Treatment of 10 dogs with discospondylitis by fluoroscopy-guided percutaneous discectomy

• Published in: Veterinary record Vol. 156; no. 3; pp. 78 - 81
• Main Authors: Kinzel, S., Koch, J., Stopinski, T., Afify, M., Kupper, W., Buecker, A., Krombach, G.
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group Limited 15-01-2005; Blackwell Publishing Ltd
• Subjects: Animals; Discitis - surgery; Discitis - veterinary; Diskectomy, Percutaneous - veterinary; Dog Diseases - diagnostic imaging; Dog Diseases - pathology; Dog Diseases - surgery; Dogs; Female; Fluoroscopy - veterinary; intervertebral disks; Male; Minimally Invasive Surgical Procedures - veterinary; Radiography, Interventional - veterinary; surgery; Treatment Outcome
• ISSN: 0042-4900; 2042-7670
• DOI: 10.1136/vr.156.3.78

Ten dogs suffering from discospondylitis were treated by percutaneous discectomy and local and systemic antibiotic therapy. With fluoroscopic guidance, a cylinder 5 mm in diameter was removed from the centre of the intervertebral space, yielding a fenestration and decompressing the disc without producing any spinal instability. The causative bacteria were identified in nine of the 10 biopsy specimens, but in only three urine cultures and four blood cultures. In two cases, the antibiotics used initially had to be changed owing to the organisms' antibiotic resistance. The clinical signs of the dogs improved markedly after two to nine days (mean 4˙2 days) and had resolved completely after five to 14 days (mean 9˙1 days). In all the cases the disease could be classified histologically as either acute or chronic, and the disease was classified as chronic in one dog. No side effects were observed.