Surgery for wobbler syndrome in large breed dogs

Abstract

OBJECTIVE: To evaluate the use of a modified K-wire spacer for maintaining intervertebral distraction after ventral decompression and during stabilization as a treatment for disc-associated wobbler syndrome in large breed dogs. STUDY DESIGN: A retrospective study. ANIMALS: Dogs (n=7) with disc-associated wobbler syndrome. METHODS: Medical records (2003-2006) of dogs treated by a modified surgical method were evaluated. Data retrieved were signalment, onset and duration of clinical signs, neurologic abnormalities, diagnostic methods, surgical procedure, immediate, and long-term (>or=1 year) postoperative clinical and radiographic outcome. RESULTS: Mean duration of clinical signs was 4.8 months. Neurologic signs included ataxia (2), ambulatory tetraparesis (2), and non-ambulatory tetraparesis (3). Three dogs had disc protrusion in 2 sites, 2 dogs had the procedure in 1 location and stabilization of both affected sites. All dogs improved dramatically and remained for 1-3 years. One dog had recurrence of cervical discomfort 13 months later. CONCLUSIONS: Despite the limited number of dogs, overall initial successful outcome with only 1 dog having mild recurrence 13 months later supports further use and evaluation of this technique. CLINICAL RELEVANCE: Distraction using a K-wire spacer after ventral decompression followed by stabilization should be considered in dogs with disc-associated wobbler syndrome to prevent collapse of the intervertebral space.