Lake Forest Animal Hospital , Forest, VA , USA.
Department of Small Animal Clinical Sciences, Virginia Maryland College of Veterinary Medicine , Blacksburg, VA , USA.
Front Vet Sci. 2016 Jan 27;3:1. doi: 10.3389/fvets.2016.00001. eCollection 2016.
Intervertebral disk disease (IVDD) is common in dogs; cervical IVDD accounts for 13-25% of all cases. Ventral slot decompression provides access to ventral and centrally extruded or protruded disk material. However, procedures to remove dorsally or laterally displaced material are more difficult. This case series describes the use of perineural injection as a potential treatment option for dogs experiencing root-signature signs associated with lateralized disk material in the cervical spine. Five dogs underwent fluoroscopically guided perineural injection of methylprednisolone ± bupivacaine. Most patients experienced improvement in root-signature signs and remained pain free without the assistance of oral pain medication. These findings suggest the perineural injection of methylprednisolone ± bupivacaine represents a viable option for dogs with cervical lateralized disk material causing root-signature signs.
椎间盘疾病（IVDD）在犬中很常见；颈椎 IVDD 占所有病例的 13-25%。腹侧槽减压术可用于治疗腹侧和中央突出或突出的椎间盘物质。然而，去除背侧或外侧移位的物质的程序更加困难。本病例系列描述了经皮神经内注射作为一种潜在的治疗选择，用于治疗患有与颈椎侧方椎间盘物质相关的神经根签名征象的犬。五只狗接受了经荧光镜引导的甲基强的松龙±布比卡因经皮神经内注射。大多数患者的神经根签名征象得到改善，并且在没有口服止痛药帮助的情况下保持无痛。这些发现表明，经皮神经内注射甲基强的松龙±布比卡因可能是患有颈椎侧方椎间盘物质引起神经根签名征象的犬的一种可行选择。
