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Signoret M, Gros L, Musso C, Hahn H, Le Boedec K, Cauzinille L. IV Versus Myelography Computed Tomography for Thoracolumbar Intervertebral Disc Extrusion Surgical Planning in French Bulldogs. J Am Anim Hosp Assoc 2023; 59:207-213. [PMID: 37708472 DOI: 10.5326/jaaha-ms-7318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2023] [Indexed: 09/16/2023]
Abstract
Accurate diagnostic imaging is required for surgical planning of acute thoracolumbar intervertebral disc extrusion. However, data comparing the accuracy of conventional IV contrast-injected computed tomography (CT) and myelography CT for hemilaminectomy localization and size assessment are sparse. In this study, IV contrast-injected CT and myelography CT were performed in 48 French bulldogs presenting with acute disc herniation and compared with postsurgical CT. CT images were evaluated by three raters. IV contrast-injected CT erroneously identified the compressive lesion site significantly more often than myelography CT. The length of the compressive lesion was significantly higher using myelography CT compared with conventional CT, but this did not lead to relevant consequences on the surgical opening site length. Myelography CT should therefore be recommended when thoracolumbar disc disease is suspected and multiple compressive lesions are visualized on IV-injected CT in French bulldogs.
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Affiliation(s)
- Marion Signoret
- From Neurology, Oncovet, Villeneuve D'ascq, Haut de France, France (M.S.)
| | - Lucille Gros
- CHV Frégis, Arcueil, France (L.G., K.L.B., L.C.)
| | - Clément Musso
- Veterinary Clinic Oliolis, Ollioules, France (C.M.); and
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2
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Greco A, Meomartino L, Gnudi G, Brunetti A, Di Giancamillo M. Imaging techniques in veterinary medicine . Part II: Computed tomography, magnetic resonance imaging, nuclear medicine. Eur J Radiol Open 2022; 10:100467. [PMID: 36570419 PMCID: PMC9768321 DOI: 10.1016/j.ejro.2022.100467] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 12/07/2022] [Indexed: 12/15/2022] Open
Abstract
Radiography and ultrasonography are the most used techniques in veterinary clinical practice, due to organizational, managerial and, mostly, economic reasons. However, in the last decades, Computed tomography (CT), Magnetic Resonance Imaging (MRI) and, to a lesser extent, Nuclear Medicine (MN) are increasingly used. As we said in the previous article, all the Diagnostic Imaging techniques are actually "indispensable" in Veterinary Medicine, where many patients do not show any symptoms.This second part describes Computed Tomography (CT), Magnetic Resonance (MRI) and Nuclear Medicine techniques in Veterinary Medicine are described.
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Affiliation(s)
- Adelaide Greco
- Centro Interdipartimentale di Radiologia Veterinaria, Università degli Studi di Napoli “Federico II”, Via F. Delpino, 1, 80137 Napoli, Italy
| | - Leonardo Meomartino
- Centro Interdipartimentale di Radiologia Veterinaria, Università degli Studi di Napoli “Federico II”, Via F. Delpino, 1, 80137 Napoli, Italy,Corresponding author.
| | - Giacomo Gnudi
- Dipartimento di Scienze Mediche Veterinarie, Università di Parma, Via del Taglio, 10, 43126 Parma, Italy
| | - Arturo Brunetti
- Dipartimento di Scienze Biomediche Avanzate, Università degli Studi di Napoli “Federico II”, Via Pansini, 5, 80131 Napoli, Italy
| | - Mauro Di Giancamillo
- Dipartimento di Medicina Veterinaria, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122 Milano, Italy
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da Costa RC, De Decker S, Lewis MJ, Volk H. Diagnostic Imaging in Intervertebral Disc Disease. Front Vet Sci 2020; 7:588338. [PMID: 33195623 PMCID: PMC7642913 DOI: 10.3389/fvets.2020.588338] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 09/09/2020] [Indexed: 12/27/2022] Open
Abstract
Imaging is integral in the diagnosis of canine intervertebral disc disease (IVDD) and in differentiating subtypes of intervertebral disc herniation (IVDH). These include intervertebral disc extrusion (IVDE), intervertebral disc protrusion (IVDP) and more recently recognized forms such as acute non-compressive nucleus pulposus extrusion (ANNPE), hydrated nucleus pulposus extrusion (HNPE), and intradural/intramedullary intervertebral disc extrusion (IIVDE). Many imaging techniques have been described in dogs with roles for survey radiographs, myelography, computed tomography (CT), and magnetic resonance imaging (MRI). Given how common IVDH is in dogs, a thorough understanding of the indications and limitations for each imaging modality to aid in diagnosis, treatment planning and prognosis is essential to successful case management. While radiographs can provide useful information, especially for identifying intervertebral disc degeneration or calcification, there are notable limitations. Myelography addresses some of the constraints of survey radiographs but has largely been supplanted by cross-sectional imaging. Computed tomography with or without myelography and MRI is currently utilized most widely and have become the focus of most contemporary studies on this subject. Novel advanced imaging applications are being explored in dogs but are not yet routinely performed in clinical patients. The following review will provide a comprehensive overview on common imaging modalities reported to aid in the diagnosis of IVDH including IVDE, IVDP, ANNPE, HNPE, and IIVDE. The review focuses primarily on canine IVDH due to its frequency and vast literature as opposed to feline IVDH.
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Affiliation(s)
- Ronaldo C da Costa
- Department of Veterinary Clinical Sciences, The Ohio State University, Columbus, OH, United States
| | - Steven De Decker
- Department of Clinical Sciences and Services, Royal Veterinary College, London, United Kingdom
| | - Melissa J Lewis
- Department of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, IN, United States
| | - Holger Volk
- Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hanover, Hanover, Germany
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de Albuquerque Bonelli M, da Costa RC. Clinical and magnetic resonance imaging characterization of cervical spondylomyelopathy in juvenile dogs. J Vet Intern Med 2019; 33:2160-2166. [PMID: 31469206 PMCID: PMC6766523 DOI: 10.1111/jvim.15602] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Accepted: 08/07/2019] [Indexed: 11/30/2022] Open
Abstract
Background Cervical spondylomyelopathy (CSM) occurs because of compression of the cervical spinal cord, nerve roots, or both, usually affecting young adult to older large and giant breed dogs. Juvenile dogs are affected infrequently. Objective To describe clinical and magnetic resonance imaging (MRI) findings in juvenile dogs (≤ 12 months) with cervical spondylomyelopathy. Animals Twenty CSM‐affected juvenile dogs. Methods Medical and imaging records for juvenile dogs with CSM were reviewed. History and neurologic examination findings were obtained, including follow‐up data. The MRI studies were reviewed for cause and site of spinal cord compression, intervertebral disk protrusion or degeneration, articular process degenerative changes, intervertebral foraminal stenosis, and spinal cord signal changes. Results Mean (median) age at the time of diagnosis was 9.4 (10) months. There were 16 giant breed dogs. Eighteen dogs had a chronic presentation, 18/20 had proprioceptive ataxia, and 9/20 had cervical pain. On MRI, the principal spinal cord compression occurred at C5‐C6, C6‐C7, or both in most dogs; 12/20 dogs had ≥2 sites of spinal cord compression. The cause of compression was articular process proliferation in 8/20 dogs and disk protrusion in 2/20 dogs. Intervertebral disk degeneration was seen in 9/20 dogs. Follow‐up was obtained for 12/20 dogs: 10/12 were managed medically and 2/12 surgically. Conclusions and Clinical Importance Cervical spondylomyelopathy in juvenile dogs was characterized mostly by osseous‐associated spinal cord compression and multiple compressive sites. Almost half of the dogs had intervertebral disk degeneration. Intervertebral disk protrusion was seen in both giant and large breed dogs.
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Affiliation(s)
- Marília de Albuquerque Bonelli
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, 601 Vernon Tharp St., Columbus, Ohio
| | - Ronaldo C da Costa
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, 601 Vernon Tharp St., Columbus, Ohio
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Harder LK. [Diagnostic imaging of changes of the canine intervertebral disc]. TIERAERZTLICHE PRAXIS AUSGABE KLEINTIERE HEIMTIERE 2016; 44:359-371. [PMID: 27658268 DOI: 10.15654/tpk-160468] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Accepted: 09/16/2016] [Indexed: 12/27/2022]
Abstract
Intervertebral disc degeneration can cause intervertebral disc herniation. Diagnostic imaging, including radiography, computed tomography and magnetic resonance imaging, is the most important tool in diagnosis. Firstly, an overview of macroscopic and biochemical physiology and pathology of the intervertebral disc will be given. Subsequently, the physics of diagnostic imaging and the appearance of intervertebral disc degeneration and displacement in several imaging methods are described.
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Affiliation(s)
- Lisa K Harder
- Lisa K. Harder, Klinik für Kleintiere, Stiftung Tierärztliche Hochschule Hannover, Bünteweg 9, 30559 Hannover, E-Mail:
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Gomes SA, Volk HA, Packer RM, Kenny PJ, Beltran E, De Decker S. CLINICAL AND MAGNETIC RESONANCE IMAGING CHARACTERISTICS OF THORACOLUMBAR INTERVERTEBRAL DISK EXTRUSIONS AND PROTRUSIONS IN LARGE BREED DOGS. Vet Radiol Ultrasound 2016; 57:417-26. [PMID: 27038182 DOI: 10.1111/vru.12359] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Accepted: 12/17/2015] [Indexed: 12/01/2022] Open
Abstract
Treatment recommendations differ for dogs with intervertebral disk extrusion vs. intervertebral disk protrusion. The aim of this retrospective, cross-sectional study was to determine whether clinical and magnetic resonance imaging (MRI) variables could be used to predict a diagnosis of thoracolumbar intervertebral disk extrusion or protrusion in dogs. Dogs were included if they were large breed dogs, had an MRI study of the thoracolumbar or lumbar vertebral column, had undergone spinal surgery, and had the type of intervertebral disk herniation (intervertebral disk extrusion or protrusion) clearly stated in surgical reports. A veterinary neurologist unaware of surgical findings reviewed MRI studies and recorded number, location, degree of degeneration and morphology of intervertebral disks, presence of nuclear clefts, disk space narrowing, extent, localization and lateralization of herniated disk material, degree of spinal cord compression, intraparenchymal intensity changes, spondylosis deformans, spinal cord swelling, spinal cord atrophy, vertebral endplate changes, and presence of extradural hemorrhage. Ninety-five dogs were included in the sample. Multivariable statistical models indicated that longer duration of clinical signs (P = 0.01), midline instead of lateralized disk herniation (P = 0.007), and partial instead of complete disk degeneration (P = 0.01) were associated with a diagnosis of intervertebral disk protrusion. The presence of a single intervertebral herniation (P = 0.023) and dispersed intervertebral disk material not confined to the disk space (P = 0.06) made a diagnosis of intervertebral disk extrusion more likely. Findings from this study identified one clinical and four MRI variables that could potentially facilitate differentiating intervertebral disk extrusions from protrusions in dogs.
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Affiliation(s)
- Sergio A Gomes
- Department of Clinical Science and Services, Royal Veterinary College, University of London, North Mymms, Hertfordshire, AL97TA, Hatfield, UK
| | - Holger A Volk
- Department of Clinical Science and Services, Royal Veterinary College, University of London, North Mymms, Hertfordshire, AL97TA, Hatfield, UK
| | - Rowena Ma Packer
- Department of Clinical Science and Services, Royal Veterinary College, University of London, North Mymms, Hertfordshire, AL97TA, Hatfield, UK
| | - Patrick J Kenny
- Department of Clinical Science and Services, Royal Veterinary College, University of London, North Mymms, Hertfordshire, AL97TA, Hatfield, UK
| | - Elsa Beltran
- Department of Clinical Science and Services, Royal Veterinary College, University of London, North Mymms, Hertfordshire, AL97TA, Hatfield, UK
| | - Steven De Decker
- Department of Clinical Science and Services, Royal Veterinary College, University of London, North Mymms, Hertfordshire, AL97TA, Hatfield, UK
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Kitshoff AM, Van Goethem B, Cornelis I, Combes A, Dvm IP, Gielen I, Vandekerckhove P, de Rooster H. Minimally Invasive Drainage of a Post-Laminectomy Subfascial Seroma with Cervical Spinal Cord Compression. J Am Anim Hosp Assoc 2016; 52:175-80. [PMID: 27008321 DOI: 10.5326/jaaha-ms-6414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A 14 mo old female neutered Doberman pinscher was evaluated for difficulty in rising, a wide based stance, pelvic limb gait abnormalities, and cervical pain of 2 mo duration. Neurologic examination revealed pelvic limb ataxia and cervical spinal hyperesthesia. Spinal reflexes and cranial nerve examination were normal. The pathology was localized to the C1-C5 or C6-T2 spinal cord segments. Computed tomography (CT) findings indicated bony proliferation of the caudal articular processes of C6 and the cranial articular processes of C7, resulting in bilateral dorsolateral spinal cord compression that was more pronounced on the left side. A limited dorsal laminectomy was performed at C6-C7. Due to progressive neurological deterioration, follow-up CT examination was performed 4 days postoperatively. At the level of the laminectomy defect, a subfacial seroma had developed, entering the spinal canal and causing significant spinal cord compression. Under ultrasonographic guidance a closed-suction wound catheter was placed. Drainage of the seroma successfully relieved its compressive effects on the spinal cord and the patient's neurological status improved. CT was a valuable tool in assessing spinal cord compression as a result of a postoperative subfascial seroma. Minimally invasive application of a wound catheter can be successfully used to manage this condition.
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Affiliation(s)
- Adriaan Mynhardt Kitshoff
- From the Department of Medicine and Clinical Biology of Small Animals (A.M.K., I.C., B.VG., I.P., H.dR.) and Department of Medical Imaging (A.C., I.G.), Ghent University, Merelbeke, Belgium; and the DAC Malpertuus, Heusden, Belgium (P.V.)
| | - Bart Van Goethem
- From the Department of Medicine and Clinical Biology of Small Animals (A.M.K., I.C., B.VG., I.P., H.dR.) and Department of Medical Imaging (A.C., I.G.), Ghent University, Merelbeke, Belgium; and the DAC Malpertuus, Heusden, Belgium (P.V.)
| | - Ine Cornelis
- From the Department of Medicine and Clinical Biology of Small Animals (A.M.K., I.C., B.VG., I.P., H.dR.) and Department of Medical Imaging (A.C., I.G.), Ghent University, Merelbeke, Belgium; and the DAC Malpertuus, Heusden, Belgium (P.V.)
| | - Anais Combes
- From the Department of Medicine and Clinical Biology of Small Animals (A.M.K., I.C., B.VG., I.P., H.dR.) and Department of Medical Imaging (A.C., I.G.), Ghent University, Merelbeke, Belgium; and the DAC Malpertuus, Heusden, Belgium (P.V.)
| | - Ingeborgh Polis Dvm
- From the Department of Medicine and Clinical Biology of Small Animals (A.M.K., I.C., B.VG., I.P., H.dR.) and Department of Medical Imaging (A.C., I.G.), Ghent University, Merelbeke, Belgium; and the DAC Malpertuus, Heusden, Belgium (P.V.)
| | - Ingrid Gielen
- From the Department of Medicine and Clinical Biology of Small Animals (A.M.K., I.C., B.VG., I.P., H.dR.) and Department of Medical Imaging (A.C., I.G.), Ghent University, Merelbeke, Belgium; and the DAC Malpertuus, Heusden, Belgium (P.V.)
| | - Peter Vandekerckhove
- From the Department of Medicine and Clinical Biology of Small Animals (A.M.K., I.C., B.VG., I.P., H.dR.) and Department of Medical Imaging (A.C., I.G.), Ghent University, Merelbeke, Belgium; and the DAC Malpertuus, Heusden, Belgium (P.V.)
| | - Hilde de Rooster
- From the Department of Medicine and Clinical Biology of Small Animals (A.M.K., I.C., B.VG., I.P., H.dR.) and Department of Medical Imaging (A.C., I.G.), Ghent University, Merelbeke, Belgium; and the DAC Malpertuus, Heusden, Belgium (P.V.)
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Stabile F, Bernardini M, Bevilacqua G, Ekiri AB, de Stefani A, De Risio L. Neurological signs and pre- and post-traction low-field MRI findings in Dobermanns with disc-associated cervical spondylomyelopathy. J Small Anim Pract 2015; 56:331-8. [DOI: 10.1111/jsap.12326] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2014] [Revised: 11/09/2014] [Accepted: 12/01/2014] [Indexed: 11/30/2022]
Affiliation(s)
- F. Stabile
- Centre for Small Animal Studies; Animal Health Trust; Newmarket Suffolk CB8 7UU
| | - M. Bernardini
- Department Animal Medicine, Production and Health; University of Padua; Legnaro Italy
- I Portoni Rossi Veterinary Hospital; Zola Predosa Italy
| | - G. Bevilacqua
- I Portoni Rossi Veterinary Hospital; Zola Predosa Italy
| | - A. B. Ekiri
- Centre for Preventive Medicine; Animal Health Trust; Newmarket Suffolk CB8 7UU
| | - A. de Stefani
- Dick White Referral, Neurology and Neurosurgery; Station Farm Six Mile Bottom Cambridge
| | - L. De Risio
- Centre for Small Animal Studies; Animal Health Trust; Newmarket Suffolk CB8 7UU
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Rosenblatt AJ, Bottema CDK, Hill PB. Radiographic scoring for intervertebral disc calcification in the Dachshund. Vet J 2014; 200:355-61. [PMID: 24742872 DOI: 10.1016/j.tvjl.2014.03.023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2013] [Revised: 03/20/2014] [Accepted: 03/24/2014] [Indexed: 11/19/2022]
Abstract
Intervertebral disc disease is a common, painful and debilitating neurological condition of dogs, causing substantial morbidity and mortality. The Dachshund is particularly susceptible to this disorder. The goal of this article is not to duplicate previously published reviews on canine intervertebral disc degeneration and degenerative diseases. Rather, the aims are threefold: (1) to reflect on selected clinical and pathophysiological aspects of intervertebral disc degeneration and disc disease that are pertinent to the Dachshund breed; (2) to review a radiographic spinal scoring scheme developed to reduce the prevalence of intervertebral disc disease in Dachshunds; and (3) to suggest further areas of research to improve upon the currently established scoring scheme in an attempt to address this breed's greatest health problem.
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Affiliation(s)
- Alana J Rosenblatt
- School of Animal and Veterinary Sciences, The University of Adelaide, Roseworthy, SA 5371, Australia; Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
| | - Cynthia D K Bottema
- School of Animal and Veterinary Sciences, The University of Adelaide, Roseworthy, SA 5371, Australia
| | - Peter B Hill
- School of Animal and Veterinary Sciences, The University of Adelaide, Roseworthy, SA 5371, Australia
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Morphometrical analysis of the thoracolumbar dural sac in sheep using computed assisted myelography. Vet Comp Orthop Traumatol 2014; 27:124-9. [PMID: 24493357 DOI: 10.3415/vcot-13-09-0116] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2013] [Accepted: 11/17/2013] [Indexed: 11/17/2022]
Abstract
OBJECTIVES Sheep are frequently used as animal models in experimental spinal injury studies. Therefore, extensive knowledge of ovine spinal dimensions is essential for experimental design and interpretation of results obtained in these trials. This study aimed to obtain quantitative morphometrical data of the thoracolumbar dural sac in sheep and determine the anatomical relationship between the dural sac and the vertebral canal. METHODS Computed assisted myelography imaging was carried out in five adult German Black-Headed Mutton sheep under general anaesthesia. Transverse images were acquired with 2 mm slice thickness from the first thoracic to the sixth lumbar vertebrae. Sagittal and transverse diameters and the cross-sectional area of the dural sac and vertebral canal were measured. To determine the anatomical relationship between the dural sac and vertebral canal, the pedicle-dural sac distance (PPSD) and the epidural space as well as the SAC (available space for the dural sac) were calculated. RESULTS Sagittal diameters of the dural sac ranged from 5.1 to 12.0 mm. Transverse diameters ranged from 5.6 to 12.2 mm. The dural sac area covered 45.9% and 49.0% of the thoracic and lumbar vertebral canal area. The PDSD in the lumbar vertebrae was up to 15.8% larger than in the thoracic ones. The dural sac area was significantly positively correlated with the transverse diameter and area of the vertebral canal. CLINICAL SIGNIFICANCE The lumbar vertebral canal contained more space for the dural sac, which seems to be safer for testing spinal implants.
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Böttcher P, Böttcher IC, Truar K, Ludewig E, Oechtering G, Flegel T. Effect of ventral slot procedure on spinal cord compression in dogs with single static intervertebral disc disease: preliminary findings while evaluating a semiquantitative computed tomographic myelographic score of spinal cord compression. Vet Surg 2012; 42:383-91. [PMID: 23240963 DOI: 10.1111/j.1532-950x.2012.01067.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To (1) evaluate pre- and postoperative cervical spinal cord compression (SCC) in the context of uncomplicated ventral slot (VS) decompression using computed tomographic (CT) myelography and (2) report reliability of a semiquantitative SCC score using CT myelography. STUDY DESIGN Prospective and retrospective, clinical pilot study. ANIMALS Dogs (n = 17) with single static intervertebral disc disease. METHODS On matched pre- and postoperative transverse CT myelographic images, degree and lateralization of extradural SCC were scored by 4 blinded independent observers, followed by consensus finding. Inter- and intraobserver variability was quantified using intraclass correlation (ICC). Nonparametric tests were performed comparing pre- and postoperative SCC, correlation with neurologic status and significance of lateralization. RESULTS Because of invisible contrast agent, only 13 dogs could be fully evaluated. After VS, SCC was significantly reduced whereas neurologic function significantly improved. Ten dogs had residual compression, not affecting neurologic long-term outcome. Only preoperative compression score and neurologic status 3-7 weeks postoperatively were inversely correlated. Lateralization of SCC preoperatively did not affect postsurgical compression scores. Interobserver ICC was 0.848 and intraobserver ICC was 0.984. CONCLUSIONS VS improves neurologic function but often fails at completely resolving extradural SCC. The proposed CT myelographic score is highly reliable, assuring consistency among and within observers.
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Affiliation(s)
- Peter Böttcher
- Department of Small Animal Medicine, University of Leipzig, Leipzig, Germany.
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De Decker S, da Costa RC, Volk HA, Van Ham LML. Current insights and controversies in the pathogenesis and diagnosis of disc-associated cervical spondylomyelopathy in dogs. Vet Rec 2012. [DOI: 10.1136/vr.e7952] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- S. De Decker
- Department of Veterinary Clinical Sciences; Royal Veterinary College; Hawkshead Lane, North Mymms Hatfield Hertfordshire AL9 7TA UK
| | - R. C. da Costa
- College of Veterinary Medicine; The Ohio State University; 1900 Coffey Road Columbus OH 43210 USA
| | - H. A. Volk
- Department of Veterinary Clinical Sciences; Royal Veterinary College; Hawkshead Lane, North Mymms Hatfield Hertfordshire AL9 7TA UK
| | - L. M. L. Van Ham
- Faculty of Veterinary Medicine; Ghent University; Salisbrylaan, 133 B-9820 Merelbeke Belgium
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13
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da Costa RC, Echandi RL, Beauchamp D. Computed tomography myelographic findings in dogs with cervical spondylomyelopathy. Vet Radiol Ultrasound 2012; 53:64-70. [PMID: 22093094 DOI: 10.1111/j.1740-8261.2011.01869.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Computed tomography (CT) myelography is used occasionally in the diagnosis of cervical spondylomyelopathy, but the type of lesion found in large- versus giant-breed dogs using this modality has not been characterized. Our purpose was to report the frequency of compressive lesions in large- and giant-breed dogs with cervical spondylomyelopathy and imaged using CT myelography. Fifty-eight dogs were retrospectively studied, 23 large-breed and 35 giant-breed dogs. Multiple sites of compression were found in 12 large-breed dogs (52.2%) compared to 30 (85.8%) giant-breed dogs. The main site of compression was at C5-6 and C6-7 in both large-breed (91.3%) and giant-breed (72.4%) dogs. The main cause and direction of compression was disc-associated and ventral in 19 (82.6%) of the large-breed dogs while osseous changes were the primary cause of compression in 27 (77.2%) of the giant-breed dogs, with most compressions being lateral (51.4%), followed by dorsolateral (14.2%). Osseous compression was observed at C7-T1 in eight giant-breed dogs (22.8%), and at T1-T2 or T2 only in five dogs (14.3%). Four of 23 large-breed dogs (17.4%), and seven (20%) of 35 giant-breed dogs had spinal cord atrophy. Therefore, giant-breed dogs often have multiple compressions, usually caused by osseous changes causing lateralized compressions. In large-breed dogs most compressions are disc-associated and located ventrally. Considering the number of giant-breed dogs with compressions at C7-T1, T1-2, and T2, it is important to include the cranial thoracic region when imaging dogs suspected of having cervical spondylomyelopathy.
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Affiliation(s)
- Ronaldo C da Costa
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210, USA.
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14
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Mitchell CW, Nykamp SG, Foster R, Cruz R, Montieth G. THE USE OF MAGNETIC RESONANCE IMAGING IN EVALUATING HORSES WITH SPINAL ATAXIA. Vet Radiol Ultrasound 2012; 53:613-20. [DOI: 10.1111/j.1740-8261.2012.01938.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2011] [Accepted: 03/08/2012] [Indexed: 11/26/2022] Open
Affiliation(s)
- Colleen W. Mitchell
- Department of Clinical Studies; Ontario Veterinary College; University of Guelph; Guelph; ON N1G 2W1; Canada
| | - Stephanie G. Nykamp
- Department of Clinical Studies; Ontario Veterinary College; University of Guelph; Guelph; ON N1G 2W1; Canada
| | - Robert Foster
- Department of Pathobiology; Ontario Veterinary College; University of Guelph; Guelph; ON N1G 2W1; Canada
| | - Robert Cruz
- Department of Clinical Studies; Ontario Veterinary College; University of Guelph; Guelph; ON N1G 2W1; Canada
| | - Gabrielle Montieth
- Department of Clinical Studies; Ontario Veterinary College; University of Guelph; Guelph; ON N1G 2W1; Canada
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Schmied O, Golini L, Steffen F. Effectiveness of cervical hemilaminectomy in canine Hansen Type I and Type II disc disease: a retrospective study. J Am Anim Hosp Assoc 2011; 47:342-50. [PMID: 21852506 DOI: 10.5326/jaaha-ms-5604] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Medical records of 41 dogs, including 15 small breed dogs (<15 kg) and 26 large breed dogs (>15 kg), with cervical intervertebral disc disease (IVDD) that underwent a hemilaminectomy were reviewed. Dogs were diagnosed using myelography, computed tomography/myelography, or MRI, and dogs were classified as having either Hansen Type I disc extrusion or Hansen Type II disc protrusion located ventrally, ventrolaterally, or laterally within the cervical spinal canal. The most common clinical presentation was ambulatory tetraparesis and/or lameness (44%). The most affected sites for cervical IVDD were between the sixth and seventh cervical vertebrae (C6-C7; 78% of Hansen Type II discs) and C2-C3 (86% of Hansen Type I discs). Treatment was effective in 88% of dogs. Five large breed dogs (12%) did not improve. In dogs with a Hansen Type I disc extrusion, clinical signs improved in 96% of the cases. In dogs with a Hansen Type II disc protrusion, an excellent and good outcome was seen in 47% and 32% of cases, respectively. Outcome was significantly better for small breed dogs and dogs with Hansen Type I disc disease compared with large breed dogs and dogs with Hansen Type II disc disease.
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Affiliation(s)
- Oliver Schmied
- Clinic for Small Animal Surgery/Neurology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland
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16
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De Decker S, Gielen IMVL, Duchateau L, Corzo-Menéndez N, van Bree HJJ, Kromhout K, Bosmans T, Van Ham LML. Intraobserver, interobserver, and intermethod agreement for results of myelography, computed tomography-myelography, and low-field magnetic resonance imaging in dogs with disk-associated wobbler syndrome. J Am Vet Med Assoc 2011; 238:1601-8. [DOI: 10.2460/javma.238.12.1601] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Schroeder R, Pelsue DH, Park RD, Gasso D, Bruecker KA. Contrast-enhanced CT for localizing compressive thoracolumbar intervertebral disc extrusion. J Am Anim Hosp Assoc 2011; 47:203-9. [PMID: 21498595 DOI: 10.5326/jaaha-ms-5550] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Thoracolumbar intervertebral disc extrusion is a common disease in dogs. Surgical decompression of the spinal cord is the preferred treatment. Localization of the compressive material is critical for surgical planning. Myelography has been used for localizing extruded disc material, but this procedure carries risk of complications. Computed tomography (CT) is becoming more available for use in veterinary medicine and CT myelography is used for localization of extruded disc material. This report compares CT with intravenous contrast medium and CT myelography for identifying extruded intervertebral discs. CT with intravenous contrast medium is as effective as CT myelography for determining level and laterality of compressive disc extrusions.
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DENNISON SOPHIEE, DREES RANDI, RYLANDER HELENA, YANDELL BRIANS, MILOVANCEV MILAN, PETTIGREW ROGER, SCHWARZ TOBIAS. EVALUATION OF DIFFERENT COMPUTED TOMOGRAPHY TECHNIQUES AND MYELOGRAPHY FOR THE DIAGNOSIS OF ACUTE CANINE MYELOPATHY. Vet Radiol Ultrasound 2010; 51:254-8. [DOI: 10.1111/j.1740-8261.2010.01667.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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TROTTER ERICJ. Cervical Spine Locking Plate Fixation for Treatment of Cervical Spondylotic Myelopathy in Large Breed Dogs. Vet Surg 2009; 38:705-18. [DOI: 10.1111/j.1532-950x.2009.00541.x] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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22
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Eagleson JS, Diaz J, Platt SR, Kent M, Levine JM, Sharp NJH, Schatzberg SJ. Cervical vertebral malformation-malarticulation syndrome in the Bernese mountain dog: clinical and magnetic resonance imaging features. J Small Anim Pract 2009; 50:186-93. [DOI: 10.1111/j.1748-5827.2009.00731.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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da Costa RC, Parent JM. One-year clinical and magnetic resonance imaging follow-up of Doberman Pinschers with cervical spondylomyelopathy treated medically or surgically. J Am Vet Med Assoc 2007; 231:243-50. [PMID: 17630890 DOI: 10.2460/javma.231.2.243] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To evaluate progression of clinical signs and magnetic resonance imaging (MRI) findings in dogs with cervical spondylomyelopathy (wobbler syndrome) treated medically or surgically. DESIGN Prospective cohort study. ANIMALS 12 Doberman Pinschers. PROCEDURES Neurologic examinations and MRI were performed before medical (n = 9) or surgical treatment (ventral slot, 3) and a minimum of 12 months later. RESULTS Mean follow-up time was 14.5 months. Clinically, 2 dogs improved after surgical treatment and 5 improved after medical treatment. Magnetic resonance imaging of surgically treated dogs revealed adequate spinal cord decompression. Spinal cord signal changes were seen in 2 dogs before surgery, both of which had new signal changes at the same and adjacent sites during follow-up examination. One dog treated surgically developed 3 new areas of spinal cord compression. In the medically treated dogs, the severity of spinal cord compression at the time of follow-up examination was unchanged in 4 dogs, worse in 2 dogs, and improved in 3 dogs, but spinal cord atrophy was observed on transverse images. Four medically treated dogs had changes in spinal cord signal initially, but none developed new signal changes or compressions. CONCLUSIONS AND CLINICAL RELEVANCE Medical and surgical treatment improved or stabilized the clinical condition of most dogs. Surgical treatment appeared to hasten the development of additional areas of spinal cord compression and lesions in dogs with preoperative cord changes; however, the clinical importance of these changes was not determined. The progression of pathologic MRI abnormalities was notably less in medically treated dogs, compared with surgically treated dogs.
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Affiliation(s)
- Ronaldo C da Costa
- Department of Biomedical Sciences, Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada
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Ohlerth S, Scharf G. Computed tomography in small animals – Basic principles and state of the art applications. Vet J 2007; 173:254-71. [PMID: 16516508 DOI: 10.1016/j.tvjl.2005.12.014] [Citation(s) in RCA: 64] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/23/2005] [Indexed: 10/24/2022]
Abstract
Since its clinical introduction, computed tomography (CT) has revolutionized veterinary medicine and is considered to be one of the most valuable tools for the imaging work-up of neurological, oncological and orthopaedic canine and feline patients. In small animals with acute trauma, particularly those involving complex anatomic areas such as the head, spine or pelvis, CT has been established as a standard imaging method. With the increasing availability of radiation therapy in veterinary medicine, CT has also become the principal tool to stage a tumour, assess response, and guide radiation therapy. The increasing availability of helical CT in veterinary medicine has allowed novel techniques such as spiral CT angiography and high-resolution CT. This review provides a brief overview of the historical and technical development of CT and literature reviews of the major clinical CT applications in small animals such as intracranial and extracranial lesions, the spine, the appendicular skeleton, and abdominal and thoracic diseases.
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Affiliation(s)
- Stefanie Ohlerth
- Section of Diagnostic Imaging and Radio-Oncology, Vetsuisse Faculty, University of Zürich, Winterthurerstrasse 260, 8057 Zürich, Switzerland.
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da Costa RC, Poma R, Parent JM, Partlow G, Monteith G. Correlation of motor evoked potentials with magnetic resonance imaging and neurologic findings in Doberman Pinschers with and without signs of cervical spondylomyelopathy. Am J Vet Res 2006; 67:1613-20. [PMID: 16948610 DOI: 10.2460/ajvr.67.9.1613] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To establish the reference ranges for motor evoked potential (MEP) latency and amplitude in clinically normal Doberman Pinschers, compare the MEPs of Doberman Pinschers with and without clinical signs of cervical spondylomyelopathy (CSM; wobbler syndrome), and determine whether MEP data correlate with neurologic or magnetic resonance imaging (MRI) findings. ANIMALS 16 clinically normal and 16 CSM-affected Doberman Pinschers. PROCEDURES Dogs were classified according to their neurologic deficits. After sedation with acepromazine and hydromorphone, transcranial magnetic MEPs were assessed in each dog; latencies and amplitudes were recorded from the extensor carpi radialis and cranial tibial muscles. Magnetic resonance imaging was performed to evaluate the presence and severity of spinal cord compression. RESULTS Significant differences in cranial tibial muscle MEP latencies and amplitudes were detected between clinically normal and CSM-affected dogs. No differences in the extensor carpi radialis MEP were detected between groups. There was a significant correlation (r = 0.776) between the cranial tibial muscle MEP latencies and neurologic findings. Significant correlations were also found between MRI findings and the cranial tibial muscle MEP latencies (r = 0.757) and amplitudes (r = -0.453). CONCLUSIONS AND CLINICAL RELEVANCE Results provided a reference range for MEPs in clinically normal Doberman Pinschers and indicated that cranial tibial muscle MEP latencies correlated well with both MRI and neurologic findings. Because of the high correlation between cranial tibial muscle MEP data and neurologic and MRI findings, MEP assessment could be considered as a screening tool in the management of dogs with spinal cord disease.
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Affiliation(s)
- Ronaldo C da Costa
- Department of Biomedical Sciences, Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada
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da Costa RC, Parent JM, Partlow G, Dobson H, Holmberg DL, Lamarre J. Morphologic and morphometric magnetic resonance imaging features of Doberman Pinschers with and without clinical signs of cervical spondylomyelopathy. Am J Vet Res 2006; 67:1601-12. [PMID: 16948609 DOI: 10.2460/ajvr.67.9.1601] [Citation(s) in RCA: 98] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To compare morphologic and morphometric features of the cervical vertebral column and spinal cord of Doberman Pinschers with and without clinical signs of cervical spondylomyelopathy (CSM; wobbler syndrome) detected via magnetic resonance imaging (MRI). ANIMALS 16 clinically normal and 16 CSM-affected Doberman Pinschers. PROCEDURES For each dog, MRI of the cervical vertebral column (in neutral and traction positions) was performed. Morphologically, MRI abnormalities were classified according to a spinal cord compression scale. Foraminal stenosis and intervertebral disk degeneration and protrusion were also recorded. Morphometric measurements of the vertebral canal and spinal cord were obtained in sagittal and transverse MRI planes. RESULTS 4 of 16 clinically normal and 15 of 16 CSM-affected dogs had spinal cord compression. Twelve clinically normal and all CSM-affected dogs had disk degeneration. Foraminal stenosis was detected in 11 clinically normal and 14 CSM-affected dogs. Vertebral canal and spinal cord areas were consistently smaller in CSM-affected dogs, compared with clinically normal dogs. In neutral and traction positions, the intervertebral disks of CSM-affected dogs were wider than those of clinically normal dogs but the amount of disk distraction was similar between groups. CONCLUSIONS AND CLINICAL RELEVANCE The incidence of intervertebral disk degeneration and foraminal stenosis in clinically normal Doberman Pinschers was high; cervical spinal cord compression may be present without concurrent clinical signs. A combination of static factors (ie, a relatively stenotic vertebral canal and wider intervertebral disks) distinguished CSM-affected dogs from clinically normal dogs and appears to be a key feature in the pathogenesis of CSM.
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Affiliation(s)
- Ronaldo C da Costa
- Department of Biomedical Sciences, Ontario Veterinary College, University of Guelph, Guelph, ON, N1G 2W1, Canada
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Gómez MA, Jones JC, Broadstone RV, Inzana KD, Freeman LE. Evaluation of the internal vertebral venous plexus, vertebral canal, dural sac, and vertebral body via nonselective computed tomographic venography in the cervical vertebral column in healthy dogs. Am J Vet Res 2006; 66:2039-45. [PMID: 16379644 DOI: 10.2460/ajvr.2005.66.2039] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To evaluate nonselective computed tomographic (CT) venography for evaluating the cervical internal vertebral venous plexus (IVVP), define the diameter and area dimensions of the IVVP, and determine the relationship between dimensions of the cervical IVVP and other vertebral components in medium-sized dogs. Animals-6 healthy dogs that weighed 18 to 27 kg. Procedure-Helical CT scans were performed from C1 to C7 before and after IV injection of contrast medium (480 mg of iodine/kg) and a continuous infusion (240 mg of iodine/kg). Image data were transferred to a CT workstation, and measurements were performed on displayed transverse images. Diameter and area measurements of the vertebral canal, dural sac, IVVP, and vertebral body were obtained at C3 to C7. RESULTS Opacification of vertebral venous structures was achieved in all dogs with no adverse reactions. Sagittal diameters of the IVVP for C3 to C7 ranged from 0.6 to 3.2 mm. Transverse diameters ranged from 2.32 to 5.74 mm. The IVVP area represented 12.4% of the mean vertebral canal transverse area and 30.61% of the mean vertebral epidural space area. Area measurements of the IVVP were significantly correlated with vertebral canal area and dural sac area. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that nonselective CT venography is a safe, sensitive method for performing morphometric assessments of the cervical IVVP in dogs. Findings support the theory that there may be a physiologic or developmental relationship between cervical vertebral canal components.
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Affiliation(s)
- Marcelo A Gómez
- Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Polytechnic Institute & State University, Blacksburg, VA 24061-0442, USA
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Gómez M, Freeman L, Jones J, Lanz O, Arnold P. Computed tomographic anatomy of the canine cervical vertebral venous system. Vet Radiol Ultrasound 2004; 45:29-37. [PMID: 15005358 DOI: 10.1111/j.1740-8261.2004.04005.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Computed tomographic (CT) venography of the cervical vertebral canal was performed in six, clinically normal, adult mixed-breed dogs from 14 to 23 kg. After dogs were euthanized and saline perfused, a gelatin and iothalamate mixture was injected into the right external jugular vein. Contiguous, 4-mm-thick CT images were obtained with dogs in sternal recumbency. Dogs were kept in the same position as for the CT scan and frozen to approximately -8 degrees C. All post-contrast CT images were analyzed using similar bone window and level settings. Additional multiplanar reformatted dorsal images were obtained in all dogs. The frozen cadavers were sectioned through the cervical region extending from the occiput to T1 at approximately 8-mm intervals. The frozen sections were then compared with the CT images. The CT appearance of the normal cervical vertebral venous system was described and illustrated. Components such as the internal vertebral venous plexus, interarcuate veins, intervertebral veins, and vertebral veins were clearly identified on the CT images.
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Affiliation(s)
- Marcelo Gómez
- Department of Biomedical Science, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Polytechnic Institute & State University, Blacksburg, VA 24061-0442, USA
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Abstract
The medical records of 17 dogs diagnosed with spinal arachnoid cysts at North Carolina State University Veterinary Teaching Hospital were retrospectively examined to identify trends in signalment, history, neurological status, treatment, and short- and long-term prognosis. The typical case was that of a nonpainful, progressive ataxia frequently characterized by hypermetria and incontinence. Cysts typically occurred in the dorsal subarachnoid space at the first to third cervical vertebrae of young, large-breed dogs or the caudal thoracic vertebrae of older, small-breed dogs. Although 14 of 15 dogs treated surgically did well in the short term, long-term successful outcomes were achieved in only eight of the 12 dogs that were followed for >1 year. Significant predictors of good, long-term outcome were not identified; however, factors associated with a trend toward a good outcome included <3 years of age, <4 months' duration of clinical signs, and marsupialization as the surgical technique.
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Affiliation(s)
- Todd M Skeen
- Veterinary Teaching Hospital, North Carolina State University, 4700 Hillsborough Street, Raleigh, North Carolina 27606-1428, USA
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De Risio L, Muñana K, Murray M, Olby N, Sharp NJH, Cuddon P. Dorsal laminectomy for caudal cervical spondylomyelopathy: postoperative recovery and long-term follow-up in 20 dogs. Vet Surg 2002; 31:418-27. [PMID: 12209412 DOI: 10.1053/jvet.2002.34673] [Citation(s) in RCA: 58] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To evaluate the postoperative morbidity and long-term outcome of dogs after dorsal laminectomy for caudal cervical spondylomyelopathy (CCSM). STUDY DESIGN Retrospective study. SAMPLE POPULATION Twenty dogs with CCSM. METHODS Medical records of dogs treated by dorsal laminectomy for CCSM at North Carolina State University and Colorado State University between 1989 and 1999 were reviewed. Information on signalment, onset, progression and duration of clinical signs, diagnostic testing, sites of dorsal laminectomy, postoperative complications, length of hospitalization, and the ambulatory status on discharge was recorded. A minimum follow-up of 7 months was required for inclusion in the study. Neurologic status was graded (0 to 5) preoperatively, 2 days after surgery, and at the time of the study (final score). Improvement or worsening of the neurologic status was assessed by comparison of different scores for each dog. Additional follow-up information was obtained by means of a detailed telephone questionnaire directed at both the owner and referring veterinarian. RESULTS Mean duration of clinical signs before surgery was 4.9 months. At admission, 15 dogs were ambulatory and 5 were nonambulatory. Neurologic status worsened in 70% of dogs 2 days after surgery but improved in all but 1 dog over the long term. Mean time to optimal recovery was 3.6 months. Long-term follow-up ranged from 7 months to 9 years (mean +/- SD, 3.2 +/- 2.4 years). Four dogs had confirmed recurrence; 2 other dogs may have had recurrence. CONCLUSIONS Dorsal cervical laminectomy is an effective treatment for CCSM in those dogs with dorsal compression or multiple sites of involvement. CLINICAL RELEVANCE Although most dogs' neurologic status transiently worsened after surgery, long-term outcome and recurrence rates were comparable to those seen with other surgical techniques for CCSM.
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Affiliation(s)
- Luisa De Risio
- Department of Animal Health, Veterinary Surgery and Emergency Service, Faculty of Veterinary Medicine, University of Parma, Parma, Italy
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31
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Lu D, Lamb CR, Wesselingh K, Targett MP. Acute intervertebral disc extrusion in a cat: clinical and MRI findings. J Feline Med Surg 2002; 4:65-8. [PMID: 11869056 DOI: 10.1053/jfms.2001.0150] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A 5 year old, neutered male, domestic shorthaired cat had acute left hemiparesis and Horner's syndrome. Magnetic resonance imaging (MRI) revealed a loss of the normal signal from the nucleus pulposus of the intervertebral disc at C3/4, narrowing of the ventral subarachnoid space and slight dorsal displacement of the spinal cord and a focal hyperintense lesion affecting the left side of the spinal cord at the same level. The presumptive diagnosis was focal spinal cord oedema associated with intervertebral disc extrusion. A traumatic aetiology was suspected. The cat was treated conservatively and improved gradually over a period of 6 months.
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Affiliation(s)
- D Lu
- Department of Small Animal Medicine and Surgery, The Royal Veterinary College, Hawkshead Lane, North Mimms, Hertfordshire AL9 7TA, UK
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32
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Jeffery ND, McKee WM. Surgery for disc-associated wobbler syndrome in the dog--an examination of the controversy. J Small Anim Pract 2001; 42:574-81. [PMID: 11791771 DOI: 10.1111/j.1748-5827.2001.tb06032.x] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Controversy surrounds treatment of disc-associated 'wobbler' syndrome in the dog, centring on the choice of method of surgical decompression used. In this review, details of previously published case series are summarised and critically examined in an attempt to compare success rates and complications of different types of surgery. Unequivocally accurate comparisons were difficult because of differences in methods of case recording between series. Short-term success rates were high (approximately 80 per cent), but there was a high rate of recurrence (around 20 per cent) after any surgical treatment, suggesting the possibility that the syndrome should be considered a multifocal disease of the caudal cervical region. Statistical analysis revealed no significant differences in success rates between the various reported decompressive surgical techniques
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Affiliation(s)
- N D Jeffery
- Department of Clinical Veterinary Medicine, Cambridge
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Lipsitz D, Levitski RE, Chauvet AE, Berry WL. Magnetic resonance imaging features of cervical stenotic myelopathy in 21 dogs. Vet Radiol Ultrasound 2001; 42:20-7. [PMID: 11245233 DOI: 10.1111/j.1740-8261.2001.tb00899.x] [Citation(s) in RCA: 59] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
The cervical spine of 21 dogs with clinical signs of cervical stenotic myelopathy was evaluated using magnetic resonance (MR) imaging. Spin echo T1, T2 and gradient echo T2 weighted images were obtained with a 1.5 Tesla magnet in 12 dogs and a 1.0 Tesla magnet in 9 dogs. Sagittal or parasagittal T1W and T2W images were helpful in determining the presence of spinal cord compression or degenerative disease of the articular processes. Transverse T1W and T2W images were the most useful for the identification of dorsolateral spinal cord compression secondary to soft tissue and ligament hypertrophy, as well as synovial cysts, associated with the articular processes. The MR imaging findings were consistent with the surgical findings in all 14 dogs that underwent surgery. Magnetic resonance imaging provided a safe, non-invasive method of evaluating the cervical spine in dogs suspected of having cervical stenotic myelopathy. Veterinary
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Affiliation(s)
- D Lipsitz
- Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, 53706, USA
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Olby NJ, Muñana KR, Sharp NJ, Thrall DE. The computed tomographic appearance of acute thoracolumbar intervertebral disc herniations in dogs. Vet Radiol Ultrasound 2000; 41:396-402. [PMID: 11052360 DOI: 10.1111/j.1740-8261.2000.tb01860.x] [Citation(s) in RCA: 61] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The appearance of herniated intervertebral disc material in the thoracolumbar vertebral canal was evaluated in 23 dogs using computed tomography (CT). The images were then compared with the myelographic and surgical findings. The normal spinal cord, outlined by epidural fat over intervertebral disc spaces, was of intermediate attenuation on transverse CT images. Herniated disc material was identified in all animals as a heterogeneous hyperattenuating extradural mass. The attenuation of the disc material increased with the degree of mineralization. In seven dogs, the herniated material was only slightly more attenuating than the spinal cord. In these dogs, small fragments of mineralized disc material and significant hemorrhage were found in the epidural space at surgery. In dogs with a long standing history of disc herniations, disc material identified in the vertebral canal had a more hyperattenuating and homogeneous appearance than recently herniated disc material. We conclude that mineralized, herniated disc material and hemorrhage can be identified quickly and safely in dogs using CT.
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Affiliation(s)
- N J Olby
- Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh 27606, USA
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Abstract
Neurologic dysfunction is the most common clinical manifestation of intervertebral disk disease. This article is a comprehensive review of intervertebral disk disease emphasizing clinical features, diagnosis and treatment of cervical and thoracolumbar disk disease. Clinical signs are determined by neuroanatomic localization and severity of spinal cord injury. Myelography is most commonly used for determining the location and extent of the disk protrusion/extrusion; however, computed tomography and magnetic resonance imaging are also common adjunctive and primary diagnostic techniques. Summaries from recent studies will give the clinician an improved understanding on how to confront controversial issues regarding prophylactic and therapeutic management and prognosis.
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Affiliation(s)
- J R Coates
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station, USA.
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McKee WM, Butterworth SJ, Scott HW. Management of cervical spondylopathy-associated intervertebral, disc protrusions using metal washers in 78 dogs. J Small Anim Pract 1999; 40:465-72. [PMID: 10587923 DOI: 10.1111/j.1748-5827.1999.tb02997.x] [Citation(s) in RCA: 44] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Intervertebral 7.5 mm (n = 75) and 6.0 mm (n = 22) metal washers were used to distract intervertebral spaces in 78 consecutive cases of canine cervical spondylopathy-associated disc protrusions, where myelography had demonstrated traction-responsive spinal cord compression. Nineteen dogs had compressive lesions at two sites. Fifty lesions were evaluated myelographically on immediate postoperative radiographs; of these, 32 compressions had been eliminated and 18 had been reduced. Euthanasia was performed in nine dogs within six months of surgery and 15 dogs had varying degrees of neck pain during this period. Long-term follow-up information was available on 65 dogs nine to 70 months following surgery (median 32 months). Sixty-three of these dogs improved postoperatively. Neurological function subsequently deteriorated in 17 dogs 10 to 59 months following surgery (median 34 months). Eight of these 17 cases had further myelographic investigations and all had additional disc protrusions with no evidence of cord compression at the previous sites of surgery. The remaining nine cases had a deterioration in hindlimb function but were not investigated further.
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Affiliation(s)
- W M McKee
- Willows Referral Service, West Midlands
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37
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Abstract
Computed tomography (CT) and magnetic resonance imaging (MRI) are becoming increasingly accessible in veterinary medicine. Because of their ability to image the bony spine and spinal cord noninvasively and with exceptional detail, these techniques have revolutionized the way spinal disorders are diagnosed in both people and animals. Although the veterinary literature on this topic is limited, interpretation of CT and MR images of the spine are facilitated by the similarity of human and animal disease processes. This article provides an overview of imaging strategies, normal anatomy, and the CT and MRI features of degenerative, infectious, neoplastic, and vascular diseases of the spine.
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Affiliation(s)
- W H Adams
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville 37901-1071, USA
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38
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Fourie SL, Kirberger RM. Relationship of cervical spinal cord diameter to vertebral dimensions: a radiographic study of normal dogs. Vet Radiol Ultrasound 1999; 40:137-43. [PMID: 10225524 DOI: 10.1111/j.1740-8261.1999.tb01898.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Cervical spinal cord abnormalities are often unapparent on myelographic studies, because no normal values for cervical spinal cord diameter are currently available. The purpose of this study was to establish, myelographically, the normal sagittal diameter of the cervical spinal cord in large and small breed dogs and its relationship to the sagittal diameter of the vertebral canal and sagittal height/length of the corresponding vertebral bodies. Forty-one adult dogs underwent cervical radiography and myelography. Spinal cord and vertebral canal sagittal diameter, vertebral body height at C2 to 5, body length at C3 to 5, and dorsal spine length of C2 were measured on lateral views. Ratios of spinal cord:vertebral canal diameter, spinal cord:body height, and spinal cord:body length/spine were calculated, and a normal range was determined for small and large breed dogs. The spinal cord:vertebral canal ratios showed that small breeds have a higher cervical cord-to-canal ratio than large breeds. The mean values and ranges of 14 ratios are reported. The ratios of spinal cord:body length at C2 to 4 in small breeds and spinal cord:body height at C3 to 5 in large breeds were found to be the most accurate for assessing spinal cord sagittal diameter. These normal ranges would allow quantitative and objective evaluation of the cervical spinal cord by myelography and early identification of dogs with altered spinal cord diameter, which could be further evaluated by means of alternative imaging techniques.
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Affiliation(s)
- S L Fourie
- Department of Surgery, Faculty of Veterinary Science, University of Pretoria, South Africa
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39
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Rusbridge C, Wheeler SJ, Torrington AM, Pead MJ, Carmichael S. Comparison of two surgical techniques for the management of cervical spondylomyelopathy in dobermanns. J Small Anim Pract 1998; 39:425-31. [PMID: 9791829 DOI: 10.1111/j.1748-5827.1998.tb03749.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
A study was undertaken to compare the efficacy of two surgical techniques for the treatment of caudal cervical spondylomyelopathy (CCSM): ventral decompression (slot) and vertebral distraction and stabilisation with a screw and washer (screw/washer). Twenty-eight dobermanns managed surgically for disc-associated CCSM during a four-year period were studied retrospectively. The maximum postoperative period was 40 months. Cases were excluded if a minimum follow-up of 24 months after surgery could not be made. A 'slot' took a longer time to perform and had a higher rate of immediate postoperative deterioration. Duration of hospital stay was similar for both procedures. At six months after surgery the two techniques were comparable; 12/14 (screw/washer) and 13/14 (slot) patients were deemed to have a satisfactory outcome. Recurrence of cervical spinal cord disease was higher in the screw/washer dogs. At one year after surgery the recurrence rate was zero (slot) and 5/14 (screw/washer), respectively. At two years after surgery 4/14 of the slot dogs had deteriorated compared to 7/14 of the screw/washer dogs. Where investigated, the cause of deterioration was either a domino disc lesion or vertebral endplate collapse and dorsal displacement of the screw and washer.
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Affiliation(s)
- C Rusbridge
- Department of Small Animal Medicine and Surgery, Royal Veterinary College, University of London, Hertfordshire
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40
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Kneissl S, Schedlbauer B. Radiology corner. Sagittal computed tomography of the feline spine. Vet Radiol Ultrasound 1997; 38:282-3. [PMID: 9262684 DOI: 10.1111/j.1740-8261.1997.tb00856.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Affiliation(s)
- S Kneissl
- Department of Radiology, University of Veterinary Medicine Vienna, Austria
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