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Degenerative lumbosacral stenosis.

L De Risio1, W B Thomas, N J Sharp

  • 1Department of Clinical Sciences, North Carolina State University, Raleigh, USA.

The Veterinary Clinics of North America. Small Animal Practice
|February 19, 2000
PubMed
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Degenerative lumbosacral stenosis in dogs involves nerve impingement due to spinal changes. Diagnosis uses clinical signs and imaging, with decompressive surgery offering effective management for canine patients.

Area of Science:

  • Veterinary Neurology
  • Canine Orthopedics
  • Comparative Medicine

Background:

  • Degenerative lumbosacral stenosis (DLSS) is a common condition in middle-aged, large-breed dogs, particularly German Shepherds.
  • It results from soft tissue and bony changes in the lumbosacral joint, leading to impingement of the cauda equina nerve roots or vasculature.
  • Clinical signs include lumbosacral pain, pelvic limb lameness, weakness, ataxia, and urinary incontinence.

Purpose of the Study:

  • To review the current understanding and management strategies for degenerative lumbosacral stenosis in dogs.
  • To highlight diagnostic approaches and treatment options for this debilitating condition.

Main Methods:

  • Review of existing literature on degenerative lumbosacral stenosis.
  • Analysis of diagnostic criteria, including clinical presentation and advanced imaging techniques (e.g., MRI, CT).

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  • Evaluation of surgical and non-surgical treatment outcomes.

    • Main Results:

    • Diagnosis relies on a combination of characteristic clinical signs and supportive imaging findings.
    • Decompressive surgery is frequently effective in alleviating clinical signs and improving function in affected dogs.
    • Conservative management may be considered for mild cases, but surgical intervention is often necessary for significant neurological deficits.

    Conclusions:

    • Degenerative lumbosacral stenosis is a significant cause of neurological dysfunction in dogs, requiring accurate diagnosis and timely intervention.
    • Surgical decompression offers a high success rate for managing this condition, improving the quality of life for affected animals.