PATIENT STORY

2 minute read

Ellie’s cervical spondylomyelopathy (wobbler syndrome)

Ellie is a wonderful, much loved Great Dane, who was referred to the clinic because she had developed an acute ataxia, or unsteadiness, in her hind limbs.

Ellie was also weak on her front legs and was exhibiting neurological signs that showed the information from her legs about where they were in space, described medically as proprioception, was not getting to her brain. These symptoms are often associated with problems at the base of the neck.

An MRI scan was taken of Ellie’s neck which revealed that were was a serious problem between the cervical vertebrae (bones of the spinal column) near the base of her neck. There are seven cervical vertebrae in the neck named C1, C2, etc. The MRI scan revealed that Ellie had problems between C4-C5, C5-C6 and C6-C7.

MRI scan of Ellie's neck
MRI scan of Ellie’s neck

After a long and heartbreaking discussion with Ellie’s owners, it was decided that the best course of action was surgery to try and alleviate Ellie’s neurological problem. Distraction of the affected bones followed by fusion of all the bones was carried at all three sites by placing an intervertebral distraction screw (FITS, Fitz intervertebral Traction Screw) between each vertebral body to replace the discs and then joining each of the three vertebrae using plates anchored to each vertebral body, linked together with rods and linked to the inter-vertebral screws. Bone harvested from both of Ellie’s shoulder joints and was packed along the ventral surfaces of C4, C5, C6 and C7 to help encourage the bones of the neck to fuse together.

Radiograph of Ellie post-surgery

Within 48 hours of surgery, Ellie was able to stand and walk with assistance – a major improvement from pre-surgery. Ellie stayed with us for a further week at the clinic for postoperative care, analgesia and appropriate physiotherapy before being reunited with her owners at home.

Ellie’s condition is medically described as cervical spondylomyelopathy, more commonly described as wobbler syndrome. Learn more about the condition and the treatments we use to help patients with this condition on our wobbler syndrome page.