What should I do with a congenital vertebral malformation in a Pug or Bulldog breed?
This TidBit Tuesday is focused on a recent article out of the Netherlands that looked at the L6-sacrum of NORMAL Pug dogs and Bulldog breeds.
Did you know...
1) More than 50% of dogs in these breeds have radiographic evidence of a vertebral malformation?
This means that if you radiograph the abdomen on a neurologically normal Pug and see lumbosacral hemivertebra it is not worth investigating!
2) Over 60% of this population of dogs had disc a herniation at L7-S1. (Remember, normal dogs!)
Disc herniation was more common in older animals and therefore the authors suggest these are age related changes. They are subclinical!
We've known for sometime that L7-S1 disc herniations in large breed dogs can be incidental on MRI; this confirms the same can be true in these breeds too!
3) The development of spondylosis deformans increased by 2.5 % for each increasing month of age. Also, the authors reported no significant difference in the presence of spondylosis deformans in dogs with or without vertebral malformations.
My interpretation...when a radiograph shows you spondylosis deformans with or without a vertebral malformation, you can still ignore it in a neurologically normal animal.
How do I know the animal is neurologically normal??
Someone help me out here...
Do a neurologic examination. :) Not sure you're up to the task? Contact me! I'm happy to do a neurology examination refresher CE at your hospital or a consultation to examine a clinical patient.