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Medically managing non-ambulatory dogs with disc herniation

Principle Investigator

Natasha Olby and Melissa Lewis

Description

Our overall objective is to comprehensively document the recovery trajectory in medically managed, non-ambulatory dogs with presumptive or confirmed thoracolumbar intervertebral disc extrusion (TL-IVDE) presented to primary care (general practice or emergency) veterinarians. We seek to identify the most appropriate dogs for medical management and to optimize assessment and care through establishing partnerships with local primary care veterinarians. Our ultimate goal is to provide clinically relevant evidence allowing for a full spectrum of care recommendations for the management of acute, severe TL IVDE.

We hypothesize that establishing a standardized spectrum of recommendations for when and how to pursue medical management and enhancing relationships between neurologists and primary care practitioners will facilitate improved outcomes for medically managed dogs with suspected TL-IVDE.

Testing Requirements

Initial workup includes: physical exam, CBC, chemistry, urinalysis, spinal radiographs

Enrollment Start

11/04/2025

Enrollment Finish

12/31/2026

Eligibility

1. Top differential is acute Hansen Type 1 TL-IVDE
2. 2-10 years old
3. pelvic limb gait deficits <1 week (pain may last >1 week)
4. Inability to walk on their back legs (unable to take > 3 steps)
5. Owner declined surgery

Flyer

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Contact

Elizabeth Fournier and Sarang Im
(203) 812-9147 (Elizabeth) & (669) 344-5657 (Sarang)
cvmdogspine@ncsu.edu