Gutierrez-Quintana Rodrigo, Penderis Jacques
University of Glasgow, Glasgow, G61 1QH, UK.
Vet Radiol Ultrasound. 2012 May-Jun;53(3):304-11. doi: 10.1111/j.1740-8261.2011.01912.x. Epub 2012 Jan 11.
Cervical spondylomyelopathy or Wobbler syndrome commonly affects the cervical vertebral column of Great Dane dogs. Degenerative changes affecting the articular process joints are a frequent finding in these patients; however, the correlation between these changes and other features of cervical spondylomyelopathy are uncertain. We described and graded the degenerative changes evident in the cervical articular process joints from 13 Great Danes dogs with cervical spondylomyelopathy using MR imaging, and evaluated the relationship between individual features of cervical articular process joint degeneration and the presence of spinal cord compression, vertebral foraminal stenosis, intramedullary spinal cord changes, and intervertebral disc degenerative changes. Degenerative changes affecting the articular process joints were common, with only 13 of 94 (14%) having no degenerative changes. The most severe changes were evident between C4-C5 and C7-T1 intervertebral spaces. Reduction or loss of the hyperintense synovial fluid signal on T2-weighted MR images was the most frequent feature associated with articular process joint degenerative changes. Degenerative changes of the articular process joints affecting the synovial fluid or articular surface, or causing lateral hypertrophic tissue, were positively correlated with lateral spinal cord compression and vertebral foraminal stenosis. Dorsal hypertrophic tissue was positively correlated with dorsal spinal cord compression. Disc-associated spinal cord compression was recognized less frequently.
颈椎病性脊髓病或摇摆综合征通常影响大丹犬的颈椎。在这些患者中,影响关节突关节的退行性变很常见;然而,这些变化与颈椎病性脊髓病的其他特征之间的相关性尚不确定。我们使用磁共振成像描述并分级了13只患有颈椎病性脊髓病的大丹犬颈椎关节突关节中明显的退行性变,并评估了颈椎关节突关节退变的个体特征与脊髓受压、椎间孔狭窄、脊髓髓内改变和椎间盘退变之间的关系。影响关节突关节的退行性变很常见,94只中只有13只(14%)没有退行性变。最严重的变化在C4 - C5和C7 - T1椎间隙最为明显。T2加权磁共振图像上高信号的滑液信号减弱或消失是与关节突关节退行性变相关的最常见特征。影响滑液或关节面或导致外侧肥厚组织的关节突关节退行性变与脊髓外侧受压和椎间孔狭窄呈正相关。背侧肥厚组织与脊髓背侧受压呈正相关。椎间盘相关的脊髓受压较少见。