When to refer a Dachshund with a suspected thoracolumbar slipped disc?
For Dachshunds with sudden onset spinal pain or neurological deficits in the pelvic limbs, the most likely differential is a thoracolumbar intervertebral disc extrusion (slipped disc).
We grade intervertebral disc herniations into 5 grades and the outcomes are listed below for both conservative and surgical management:
We recommend surgery for dogs with Grade 3, 4 or 5 (i.e if they are not walking) as this significantly improves the chances of recovery, although if they retain pain sensation they can still recover with conservative management if referral is not an option.
For dogs with grades 1 or 2 injuries we recommend surgery if they are painful despite conservative management or have worsening neurological deficits. Some owners will elect for surgery in these dogs regardless to reduce the risk of relapse or risk of deterioration.
Alongside surgery we can also fenestrate the adjacent discs which reduces the risk of recurrence at the same or different disc space.
Conservative management consists of 4-6 weeks of strict crate rest with 5-minute walks for toileting purposes several times daily and analgesia consisting of non-steroidal anti-inflammatories and additional medications if required. We do not advise the use of corticosteroids in these cases.
Case Advice or Arranging a Referral
If you are a veterinary professional and would like to discuss a case with one of our team, or require pre-referral advice about a patient, please call 01883 741449. Alternatively, to refer a case, please use the online referral form
About The Discipline
Neurology
Need case advice or have any questions?
If you have any questions or would like advice on a case please call our dedicated vet line on 01883 741449 and ask to speak to one of our Neurology team.
Advice is freely available, even if the case cannot be referred.
Neurology Team
Our Neurology Team offer a caring, multi-disciplinary approach to all medical and surgical conditions.