was deemed best suited to provide adequate access and to remove as much material as possible without compromising the spinal cord. There were no intraoperative complications. Signs did not recur postsurgically, and 2 weeks postsurgery, neurological signs were resolved.



2019 ◽  
Vol 33 (01) ◽  
pp. 066-070
Author(s):  
Georgina Harris ◽  
Paul Freeman

Abstract Objective Intervertebral disc extrusion is a common disease affecting chondrodystrophic dogs. It has been reported that fenestration of thoracolumbar intervertebral discs reduces recurrence of disc extrusion and is associated with a low complication rate. One complication reported is iatrogenic introduction of disc material into the canal directly following fenestration. This study aimed to ascertain if, and at what frequency, additional disc material may be introduced into the vertebral canal by fenestration of the affected disc following decompressive surgery. Study Design Twenty-one dogs that underwent hemilaminectomy and disc fenestration for the treatment of thoracolumbar intervertebral disc extrusion had intraoperative assessment of the vertebral canal before and after fenestration. The spinal cord was first decompressed by hemilaminectomy and removal of all visible extruded disc material within the vertebral canal. Once no further material was visible, manual fenestration of the affected disc was performed. The vertebral canal was re-inspected, and the presence or absence of additional material was noted and included in the surgery report. Results Seven dogs showed the presence of new disc material in the vertebral canal post fenestration.This preliminary study shows that additional disc material can be forced into the vertebral canal by fenestration following decompressive surgery, with a frequency of 7/21. Conclusion This illustrates the importance of checking the vertebral canal after fenestration of an extruded intervertebral disc.





2016 ◽  
Vol 19 (4) ◽  
pp. 419-423 ◽  
Author(s):  
Steven De Decker ◽  
Anne-Sophie Warner ◽  
Holger A Volk

Objectives The objective was to evaluate the prevalence and possible breed predilections for thoracolumbar intervertebral disc disease (IVDD) in cats. Methods Medical records and imaging studies of cats diagnosed with thoracolumbar IVDD between January 2008 and August 2014 were retrospectively reviewed and compared with the general hospital population. The association between type of IVDD (ie, intervertebral disc extrusion [IVDE] or intervertebral disc protrusion [IVDP]) and breed, age, sex, and duration and severity of clinical signs was also evaluated. Results Of 12,900 cats presented during the study period, 31 (0.24%) were diagnosed with IVDD, including 17 purebred and 14 non-purebred cats. Of all presented purebred cats, 0.52% were diagnosed with thoracolumbar IVDD. More specifically, 1.29% of all British Shorthairs and 1.83% of all presented Persians were diagnosed with IVDD. Compared with the general hospital population, purebred cats ( P = 0.0001), British Shorthairs ( P <0.0001) and Persians ( P = 0.0006) were significantly overrepresented with thoracolumbar IVDD. Affected purebred cats were younger than affected non-purebred cats ( P = 0.02). Of 31 cats with IVDD, 19 were diagnosed with IVDE and 12 with IVDP. Cats with IVDE had a significantly shorter duration of clinical signs ( P = 0.0002) and demonstrated more severe neurological deficits ( P = 0.04) than cats with IVDP. Conclusions and relevance Although thoracolumbar IVDD is an uncommon condition in cats, purebred cats, British Shorthairs and Persians, were overrepresented. It is currently unclear if this represents a true breed predisposition or a higher likelihood of owners of purebred cats seeking referral for advanced diagnostic imaging procedures.



2012 ◽  
pp. n/a-n/a ◽  
Author(s):  
Takeshi Aikawa ◽  
Hiroshi Fujita ◽  
Mitsuhiro Shibata ◽  
Taishi Takahashi


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