Traumatic Lumbosacral Joint Dislocation in 3
Dogs: Clinical Presentation, Diagnosis, Treatment and Short-term
Follow-up
Della Valle G1*,
Di Dona F1, Mennonna G2, Lamagna B1,
Pasolini MP1, Caterino C1, Lamagna F1
and Fatone G1
1Department
of Veterinary Medicine and Animal Productions – University of Naples
Federico II – Naples, Italy
2Interdepartmental Centre of Veterinary Radiology –
University of Naples Federico II – Naples, Italy
*Corresponding author:
giovanni.dellavalle@unina.it
Abstract
Traumatic lumbosacral joint dislocation (TLSJD) without L7
vertebral body fracture is a rare injury in dogs. This report describes clinical
presentation, therapy and outcome in 3 dogs. Three crossbreed dogs with
non-ambulatory paraparesis and lumbar pain were referred. Radiographs confirmed
TLSJD and dorso-ventral displacement (DVD) was measured pre- and
postoperatively. Case 1 was treated by percutaneous transilial pinning. Cases 2
and 3 were treated by internal fixation with pins and PMMA. Within 72h after
surgery all dogs were able to stand and walk, and faecal incontinence resolved.
To the author’s knowledge this is the first description of a case series of
TLSJD in the dog. The biomechanics of TLSJD in animals have not been
investigated. It is likely that a single trauma severely hyper-extends L7-S1
causing disruption of the supra and inter-spinous ligaments with simultaneous
shear and compression forces that cause ventral slipping of the sacrum. Pins and
PMMA compared to percutaneous transilial pinning, provided more strength and
stability. In conclusion, TLSJD requires appropriate surgical reduction and
stabilisation to allow fibrous healing of the L7-S1 junction, resulting in
satisfactory neurological recovery.
To Cite This Article: Della Valle G, Di Dona F,
Mennonna G, Lamagna B, Pasolini MP, Caterino C, Lamagna F, Fatone G, 2021.
Traumatic lumbosacral joint dislocation in 3 dogs: clinical presentation,
diagnosis, treatment and short-term follow-up.
Pak Vet J, 41(1): 97-101. http://dx.doi.org/10.29261/pakvetj/2021.002