NAVLE Rabbits

Rabbit Fractured Lumbar Spine Study Guide

Fractured lumbar spine in rabbits represents one of the most devastating traumatic injuries encountered in exotic animal practice.

Overview and Clinical Importance

Fractured lumbar spine in rabbits represents one of the most devastating traumatic injuries encountered in exotic animal practice. This condition commonly occurs at the seventh lumbar vertebra (L7) due to the unique anatomical structure of rabbits, combining powerful hindlimb musculature with relatively fragile skeletal architecture. Understanding the pathophysiology, diagnosis, and management of this condition is essential for NAVLE success, as it tests knowledge of small mammal anatomy, emergency medicine, neurology, and client communication.

System Clinical Signs
Neurological Motor Function: Complete hindlimb paralysis (paraplegia) or partial weakness (paraparesis), inability to hop or support weight on hindlimbs, dragging of hindlimbs Sensory Function: Loss of superficial pain (withdrawal reflex absent), loss of deep pain perception (toe pinch - most critical prognostic indicator)
Urinary Urinary incontinence, bladder atony, urine dribbling, inability to voluntarily urinate, urine scald on perineum and hindlimbs
Gastrointestinal Fecal incontinence, loss of anal sphincter tone, decreased gastrointestinal motility (stress-induced ileus common)
Musculoskeletal Abnormal posture, splayed hindlimbs, muscle atrophy (develops within days), tail immobility or abnormal position
Behavioral Lethargy, depression, teeth grinding (pain indicator), decreased appetite or anorexia, compensatory increased forelimb weight bearing
Mentation Alert and responsive (differentiates from CNS disease), normal forelimb function, appropriate interaction with environment

Anatomical Considerations

Skeletal Structure

Rabbits have remarkably fragile skeletons, with bones comprising only 7-8% of total body mass compared to approximately 13% in cats and dogs. This delicate skeletal structure makes rabbits particularly vulnerable to fractures, especially when combined with their powerful hindlimb musculature which can account for up to 50% of body mass.

The typical rabbit has 12-13 thoracic vertebrae and 6-7 lumbar vertebrae. The most common vertebral formulas are: C7/T12/L7/S4 (76.4%), C7/T12/L6/S4 (3.3%), and C7/T13/L7/S4 (2.4%).

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