Laminectomia dorsal lumbosacra como tratamiento de sindrome de cauda equina en un paciente canino de raza Pastor Belga.

Abstract

Lumbosacral lesions due to stenosis in this area, include a narrowing in the medullary canal, also known as cauda equina syndrome that occurs in dogs in an acquired or congenital form, and where characteristic clinical signs are observed to a compression of the nerve roots. On this occasion, a 6 month old Belgian shepherd dog named Thor was presented to the clinic, his owners report that he had not walked for 25 days, they also commented that he is a surviving patient of canine distemper. The physical examination revealed atrophy in his hind limbs, bilateral diminished superficial and deep sensitivity. An x-ray was performed, where a narrowing of the vertebral canal was observed at the level of L7/S1, reaching a definitive diagnosis of Cauda equina syndrome due to spinal compression. Finally, the decision was made to perform the lumbosacral dorsal laminectomy surgical procedure. Subsequently, the patient remains hospitalized for 10 days with in-hospital treatment (Ceftriaxone, Metronidazole, Clindamycin, Pregabalin tablets, Previcox tablets, Omeprazole, Tramadol, and wound cleanings). At the end of this treatment, a chondroprotective treatment with Artro300 suspension, Artrosamine tablets and turmeric tablets is sent as a prescription, additionally, neural therapies and muscle electrostimulation with Tens were performed once a week. Thanks to the discipline of the owners, the established treatment and the good recovery from the surgery, the patient managed to evolve satisfactorily, getting to mobilize his hind limbs again and presenting no more pain in his lumbosacral area.