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© Kirrawee Veterinary Hospital CANINE DISEASES
Intervertebral Disc Disease
Intervertebral discs are the soft pads between each of the vertebrae
(bones which make up the spine). These discs have an outer skin
with an inner soft core which allows the spine to bend and flex
in a range of directions. The nerve tissue of the spinal cord
runs along a tube (spinal canal) through the middle of the vertebrae.
The discs are located just beneath the cord on the bottom half
of the vertebrae. Degeneration of the intervertebral discs can result in protrusion
or rupture into the spinal canal compressing the spinal cord.
The cause of the degeneration is unknown however there is a much
greater tendency in the breeds with short legs (chondrodystrophoid)
such as the dachshund. Mild signs may be indistinct and include
reluctance to jump, yelping when being patted or picked up, and
difficulty passing motions. As the pressure on the cord increases
some loss of feeling occurs causing weakness usually in the hind
legs. These dogs are still able to move the legs and have deep
pain. Greater pressure produces increasing levels of paralysis
and loss of pain response. It may be possible to identify an area of acute pain along the
neck or back in a dog showing signs of disc degeneration. Xrays
of the spine may show narrowing of the space between the vertebrae
or increased density of the disc (a sign of degeneration) in the
effected area. Myelograms, where dye which shows up on Xray is
injected along the spinal canal to outline any area of compression,
are the most accurate method of diagnosis. Treatment is based on relieving the pressure on the spinal cord
around the area of disc protrusion. Corticosteroids are the main
drugs used for medical management of this condition, acting by
reducing the inflammation in the spinal canal which occurs secondary
to the disc collapse. Acupuncture has also been used successfully
for this purpose. More severe cases with paralysis and loss of
deep pain responses generally require surgery to decompress the
spine. A range of techniques may be considered including opening
the disc to remove the contents (disc fenestration), and removing
part of the bone of the vertebrae over the area of damage (laminectomy).
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