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KMID : 1094020210380010045
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Journal of Veterinary Clinics
2021 Volume.38 No. 1 p.45 ~ p.48
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Surgical Treatment of Lumbosacral Stenosis Caused by Bacterial
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Yim Hyeong-Jun
Kim Jong-Hoon
Kim Hyeon-Jo
Kim Jie-Yoo
Lee Si-Eun
Lee Hee-Chun
Kim Na-Hyun
Lee Dong-Bin
Lee Jae-Hoon
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Abstract
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A 6-year-old, 26 kg spayed female Great Dane presented with back pain and hindlimb paresis. On neurological examination, severe pain was detected on the lumbosacral joint displaying nerve-root signature. The animal presented with lower motor neuron paresis with normal deep pain perception. Radiographic examination revealed narrowing of the lumbosacral joint disc space with endplate destructive lysis. Magnetic resonance imaging of the lumbosacral joint revealed a cauda equina compression, especially on the left. On T2 and T1-weighted images, a mass sized 1 × 1 cm was identified laterally to the left of the lumbosacral joint with hyperintense signal. The lumbosacral joint was stabilized by applying the dorsal distraction fixation-fusion technique and dorsal laminectomy. The soft tissue mass was removed, and a bacterial culture was performed. Coagulase-negative Staphylococcus spp. were detected and discospondylitis was treated with clindamycin for 6 weeks. The patient showed clinical improvement without pain and hindlimb paresis until 6 months follow-up postoperatively.
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KEYWORD
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discospondylitis, dorsal laminectomy, dorsal distraction fixation-fusion technique, bacterial culture, dog
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