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My cat's tail was broken, we think, when she was hit


Sent to Cat Experts May 10, 2006 4:44 p.m.

My cat's tail was broken, we think, when she was hit by a car. We believe she was hit 2.5 days ago or the morning of Monday, 5/8. She found her way home to us on Tuesday afternoon at about 1:30 pm, was seen by our veterinarian at 3:30 and is being treated there as I write this. She has a contusion on her belly, a cut on her leg and a 4 inch scrape on her tail. However, of most concern is her tail that is completely limp. Her doctor x-rayed her and said it had been 'separated' which I don't exactly understand. He also ran blood tests and said they were consistent with a traumatic injury. She has trouble with her right leg that seems to be weak and has no tone in her bladder or bowel. The doctor has given her something to help with that but so far she has not been able to urinate or defacate on her own. She is also being treated with pain medications, antibiotics and cortisone. She has eaten on her own.

I would like to understand more about the 'separation' that occurred and wonder ing whether it would be worthwhile to bring her to a nearby specialist in Boston at Angell Memorial hospital although I believe she is getting very good care with our veterinarian. Your comments would be appreciated. Thank you

Customer (name blocked for privacy)
Status: Closed   Value: $15   
Answer
May 10, 2006 4:53 p.m. (9 minutes and 21 seconds later)
REPLIED Check Mark

This is what I would do. Honesty is the very best policy. Ask. Please call your Vet and say this. I believe in you. But I have a concern. Do you think my cat would be better off at the Boston Angel Memorial in case of complications? That fact that she may have serious internal injuries, I feel that she would benefit being there. Please tell him you are forever grateful for his immediate care and stabilizing her, but you are afraid. If this was you kid, what you would do? Exactly. Maybe it's overkill, but I would rather be safe than have regrets later. You are not leaving your Vet, you just want to be sure if the bladder or bowel rupture, she gets the care she needs. This way, you did not undermine him, but simply said, I am the worlds biggest worry wart and I would feel better if you think that there is even a remote chance of complications. Makes sense? Call the specialist, make sure they have room for her and them call your Vet. Also, please keep her indoors after this. I have a hunch she may make the choice for you. Good luck and I will say a little kitty prayer for you cat.

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Marie  -- Mulitple cat owner -- 100% Positive Feedback on 66 Cat Accepts
Rescued /vetted/and placed in adoption over 150 cats and kittens
Reply to Marie
Sent May 10, 2006 5:39 p.m. (45 minutes and 24 seconds later)

Thanks but I was hoping to hear from a veterinarian to explain the tail separation.
Customer (name blocked for privacy)
Answer
May 10, 2006 8:46 p.m. (3 hours and 7 minutes later)

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Marie  -- Mulitple cat owner -- 100% Positive Feedback on 66 Cat Accepts
Rescued /vetted/and placed in adoption over 150 cats and kittens
Answer
May 10, 2006 11:05 p.m. (2 hours and 19 minutes later)
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Hi Customer (name blocked for privacy),

A separation, as applied to this, is nearly the same as a fracture. Separation is the pulling apart of two adjacent vertebra, and is frequently seen when an animal has it's tail pulled very roughly. This usually causes trauma to the nervous tissue at the site, with severity depending on the degree of separation. It can effectively be the same as cutting the spinal cord, or nerve in this case, as at the base of the tail the spinal cord has ended, and just nerves to the tail continue downward.

Trauma to the back, as from a blow, can cause injury to the spinal cord or the nerves coming from it. This is like being 'bruised', where the cord swells slightly and can shut down completely for a period of a few days ('spinal shock'),

More severe injury resulting in some degree of fracture may cause compressive injury which can cause anywhere from permanent damage to complete destruction of the cord at the site. A severe degree of fracture usually causes direct cord damage, from local to complete severance of tissue.

From the effects you describe, ie. incontinence, paralysis of the tail and weakness of one leg, I suspect the damage is higher on the spinal column than the tail. As I said earlier,at the level of the tail, the spinal cord has ended, and what remains are just descending nerves to the tail.

Separation of the tail anywhere may damage nerves enough to produce paralysis below the site. The other problems probably stem from blunt trauma to the lower lumbar cord, where nerves controlling the leg, bladder, and bowel function exit the spinal cord.

There is no way to forecast at this point whether this is a permanent or temporary result of the incident, lacking any radiographic evidence of more severe bone damage.

Antibiotics, anti-inflammatories (cortisone) and time are the weapons available to us at this time. More extensive, and expensive, diagnostics are available to determine the extent of damage, MRI comes to mind, but therapy would be not much different than what is going on now.

Periodic expression of the bladder is most important to prevent urinary tract problems. If everything else works out, but the tail remains paralyzed, amputation will probably be recommended.

I hope this answers your questions, and I wish you my best for a happy outcome.


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PicturePeter Bennett, DVM  -- Veterinarian -- 100% Positive Feedback on 255 Cat Accepts
20 years experience as a Small Animal veterinarian

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