Perineural Injection for Treatment of Root-Signature Signs Associated with Lateralized Disk Material in Five Dogs (2009–2013)

Abstract

Intervertebral disk disease (IVDD) is common in dogs; cervical IVDD accounts for 13–25% of all cases. Ventral slot decompression provides access to ventral and centrally extruded or protruded disk material. However, procedures to remove dorsally or laterally displaced material are more difficult. This case series describes the use of perineural injection as a potential treatment option for dogs experiencing root-signature signs associated with lateralized disk material in the cervical spine. Five dogs underwent fluoroscopically guided perineural injection of methylprednisolone ± bupivacaine. Most patients experienced improvement in root-signature signs and remained pain free without the assistance of oral pain medication. These findings suggest the perineural injection of methylprednisolone ± bupivacaine represents a viable option for dogs with cervical lateralized disk material causing root-signature signs.

Ultrasonography-Guided Perineural Injection of the Ramus ventralis of the 7 and 8th Cervical Nerves in Horses: A Cadaveric Descriptive Pilot Study

“…Dogs adopt a non-weight bearing posture on the affected side, holding their forelimb in a semi-flexed position. They may also show some signs of neck pain (8).…”

“…Selective cervical nerve root injections have been used in humans and dogs mainly for therapeutic purposes and, less commonly, to confirm the site of pain (8,(11)(12)(13)(14)(15)(16). Periradicular injection techniques have been developed under fluoroscopic guidance but more recently ultrasonography-guided injections have been shown to be as effective and possibly safer in humans (11,14,16,17).…”

Canines (Canis lupus familiaris) as biodetectors for conservation work: Can they discriminate the rock ptarmigan (Lagopus muta) from the willow grouse (L. lagopus) in a yes/no task?

“…Working dogs have been stated to have increased success when it comes to careful selection in relation to breed and personality traits as e.g. high trainability, high drive (hunt-, prey-, play-and motivational drive), a useful amount of independence, and fitness [34,49,59,60]. An important factor to document, as many of today's studies are based on highly successful working dogs with long experience, and a random dog may not be capable of achieving their detection skills [25,30,39,49].…”

Das Nervenwurzelsyndrom beim Kleintier

“…4 unter pharmakologischem Management aufgeführt), minimalinvasiv und bildgesteuert in der Nähe der schmerzverursachenden Nervenwurzel eingebracht werden. Dieser risikoarme Eingriff hat durch eine gezielte lokale Schmerzausschaltung auch einen diagnostischen Aspekt [16].…”