Commonly Affected: Middle-aged to older large breed male dogs, especially German Shepherds
A number of factors may contribute to Lumbosacral Disease. At the junction between the last lumbar vertebrae and the sacrum, we may see disc protrusion, subluxation and soft tissue and bone proliferation.
Radiographs (x-rays) may be clean or show bone proliferation and sacral subluxation. MRI required to visualize nerve root compression.
A number of medical and surgical management options are available for treatment of LS disease.
Conservative medical management, similar to that for intervertebral disc disease, includes restricting activity, administering non-steroidal anti-inflammatory medications (NSAIDs), pain medications and/or corticosteroid injections. Rehabilitation therapy may also be advisable.
Currently, there is no standard for surgical treatment of LS disease because each case is different. If necessary, surgery may include removal of bone, soft tissue and disc contributing to nerve root compression, as well as stabilization of the LS junction.