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患有和未患有颈椎脊髓病临床症状的杜宾犬的形态学和形态测量磁共振成像特征。

Morphologic and morphometric magnetic resonance imaging features of Doberman Pinschers with and without clinical signs of cervical spondylomyelopathy.

作者信息

da Costa Ronaldo C, Parent Joane M, Partlow Gary, Dobson Howard, Holmberg David L, Lamarre Jonathan

机构信息

Department of Biomedical Sciences, Ontario Veterinary College, University of Guelph, Guelph, ON, N1G 2W1, Canada.

出版信息

Am J Vet Res. 2006 Sep;67(9):1601-12. doi: 10.2460/ajvr.67.9.1601.

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.

摘要

目的

比较经磁共振成像(MRI)检测有和没有颈椎脊髓病(CSM;摇摆综合征)临床症状的杜宾犬颈椎和脊髓的形态学及形态测量学特征。

动物

16只临床正常的杜宾犬和16只患有CSM的杜宾犬。

方法

对每只犬进行颈椎的MRI检查(中立位和牵引位)。在形态学上,根据脊髓压迫量表对MRI异常进行分类。还记录椎间孔狭窄、椎间盘退变和突出情况。在MRI矢状面和横断面上对椎管和脊髓进行形态测量。

结果

16只临床正常的犬中有4只,16只患有CSM的犬中有15只存在脊髓压迫。12只临床正常的犬和所有患有CSM的犬都有椎间盘退变。在11只临床正常的犬和14只患有CSM的犬中检测到椎间孔狭窄。与临床正常的犬相比,患有CSM的犬的椎管和脊髓面积始终较小。在中立位和牵引位时,患有CSM的犬的椎间盘比临床正常的犬更宽,但两组间椎间盘牵张程度相似。

结论及临床意义

临床正常的杜宾犬椎间盘退变和椎间孔狭窄的发生率较高;颈椎脊髓压迫可能存在但无并发临床症状。静态因素(即相对狭窄的椎管和更宽的椎间盘)的组合将患有CSM的犬与临床正常的犬区分开来,似乎是CSM发病机制中的关键特征。

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