scholarly journals Clinical management of dogs with presumptive diagnosis of cervical intervertebral disc disease: 78 cases (2006-2017)

2020 ◽  
Vol 40 (3) ◽  
pp. 176-180
Author(s):  
Raquel Baumhardt ◽  
Angel Ripplinger ◽  
Graciane Aiello ◽  
Marcelo L. Schwab ◽  
Denis A. Ferrarin ◽  
...  

ABSTRACT: This study aimed to identify dogs with a presumptive diagnosis of cervical intervertebral disc disease (IVDD; C1-C5 or C6-T2) submitted to clinical management and evaluate the outcome. This study also aimed to demonstrate the age, sex, and treatment response according to the neurological degree, and verify whether those factors could potentially influence the outcome. The data were obtained from patients with a neurological dysfunction, admitted at the Veterinary Hospital from January 2006 to March 2017. In addition to patient records, the tutors answered a questionnaire related to the success of therapy. A hundred and seventy-seven neurological records were evaluated, and 78 were included in the study according to the inclusion criteria. The most frequent breeds were Dachshunds, followed by mixed-breed dogs. Regarding the neurological dysfunction degree, 58.97% presented grade I (only neck pain), 25.64% were grade II (ambulatory tetraparesis), and 15.38% grade III (nonambulatory tetraparesis). Absolute and partial space rest were performed in 75.64% and 24.36% of the cases, respectively. The minimum rest time was one week and could come up to four weeks. Most dogs were small-sized (≤15kg). The recovery was satisfactory in 87.17% of dogs and unsatisfactory in 12.83%. Regarding recurrence, we observed that 10.3% of dogs presented satisfactory recovery. The clinical treatment for dogs with cervical IVDD can be indicated with adequate clinical response to dysfunction degrees ranging from I to III, either at rest or in restricted space and with a low rate of relapse.

2020 ◽  
Vol 40 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Raquel Baumhardt ◽  
Angel Ripplinger ◽  
Graciane Aiello ◽  
Marcelo L. Schwab ◽  
Denis A. Ferrarin ◽  
...  

ABSTRACT: This study aimed to identify dogs with presumptive diagnosis of cervical intervertebral disc disease (IVDD) submitted to clinical management and to evaluate the outcomes. Data were obtained from the medical records of patients with neurological dysfunction assisted at a University Veterinary Hospital from 2006 to 2017. In addition to the patients’ records, dog owners responded to a questionnaire on the success of therapy. Four hundred and thirteen neurological records were evaluated, and 164 met the inclusion criteria of the study. The most common breed was Dachshund, followed by mongrels. Classification of neurological dysfunction in the study sample was as follows: 15.9% with grade I, 25.6% with grade II, 26.8% with grade III, 8.5% with grade IV, and 23.2% with grade V. Outcome was satisfactory in 71.6% of the dogs and unsatisfactory in 28.4% of them. Recurrence was observed in 27.7% of those with satisfactory outcomes. The clinical treatment of dogs with thoracolumbar IVDD is satisfactory, particularly for animals with milder disease grades (I, II, and III). There is possibility of recurrence with conservative therapy and clinical signs may be more severe.


2020 ◽  
Vol 50 (8) ◽  
Author(s):  
Marcelo Luís Schwab ◽  
Dênis Antonio Ferrarin ◽  
Angel Ripplinger ◽  
Lícia Flávia Silva Herculano ◽  
Ana Caroline Teixeira Colvero ◽  
...  

ABSTRACT: The objective of this study was to verify the clinical recovery of dogs that underwent ventral slot surgical decompression with lateralized compressions of the cervical spinal cord caused by intervertebral disc disease (IVDD). Twenty patients were selected in different degrees of neurological dysfunction with definitive diagnosis of lateralized compression by cervical IVDD. Postoperative clinical recovery was assessed in patients who had undergone at least two months of the surgical procedure. There was a satisfactory recovery in 19 dogs (95%) and unsatisfactory recovery in another (5%), showing a significant clinical improvement (p<0.05) in the use of this technique in lateralized compression cases. The ventral slot promotes satisfactory clinical recovery of dogs with lateralized compression of the spinal cord caused by cervical IVDD and may be indicated as a surgical alternative.


2002 ◽  
Vol 15 (03) ◽  
pp. 137-144 ◽  
Author(s):  
R. M. Rayward

SummaryIntervertebral disc disease should be considered in the differential diagnosis of feline myelopathy. Animals of any age, breed or gender may be affected and onset of neurological dysfunction may be variable. The thoracolumbar junction and to a lesser extent the mid lumbar spine are the most commonly affected sites and Hansen type I disc extrusions predominate. Standard investigations (radiography, myelography, computed tomography, magnetic resonance imaging) and surgical techniques (laminectomy, hemilaminectomy, fenestration, durotomy) may be employed. Although response to conservative treatment is variable, surgically treated cases generally respond favourably but neurological recovery may be incomplete. Following surgical intervention, a recurrence of clinically significant IVDD has not been reported.


2019 ◽  
Vol XXIV (143) ◽  
pp. 60-65
Author(s):  
Juliana F. S. Conceição ◽  
Ana C. B. de C. F. Pinto ◽  
Luísa Fonseca Oliveira ◽  
Igor de Almeida Santos ◽  
Mariana Ramos Queiroz ◽  
...  

Vacuum phenomenon (VP) refers to the presence of gas in joint spaces, including those in the spinal column. The phenomenon is associated with progressive and chronic diseases, such as intervertebral disc disease (IVDD). We reviewed 55 canine spinal CT images for the presence of VP, and studied its association with IVDD to determine the association between the VP and the clinical signs exhibited by the patients at the time of exam. All images were obtained between January 2016 and July 2018, at the Diagnostic Imaging Service of a Veterinary Hospital. Image consistent with VP was observed in 7 (12.7%) of the 55 cases. Of these 7 animals, pain and paresis was reported in 3, pain with plegia in 1, and plegia without pain in 3 dogs. One dog did not have a confirmed diagnosis of IVDD. Further studies with larger samples are still needed to confirm the relevance of this phenomenon in the diagnosis of IVDD in dogs.


2021 ◽  
pp. 1098612X2110280
Author(s):  
Kayla M Fowler ◽  
Theresa E Pancotto ◽  
Stephen R Werre ◽  
Michaela J Beasley ◽  
William Kay ◽  
...  

Objectives The aim of this study was to evaluate the outcome and prognosis of thoracolumbar feline intervertebral disc disease (IVDD) treated by surgical decompression. Methods This was a multi-institutional retrospective study evaluating the age, breed, sex, body weight, presenting complaint, neuroanatomic diagnosis at presentation, diagnostic imaging results, surgery performed and the overall outcome at discharge and at recheck. Bivariable associations between variables were assessed using the Kruskal–Wallis test (age and grade of IVDD at presentation) and Fisher’s exact test (grade of IVDD at presentation and outcome). Results A total of 35 cats met the inclusion criteria for the study. The most frequently reported clinical sign was difficulty walking (54.2%). The majority of cats presented with an L4–S3 localization (57%). The most common site of intervertebral disc herniation (IVDH) was at L6–L7 (34%). The majority of feline patients that received surgery had a positive outcome at the time of discharge (62.5%; n = 20/32) and at the time of the 2-week recheck (91.3%; n = 21/23). No association was identified between the age of the patient and the grade of IVDD. No association was identified between the presenting grade of IVDD and the clinical outcome at the time of discharge or at the time of recheck evaluation. Conclusions and relevance Cats undergoing spinal decompressive surgery for thoracolumbar IVDH appear to have a favorable prognosis independent of the initial presenting grade of IVDD. A larger sample size and a longer length of follow-up is necessary to obtain statistical associations between the presenting grade of IVDD and overall clinical outcome.


1973 ◽  
Vol 39 (2) ◽  
pp. 203-208 ◽  
Author(s):  
Dwight Parkinson ◽  
Christopher Shields

✓ Thirty-three intervertebral disc patients who otherwise would have been subjected to surgery were treated by injection with chymopapain. The pharmacology, toxicology, physiology, immunology, and chemical action of this enzyme, which specifically reacts with chondromucoproteins, are discussed. Results indicate that this method, although still experimental and unapproved by the U. S. Food and Drug Administration, may become a useful addition to the surgeon's armamentarium in the treatment of intervertebral disc disease.


2012 ◽  
Vol 25 (02) ◽  
pp. 109-115 ◽  
Author(s):  
M. Thomas ◽  
J. M. Weh ◽  
J. Bleedorn ◽  
K. Wells ◽  
W. J. Roach

SummaryObjective: To evaluate the presence of residual disc material within the vertebral canal following hemilaminectomy in chondrodystrophic dogs with thoracolumbar intervertebral disc disease.Methods: Forty dogs were treated by hemilaminectomy. Computed tomography was performed preoperatively and immediately postoperatively. The vertebral canal height, width, area, and herniated disc material area were measured. Maximum filling percentage (MFP), residual disc percentage (RDP), maximum residual filling percentage (MRFP), and residual filling percentage (RFP) were calculated. Clinical outcome was determined by telephone interviews.Results: Residual disc material was present in 100% of the dogs. Mean MFP = 55.4% (range 25.9–82.3%; median 56.9%). Mean RDP = 50.3% (range 2.6–155.8%; median 47.9%). Mean MRFP = 30.8% (range 4.9–60%; median 30.1%). Mean RFP = 19.8% (range 4.8–45%; median 19.0%). All dogs were ambulatory with voluntary urination at the long-term follow-up (range: 88–735 days).Clinical significance: Residual disc was present in all dogs following hemilaminectomy for intervertebral disc disease. Residual disc was not associated with failure to achieve functional recovery in these cases.


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