Johnson Philippa, Beltran Elsa, Dennis Ruth, Taeymans Olivier
Radiology Department, Tufts University, Kentford, Newmarket, Suffolk, UK.
Vet Radiol Ultrasound. 2012 Sep-Oct;53(5):552-9. doi: 10.1111/j.1740-8261.2012.01959.x. Epub 2012 Jun 15.
The purpose of this study was to describe the magnetic resonance imaging (MRI) characteristics of suspected instability in dogs with vertebral fractures or subluxations. Eleven dogs that had MRI examinations of the spine prior to surgical stabilization of vertebral fractures and/or subluxations were included in the study. Nine dogs also had survey radiographs. Four dogs had cervical fracture or fracture-subluxation and presented with tetraplegia with intact nociception (n = 2) or nonambulatory tetraparesis (n = 2). Seven dogs had thoracolumbar fracture-subluxation or subluxation and presented with paraplegia with intact nociception (n = 5) or nonambulatory paraparesis (n = 2). A three-compartment model was applied to the interpretation of both the radiographic and MRI studies. Radiography identified compartmental disruption consistent with spinal instability in seven out of the nine cases radiographed. In MRI studies, rupture of the supportive soft tissue structures and/or fracture in at least two compartments could be visualized. Nine cases had spinal cord changes on MRI including signal intensity changes, swelling, compression, and intramedullary hemorrhage. Paravertebral muscle intensity changes were also visible at each trauma site. Magnetic resonance imaging provided helpful information on the location and extent of damage to supportive soft tissue structures and enabled assessment of spinal cord injury in this group of dogs with surgically confirmed vertebral fractures and subluxations.
本研究的目的是描述患有脊椎骨折或半脱位的犬疑似不稳定的磁共振成像(MRI)特征。本研究纳入了11只在脊椎骨折和/或半脱位手术固定前接受了脊柱MRI检查的犬。9只犬还进行了X线平片检查。4只犬患有颈椎骨折或骨折半脱位,表现为四肢瘫且痛觉完整(n = 2)或非行走性四肢轻瘫(n = 2)。7只犬患有胸腰椎骨折半脱位或半脱位,表现为截瘫且痛觉完整(n = 5)或非行走性截瘫(n = 2)。采用三室模型来解释X线平片和MRI研究结果。在9例进行X线平片检查的病例中,有7例X线平片显示与脊柱不稳定一致的节段性破坏。在MRI研究中,可以观察到至少两个节段的支持性软组织结构破裂和/或骨折。9例犬在MRI上有脊髓改变,包括信号强度改变、肿胀、受压和髓内出血。在每个创伤部位也可见椎旁肌肉强度改变。磁共振成像提供了关于支持性软组织结构损伤的位置和范围的有用信息,并能够评估这组经手术证实患有脊椎骨折和半脱位的犬的脊髓损伤情况。