Knaus Iris, Breit Sabine, Künzel Wolfgang, Mayrhofer Elisabeth
The Institute of Anatomy, University of Veterinary Medicine, Vienna, Austria.
Vet Radiol Ultrasound. 2004 Jan-Feb;45(1):1-9. doi: 10.1111/j.1740-8261.2004.04001.x.
Ventrodorsal (VD) radiographs of cadaveric pelves of large and giant breeds (n = 40) and of the corresponding bone specimens were made. Gross changes seen in the specimens were marked with metal wire or radiopaque paint to relate radiographic changes to the postmortem appearance of degenerative sacroiliac (SI) joint lesions. Two positioning techniques were used, resulting in two radiographs for each specimen. The techniques used were: (1) pulling the pelvic limbs caudally, with gentle traction producing a view of the sacrum in almost parallel alignment between the sacrum and the X-ray film (we have termed this a "central SI view") and (2) pulling the pelvic limbs caudally with greater traction than above, resulting in maximal inclination of the sacrum with respect to the X-ray film (we have termed this an "angled SI view"). Lesions of the supportive soft connective tissue could be imaged on the central and angled SI views, whereas angled SI views allowed better identification of lesions of the synovial SI joint. The insights gained in the above study were then used in a retrospective examination of 145 routine ventrodorsal radiographs of the pelvis (i.e., 290 sacroiliac joints) to determine the incidence of degenerative changes of the SI joint in large dogs. The lesions most commonly observed were calcification of the supportive soft connective tissue (n = 184/290), whereas lesions of the synovial SI joint were less frequent (n = 86/290). The degree of central or angled projection obtained in standard ventrodorsal radiographs was noted to be significantly (P < 0.05) associated with age, body conformation, anesthetic status, and the presence of spondylosis deformans at the lumbosacral junction. In contrast, SI joint disease and the gender of the animal did not affect the SI view achieved in VD radiographs.
对大型和巨型犬种的40具尸体骨盆进行了腹背位(VD)X线摄影,并对相应的骨骼标本进行了拍摄。用金属丝或不透射线的涂料标记标本中观察到的大体变化,以便将X线变化与骶髂(SI)关节退行性病变的尸检外观联系起来。使用了两种定位技术,每个标本得到两张X线片。所使用的技术为:(1)将后肢向尾侧牵拉,适度牵引可使骶骨在几乎与X线片平行的方向上显影(我们将此称为“中央SI位”);(2)以比上述更大的牵引力将后肢向尾侧牵拉,使骶骨相对于X线片最大程度倾斜(我们将此称为“斜位SI位”)。中央和斜位SI位均可显示支持性软结缔组织的病变,而斜位SI位能更好地识别滑膜性SI关节的病变。然后,将上述研究中获得的见解用于回顾性检查145例骨盆的常规腹背位X线片(即290个骶髂关节),以确定大型犬SI关节退行性变化的发生率。最常观察到的病变是支持性软结缔组织钙化(n = 184/290),而滑膜性SI关节的病变较少见(n = 86/290)。标准腹背位X线片中获得的中央或斜位投影程度与年龄、体型、麻醉状态以及腰骶关节脊柱关节病的存在显著相关(P < 0.05)。相比之下,SI关节疾病和动物性别并不影响VD X线片中获得的SI位。