Henke Diana, Gorgas Daniela, Flegel Thomas, Vandevelde Marc, Lang Johann, Doherr Marcus G, Forterre Franck
Division of Neurological Sciences, Vetsuisse Faculty, University of Bern, Switzerland.
J Am Vet Med Assoc. 2013 Jan 15;242(2):217-22. doi: 10.2460/javma.242.2.217.
To determine the prevalence of spinal cord compression subsequent to traumatic intervertebral disk (IVD) extrusion in dogs, characterize factors associated with spinal cord compression in dogs with traumatic IVD extrusion, and evaluate the outcomes of dogs with traumatic IVD extrusion with or without spinal cord compression.
Retrospective case series.
31 dogs with traumatic IVD extrusion.
Medical records and MRI findings were reviewed for dogs with a history of trauma to the spinal region. Dogs were included in the study if a neurologic examination and MRI were performed and there was a description of clinical signs and MRI findings including identification of the spinal cord segment affected by IVD extrusion, presence or absence of spinal cord compression, treatment, and outcome available for review.
31 of 50 (62%) dogs had traumatic IVD extrusions without any other detectable vertebral lesions; 9 (29%) and 22 (71%) of those 31 dogs did and did not have spinal cord compression, respectively. Dogs with spinal cord compression were significantly older and more likely to be chondrodystrophic and have evidence of generalized IVD degeneration, compared with dogs without spinal cord compression. The outcome for dogs with spinal cord compression was similar to that for dogs without spinal cord compression.
Results indicated traumatic IVD extrusion was common and should be considered as a differential diagnosis for dogs with trauma to the spinal region, and spinal cord compression should be evaluated, especially in older or chondrodystrophic dogs.
确定犬外伤性椎间盘突出后继发脊髓压迫的患病率,明确外伤性椎间盘突出犬脊髓压迫相关因素,并评估有或无脊髓压迫的外伤性椎间盘突出犬的预后。
回顾性病例系列研究。
31只患有外伤性椎间盘突出的犬。
对有脊柱区域外伤史的犬的病历和磁共振成像(MRI)结果进行回顾。若进行了神经学检查和MRI,且有临床症状及MRI结果的描述,包括受椎间盘突出影响的脊髓节段的识别、有无脊髓压迫、治疗及可查阅的预后情况,则将这些犬纳入研究。
50只犬中有31只(62%)患有外伤性椎间盘突出且无其他可检测到的椎体病变;这31只犬中,分别有9只(29%)和22只(71%)存在和不存在脊髓压迫。与无脊髓压迫的犬相比,有脊髓压迫的犬年龄显著更大,更可能为软骨营养障碍型,且有全身性椎间盘退变的证据。有脊髓压迫的犬与无脊髓压迫的犬的预后相似。
结果表明外伤性椎间盘突出很常见,应被视为脊柱区域外伤犬的鉴别诊断之一,且应评估脊髓压迫情况,尤其是在老龄或软骨营养障碍型犬中。