Cervical spondylomyelopathy (wobbler syndrome) causes progressive neurological deterioration in large breed dogs, with treatment decisions having major welfare implications.
Wobbler syndrome causes distressing progressive loss of coordination and strength in dogs who otherwise feel well. Affected dogs struggle to climb stairs, slip on smooth floors, and eventually cannot rise without assistance. The welfare decision between conservative and surgical management requires honest quality of life assessment - dogs that are declining despite conservative care face a choice between surgery risk and progressive welfare deterioration. Rehabilitation physiotherapy significantly improves functional outcomes in both managed and surgical cases.