{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T03:34:30Z","timestamp":1792553670826,"version":"4.5.0"},"reference-count":27,"publisher":"American Veterinary Medical Association (AVMA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2014,8,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:p><jats:bold>Objective<\/jats:bold>\u2014To compare clinical signs of dogs treated medically or surgically for degenerative lumbosacral stenosis (DLSS) and assess outcome after medical treatment.<\/jats:p>\n<jats:p><jats:bold>Design<\/jats:bold>\u2014Retrospective case series.<\/jats:p>\n<jats:p><jats:bold>Animals<\/jats:bold>\u2014Client-owned dogs treated medically (n = 49) or surgically (49) for DLSS.<\/jats:p>\n<jats:p><jats:bold>Procedures<\/jats:bold>\u2014Medical records from 2004 to 2012 were reviewed. Dogs were included if they had clinical signs, clinical examination findings, and MRI abnormalities consistent with DLSS. Several variables were compared between surgically and medically treated dogs: age, sex, duration of clinical signs, presence or absence of neurologic deficits, urinary and fecal incontinence, concurrent medical conditions, and medical treatment before referral. Medical treatment after obtaining a final diagnosis of DLSS consisted of restricted exercise in combination with anti-inflammatory and analgesic drugs. Surgical treatment consisted of dorsal lumbosacral laminectomy. Outcome for medically treated dogs was obtained via a standardized questionnaire.<\/jats:p>\n<jats:p><jats:bold>Results<\/jats:bold>\u2014Neurologic deficits were observed significantly more often in surgically treated dogs. Surgically treated dogs had unsuccessful medical treatment before referral significantly more often than did medically treated dogs. Thirty-one of 49 (63.3%) medically treated dogs were available for follow-up evaluation. Of these 31 dogs, 17 (55%) were managed successfully, 10 (32.3%) were managed unsuccessfully and underwent surgical treatment, 3 (9.7%) were euthanized because of progression of clinical signs, and 1 (3.2%) was alive but had an increase in severity of clinical signs after medical management.<\/jats:p>\n<jats:p><jats:bold>Conclusions and Clinical Relevance<\/jats:bold>\u2014Clinical signs differed in dogs treated medically or surgically for DLSS. Medical treatment for dogs with DLSS was associated with a fair prognosis.<\/jats:p>","DOI":"10.2460\/javma.245.4.408","type":"journal-article","created":{"date-parts":[[2014,7,30]],"date-time":"2014-07-30T13:22:12Z","timestamp":1406726532000},"page":"408-413","source":"Crossref","is-referenced-by-count":29,"title":["Clinical signs and outcome of dogs treated medically for degenerative lumbosacral stenosis: 98 cases (2004\u20132012)"],"prefix":"10.2460","volume":"245","author":[{"given":"Steven","family":"De Decker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren A.","family":"Wawrzenski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger A.","family":"Volk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Small animal spinal disorders: diagnosis and surgery","article-title":"Lumbosacral disease","author":"Sharp","year":"2005"},{"key":"ref2","series-title":"Vet Clin North Am Small Anim Pract","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1016\/j.cvsm.2010.05.006","article-title":"Degenerative lumbosacral stenosis in dogs","volume":"40","author":"Meij","year":"2010"},{"key":"ref3","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1111\/j.1748-5827.1991.tb00527.x","article-title":"Degenerative lumbosacral stenosis in 18 dogs","volume":"32","author":"Watt","year":"1991"},{"key":"ref4","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1111\/j.1748-5827.1994.tb01683.x","article-title":"Degenerative lumbosacral stenosis in the dog: a review of 30 cases","volume":"35","author":"Ness","year":"1994"},{"key":"ref5","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1053\/jvet.1999.0091","article-title":"Surgical treatment of degenerative lumbosacral stenosis in dogs","volume":"28","author":"Danielsson","year":"1999"},{"key":"ref6","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"624","DOI":"10.2460\/javma.2001.219.624","article-title":"Predictors of outcome after dorsal decompressive laminectomy for degenerative lumbosacral stenosis in dogs: 69 cases (1987\u20131997)","volume":"219","author":"De Risio","year":"2001"},{"key":"ref7","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1053\/jvet.2003.50001","article-title":"Lumbosacral stenosis in 29 military working dogs: epidemiologic findings and outcome after surgical intervention (1990\u20131999)","volume":"32","author":"Linn","year":"2003"},{"key":"ref8","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1111\/j.1532-950X.2007.00324.x","article-title":"Surgical treatment of lumbosacral foraminal stenosis using a lateral approach in twenty dogs with degenerative lumbosacral stenosis","volume":"36","author":"G\u00f6dde","year":"2007"},{"key":"ref9","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1055\/s-0037-1617374","article-title":"Review and retrospective analysis of degenerative lumbosacral stenosis in 156 dogs treated by dorsal laminectomy","volume":"21","author":"Suwankong","year":"2008"},{"key":"ref10","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1111\/j.1532-950X.2012.01002.x","article-title":"Transarticular facet screw stabilization and dorsal laminectomy in 26 dogs with degenerative lumbosacral stenosis with instability","volume":"41","author":"Hankin","year":"2012"},{"key":"ref11","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"720","DOI":"10.1111\/j.1532-950X.2012.00989.x","article-title":"Pedicle screw-rod fixation of the canine lumbosacral junction","volume":"41","author":"Smolders","year":"2012"},{"key":"ref12","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"486","DOI":"10.3415\/VCOT-08-07-0055","article-title":"Lumbosacral degenerative stenosis in the dog; 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