Meij Björn P, Bergknut Niklas
Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, PO Box 80.154, Yalelaan 108, NL-3508 TD, Utrecht, The Netherlands.
Vet Clin North Am Small Anim Pract. 2010 Sep;40(5):983-1009. doi: 10.1016/j.cvsm.2010.05.006.
Degenerative lumbosacral stenosis (DLSS) is the most common disorder of the caudal lumbar spine in dogs. This article reviews the management of this disorder and highlights the most important new findings of the last decade. Dogs with DLSS are typically neuro-orthopedic patients and can be presented with varying clinical signs, of which the most consistent is lumbosacral pain. Due to the availability of advanced imaging techniques such as computed tomography and magnetic resonance imaging that allow visualization of intervertebral disc degeneration, cauda equina compression, and nerve root entrapment, tailor-made treatments can be adopted for the individual patient. Current therapies include conservative treatment, decompressive surgery, and fixation-fusion of the L7-S1 junction. New insight into the biomechanics and pathobiology of DLSS and developments in minimally invasive surgical techniques will influence treatment options in the near future.
退行性腰骶部狭窄（DLSS）是犬类尾腰椎最常见的疾病。本文回顾了该疾病的治疗方法，并突出了过去十年中最重要的新发现。患有DLSS的犬通常是神经骨科患者，可能会出现不同的临床症状，其中最常见的是腰骶部疼痛。由于有先进的成像技术，如计算机断层扫描和磁共振成像，可用于观察椎间盘退变、马尾神经受压和神经根受压情况，因此可为个体患者采用量身定制的治疗方法。目前的治疗方法包括保守治疗、减压手术以及L7-S1关节的固定融合术。对DLSS生物力学和病理生物学的新认识以及微创外科技术的发展将在不久的将来影响治疗选择。
