Subscribe to RSS
DOI: 10.3415/VCOT-12-03-0036
Spinal fracture in a dog with diffuse idiopathic skeletal hyperostosis
Publication History
Received
08 March 2012
Accepted
26 July 2012
Publication Date:
19 December 2017 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00035023/201301/lookinside/thumbnails/10-3415-vcot-12-03-0036-1.jpg)
Summary
A six-year-old, spayed female Weimaraner dog was first presented with the complaint of hindlimb paresis and then hindlimb paralysis two years later after colliding with a tree. Radiographs and computed tomography revealed spinal fractures at lumbar vertebrae (L)2-3 and at L4-5. In addition, the spinal column was affected by new bone formation along the vertebral bodies, bridging the disc spaces, as seen in diffuse idiopathic skeletal hyperostosis (DISH). Open reduction and internal fixation was achieved with standard vertebral body plating. This is the first report of DISH-associated spinal fractures after minor trauma in a dog. Surgery resulted in return of the full function after the first, and in improvement of neurologic function after the second incident.
-
References
- 1 Forestier J, Rotes-Querol J. Senile ankylosing hyperostosis of the spine. Ann Rheum Dis 1950; 9: 321-330.
- 2 Kranenburg HC, Voorhout G, Grinwis GCM. et al. Diffuse idiopathic skeletal hyperostosis (DISH) and spondylosis deformans in purebred dogs: A retrospective radiographic study. Vet J 2011; 190: e84-90.
- 3 Morgan JP, Stavenborn M. Disseminated idiopathic skeletal hyperostosis (DISH) in a dog. Vet Radiol 1991; 32: 65-70.
- 4 Woodard JC, Poulos PW, Parker RB. et al. Canine diffuse idiopathic skeletal hyperostosis. Vet Pathol 1985; 22: 317-326.
- 5 Resnik D, Niwayama G. Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). Radiology 1976; 119: 559-568.
- 6 Kranenburg HC, Weserveld LA, Verlaan JJ. et al. The dog as an animal model for DISH. Eur Spine J 2010; 19: 1325-1329.
- 7 Togni A, Kranenburg HC, Morgan JP. et al. Differenzierung zwischen diffuser idiopathischer Hyperostose (DISH) und Spondylosis deformans (SD) - Retrospektive Studie [Differentiation between diffuse idiopathic hyperostosis (DISH) and spondylosis deformans (SD) - Restrospective study][Abstract]. In: Proceedings der Fachgruppe Chirurgie des 57. Jahreskongresses der DGK-DV. 2011. November 11-13 Berlin, Germany: Kleintierprax 2011. 57 223.
- 8 Sarzi-Puttini P, Atzeni F. New developments in our understanding of DISH (diffuse idiopathic skeletal hyperostosis). Curr Opin Rheumatol 2004; 16: 287-292.
- 9 Utsinger PD. Diffuse idiopathic skeletal hyperostosis. Clin Rheum Dis 1985; 11: 325-351.
- 10 Kim SK, Choi BR, Kim CG. et al. The prevalence of diffuse idiopathic skeletal hyperostosis in Korea. J Rheumatol 2004; 31 (10) 2032-2035.
- 11 Weinfeld RM, Olson PN, Maki DD. et al. The prevalence of diffuse skeletal hyperostosis (DISH) in two large American Midwest metropolitan hospital populations. Skeletal Radiol 1997; 26: 222-225.
- 12 Sreedharan S, Li YH. Diffuse idiopathic skeletal hyperostosis with cervical spinal cord injury - A report of 3 cases and a literature review. Ann Acad Med Singapore 2005; 34: 257-261.
- 13 Callahan EP, Aguillera H. Complications following minor trauma in a patient with diffuse skeletal hyperostosis. Ann Emerg Med 1993; 22: 1067-1070.
- 14 Greatting HH, Young BD, Pool RR. et al. Letter to the Editor. Vet Radiol Ultrasound 2011; 52: 472-473.
- 15 Sikes D, Hayes FA, Prestwood AK. et al. Ankylosing spondylitis and polyarthritis of the dog: Physiopathologic changes of tissues. Am J Vet Res 1970; 31: 703-712.
- 16 Sokoloff L, Snell KC, Stewart HL. Spinal ankylosis in old rhesus monkeys. Clin Orthop 1968; 61: 285-293.
- 17 Glenney WC. Canine and feline spinal osteoarthritis (spondylitis deformans). J Am Vet Med Assoc 1956; 129: 61-65.
- 18 Dekutoski MB, Schendel MJ, Ogilvie JW. et al. Comparison of in vivo and in vitro adjacent segment motion after lumbar fusion. Spine 1994; 19: 1745-1751.
- 19 Eck JC, Humphreys SC, Hodges SD. Adjacent-segment degeneration after lumbar fusion: A review of clinical, biomechanical, and radiologic studies. Am J Orthop 1999; 28: 336-340.
- 20 Park P, Garton HJ, Gala VC. et al. Adjacent segment disease after lumbar or lumbosacral fusion: Review of the literature. Spine 2004; 29: 1938-1944.
- 21 Schendel MJ, Dekutoski MB, Ogilvie JW. et al. Kinematics of the canine lumbar intervertebral joint. An in vivo study before and after adjacent instrumentation. Spine 1995; 20: 2555-2564.
- 22 Agnello KA, Kapatkin AS, Garcia TC. et al. Intervertebral biomechanics of locking compression plate monocortical fixation of the canine cervical spine. Vet Surg 2010; 39: 991-1000.
- 23 Bali MS, Lang J, Jaggy A. et al. Comparative study of vertebral fractures and luxations in dogs and cats. Vet Comp Orthop Traumatol 2009; 22: 47-53.
- 24 Bruce CW, Brisson BA, Gyselinck K. Spinal fractures and luxations in dogs and cats. Vet Comp Orthop Traumatol 2008; 21: 280-284.
- 25 Murray GC, Persillin RH. Cervical fracture complicating ankylosing spondylitis: A report of 8 cases and review of the literature. Am J Med 1981; 70: 1933-1941.
- 26 Young JS, Cheshire DJ, Pierce JA. et al. Cervical ankylosis with acute spinal cord injury. Paraplegia 1977; 15: 133-146.
- 27 Diederichs G, Engelken F, Marshall LM. et al. Diffuse idiopathic skeletal hyperostosis (DISH): relation to vertebral fractures and bone density. Osteoporos Int 2011; 22: 1789-1797.
- 28 Bridwell KH, DeWald RL. Textbook of Spinal Surgery. Philadelphia: Lippincott-Raven Publishers; 1997
- 29 Gembardt C. Aseptische Nekrose des Discus lumbosacralis bei Spondylopathia deformans des Hundes [Asceptic necrosis of the lumbosacral disk by spondylophathy deformans in the dog]. Berl Münch Tierärztl Wschr 1974; 87: 432-437.
- 30 Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine 1983; 8: 817-831.
- 31 Walter MC, Smith GK, Newton CD. Canine lumbar spinal internal fixation techniques. A comparative biomechanical study. Vet Surg 1986; 15: 191-198.