RE: Lumbosacral Instability

[Guest guest]

Sorry to have not replied sooner, I was out of the country.

IMHO the problem is almost invariably secondary to hypermobility caused by a hypomobility elsewhere. Frequently, it progresses to stenosis from intrabone microfractures with resultant healing osteoid formation that thickens the body and lamellar bone causing the stenosis. The hypermobility often causes enough damage at the joints as well to create IVF stenosis. The most common surgical intervention is a simple laminectomy. With rest, many stabilize over time, if the IVF stenosis doesn't cause a problem. The real fix is to avoid the problem in the first place or catch it early by evaluating and correcting the functional pathology of the hypomobility long before you have the resultant overuse damage at the LS junction. I have treated many with documented stenosis (myelograms and MRI's) with just chiro and acupuncture that have recovered normal function and stabilized completely. Others I have treated with prolotherapy of the joints. All have done well, even the ones seen after laminectomy as soon as the primary hypomobility is effectively addressed.Judith M. Shoemaker, DVMAlways Helpful Veterinary Services305 Nottingham RoadNottingham, PA 19362ph fax info@... www.judithshoemaker.com

To: VetRehab From: kozak@...Date: Sun, 6 Jan 2008 20:28:06 +0000Subject: Lumbosacral Instability

I have been told that lumbosacral instability with neurologic dysfuntion is often seem in Greyhounds. Is there anyone who can explain the pathoanatomy as well as surgical treatment of the condition to me? Share life as it happens with the new Windows Live. Start sharing!