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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Canine Spines in Crisis ... Will the Dread of Them Never Cease?

August 23, 2010 / (16) comments


Apparently, as long as I continue to share a household with Frenchies, I am doomed to living with spinal diseases. Love though I might the breed’s verve and goofiness, I'll be damned if I don’t feel like deadpanning Britney’s famous refrain for the sake of this crummy topic. "Oops, I did it again."

 

Almost three years back it was Sophie Sue’s spine on the chopping block. It was her neck that was the problem. Between Thanksgiving and Christmas of 2007, she spent nearly every day hunched in some degree of pain. Try as I might with all kinds of pain-relieving cocktails, I couldn’t manage her comfort.

Which is why it was finally agreed (after much coaxing by the surgeon — my significant other) that she’d be "imaged." That meant a fancy CT scan and/or special radiographic studies and the possibility of surgery.

As it turned out, despite a rough initial recovery period we later attributed to the myelogram (a contrast study we sometimes use to highlight the spinal canal), Sophie healed beautifully after having the extruded material from two "monster discs" removed from atop her spine. The extrudate had been causing significant pain to her squinched nerves, but left enough room so that the nerves never stopped conducting impulses normally from her brain and back to her limbs. Sophie was 100 percent pain-free in less than a week.

Sadly, she was diagnosed with brain cancer less than six months later. The good news is that she lived a very orthopedically comfortable 18 months after her spinal surgery.

Fast-forward two years and nine months and here we are again … with four year-old Vincent. But this time it’s not so much to do with pain. And we don’t even know if there are bad discs involved. What we do know is that after a couple of brief episodes of acute pain, he’s very, very slowly losing the ability to ambulate like a normal dog.

His back legs often can’t get him onto the perch of his choice when he tries to jump (which I now don’t allow him to do most of the time). His hind limbs sometimes cross over when he walks. His hind feet might knuckle over when he sits. He’s adopted a goofy, swaying trot-like gait. A dead run is a thing to watch as his back legs scrabble twice as fast when they fail to gain purchase, seeing as their location is all scrambled up in his brain.

It sounds dramatic, doesn’t it? Yet if you didn’t know what to look for, you’d be hard-pressed to put a finger on what was going on. In fact, most Vincent-watchers need to be told what to look for since the signs are still relatively subtle.

Though we don’t yet know the exact cause in Vincent’s case, what’s happening here is almost certainly related to Sophie Sue’s condition. Something is pressing on the spinal cord, that bundle of nerves that runs aong the spine, causing severe, unrelenting pain in some cases and decreased nerve conduction in others. Most dogs suffer both, though their proportions and timing will vary.

The potential causes are many, but by far the most common spinal disease in all dogs is the one Sophie Sue suffered from: intervertebral disc disease. Here’s my description, sourced from the genetic disease library I helped write for Embrace Pet Insurance:


[Intervertebral disc disease (or IVDD)] occurs in chondrodystrophic (dwarfed) breeds of dogs whose normal cartilage development has been tinkered with genetically for the purposes of a short, stout appearance. In these cases the degeneration of the disc material occurs essentially as a result of a cartilage deformity.


Hence, why dachshunds, Cavaliers and French bulldogs suffer so many "slipped discs" relative to other breeds of dogs. No, it’s not the "long back" issue in doxies so much as it is the propensity for degeneration as a result of the cartilage deformity these breeds have.

But Vincent’s trouble may be different. In his case, spinal hemivertebrae ("butterflied vertebrae") may be the cause. These malformed vertebral segments are the result of the same genes that cause the corkscrew tail in bully breeds. Problem is, sometimes these genes manage to get themselves expressed in the middle of the spine, too. And since they’re abnormally shaped, sometimes it means the spinal canal gets tight in those hemivertebrae spots. Tight = spinal cord compression.

These are the two most likely scenarios for my beloved Vincent. And either way, the solution is almost certainly the same: surgery.

To that end, he’s on the schedule for a CT scan tomorrow morning. I promise I’ll be back to update you on our findings and his progress. For now, just wish us luck!


Dr. Patty Khuly

 

 

Pic of the day: "Vincent says, 'My mom's been playing with her artsy iPhone apps again. But don't I look cute in my seatbelt?'" by me

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COMMENTS (16)
1
Interverteb. Disc Disease
by on 08/23/2010 01:36am

Good luck for Vincent tomorrow. You are doing the right thing, first finding out what is wrong with him and then looking into the treatment options.

Maybe one option to consider (once you have a diagnose) would be acupuncture/acupressure? If done properly by an experienced practitioner it can have amazing effects.

Fingers crossed for your boy and keep us updated!

Dagmar
www.animalconnection.com.au

2
by on 08/23/2010 05:30am

Poor guy. I always wonder if I will miss signs of pain.

3
by on 08/23/2010 07:08am

Before you opt for surgery please try chiropractic. I have a 14 yr old Dalmation that I was considering putting down. I had tried Deramaxx,Rimadyl and several supplements. While I didn't see much improvement and he was falling frequently.
Luckily, I found a chiropractor that would treat dogs as well as me! Anyway, after 4-5 adjustments he is using his hind legs individually instead of as one unit and he is starting to run, well, old dog running. He is off everything except 81mg aspirin and Nupro joint supplement.
I am so happy with the results.

4
by on 08/23/2010 08:16am

I'm so sorry about Vincent; I also have a young Frenchie (just turned 3 years) who has invertebral disk disease. He has had one surgery (last year); one preventive LDA procedure, and an episode that was treated with conservative management.
It is so hard.
I'm sure you know about all of the options/suppliments/treatments; but I can tell you for my guy the cold laser therapy seemed to be the most beneficial for immediate pain relief.

PattyP- Chiropractic adjustments/spinal adjustments are not a good idea if it IS IVDD; it increases the chances that the disks may rupture. This is why a correct diagnosis is so crucial.

5
Vincent
by on 08/23/2010 08:43am

I said a little prayer for him. Best wishes!!

6
Vincent / Lucky boy
by on 08/23/2010 09:19am

Please keep us updated, I have post/polio, Vincent and I are Blessed that we are loved.You and Vincent are in my Prayers.

7
Vincent
by on 08/23/2010 11:17am

So sorry to hear about Vincent! Will be keeping my fingers crossed for him.

My elderly cocker Sunny has some form of degenerative disc disease. It's not much of a factor now (knock on wood), and we hope it continues to be a mild issue. His spine has always protruded a bit no matter how much weight he carried.

Hugs to Vincent.

8
Vincent
by on 08/23/2010 11:52am

I'm so sorry about Vincent's troubles. Loving a dog is a wonderful and scary thing. Stuff happens to them...and they don't live near long enough even when some health issue doesn't come up. I am so thankful for veterinarians who help us get them through some of the health issues. When my standard poodle was 2 she injured her back from jumping off a high creek bank chasing my other dog. She was paralyzed in the hind legs for three weeks, but the vets and I got her through it. She's almost 6 now and is still a kayaking, hiking, minnow fishing (her favorite sport), and juvenile facility therapy dog. This is due to the knowledge and skills at a local emergency vet (of course it was on a Friday afternoon) and an immediate trip to the University of Florida Vet school that Monday. I SO appreciate good vets who care about what they do. And there are a lot of them out there.
Vincent is in my prayers for a good outcome. I think he is in great hands. He's a fortunate little dog.

9
glad he has you as a mom
by on 08/23/2010 03:35pm

how fortunate Vincent has you as his "mom". Good luck with his outcome and may it be the least of the troubles you think it will be.

10
by on 08/23/2010 03:43pm

My question to you is, having "been there, done that" with Sophie Sue, have you insurance on Vincent? As a Vet, do you qualify to purchase pet insurance?
After we had to do our mini-dachshund's back, we resolved to do the insurance route next time.
I know as a vet, things are a little more reduced cost for you, but still there's significant cost involved.
The surgery is WELL worth it. Our little mini had hers done at age 5 at the local college, and has been pain free and footloose since then. She's 13 now!

11
Best To Vincent!
by on 08/23/2010 04:28pm

ANY animal's discomfort is heartbreaking to observe. My service dog's Pancreatic Cancer' was especially sad on the days he was obviously hurting. Fortunately though, the whole disease process (once discovered) was fairly quick. He died at 14+ years. Our old Doxie was in a home-built 'Read-End' trailer for a couple of years before he died at age 18 - seemingly unrelated to his paralysis. We're praying that our young Dobie will fair well thoughout his life. It seem that there is more and more to worry about these days... or is it that we were all SO ignorant in the past?

Anyway, best of luck to Vincent!!

12
IVDD
by on 08/23/2010 05:09pm

IVDD is also found in corgis, which are dwarfs. Some of them have carts to get around in and some have successful surgery.

Wishing Vincent the best outcome.

13
Vincent
by on 08/23/2010 06:13pm

Dr. K: Oh boy, I am so sorry to hear you going through this again! I really sympathize with you, I have avoided a repeat experience with my Pearl's offspring Tickles who is now over 10. (knock on wood). We still carry Pearl out and in to avoid her using stairs, although we can't control her antics--she is soon to be 13.

We are grateful for her successful IVDD surgery that took that horrific pain away, although she still has residual weakness in one leg (that hasn't slowed her down one bit).

I'm also glad you chose a CT scan over a myleogram, as Pearl had an MRI, and so far in the small numbers of people that contact me, the myleogram seems to impede recovery---of course that could be just a coincidence too.

Not all dwarf breeds are plagued with this. I have not had one single Scottish Terrier afflicted.

Oh, please do send a DNA swab to UC Davis for their on-going research to find the gene 'responsible'__

14
Thinking good thoughts
by on 08/23/2010 10:35pm

Thinking good thoughts for Vincent.

I think you just cured my recent bout of frenchie puppy lust.
:-) He was another rescue wasn't he?

15
DM?
by on 08/24/2010 02:45pm

Have you considered degenerative myelopathy? I hope for your sake that this *isn't* what's going on, but it does sound rather similar.

For a long time, we thought DM didn't affect Frenchies, but sadly, we've discovered that it does. In fact, the FBDCA has recently made a grant towards the further study of DM in French Bulldogs.

My own Mae was diagnosed, via symptoms, with degenerative myelopathy, and blood tests submitted confirmed the diganosis.

On the positive side, it's a slow moving condition, and painless at least in the first stages.

Knock on wood, I've actually only ever had *one* case of degenerative disc disease in a French Bulldog, and she recovered nicely after crate rest, prednisone, cold laser therapy and some massage. She lived an additional, nicely mobile five years after her first and only acute attack. As breeders, we're attempting to move forward towards a future of healthier Frenchie spines, via premilinary screening.

My best thoughts for you, and for Vincent.

Carol

16
canine spines
by on 09/05/2010 03:26pm

First- it's so good to be able to read your blog again. Second- Agadore, my standard poodle, has been having what I believe are back problems for 3 weeks now. At first, I thought he re-injured a previously pulled groin muscle... but it isn't getting better. He's stiff, moves his back legs as one unit, and doesn't want to jump up on anything....I checked into a canince chiropractor, but this practice wants a complete cbc, a "bio-reading"-whatever that is, and they want to cut my dog's hair and have it sent off to test for toxins....they also want the patient to agree to feed their pet the supplements they sell... I have been to a good chiropractor and also a snake oil chiro, much like this canine one, that wanted me to sign a contract guaranteeing i would receive a set number of treatments.. I am hoping that I can find one....Agadore isn't getting better....good luck with Vincent!

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About fully vetted

Patty Khuly, VMD, MBA

Photo of Dr Khuly

Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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