Togni A, Kranenburg H J C, Morgan J P, Steffen F
Clinic for Small Animal Surgery, Surgery/Section of Neurology, Vetsuisse Faculty University of Zurich, Zurich, Switzerland.
J Small Anim Pract. 2014 Jul;55(7):343-9. doi: 10.1111/jsap.12218. Epub 2014 Apr 12.
To evaluate clinical signs, describe lesions and differences in the magnetic resonance imaging appearance of spinal new bone formations classified as disseminated idiopathic spinal hyperostosis and/or spondylosis deformans on radiographs and compare degeneration status of the intervertebral discs using the Pfirrmann scale.
Retrospective analysis of 18 dogs presented with spinal disorders using information from radiographic and magnetic resonance imaging examinations.
All dogs were found to be affected with both disseminated idiopathic spinal hyperostosis and spondylosis deformans. Neurological signs due to foraminal stenosis associated with disseminated idiopathic spinal hyperostosis were found in two dogs. Spondylosis deformans was associated with foraminal stenosis and/or disc protrusion in 15 cases. The Pfirrmann score on magnetic resonance imaging was significantly higher in spondylosis deformans compared with disseminated idiopathic spinal hyperostosis and signal intensity of new bone due to disseminated idiopathic spinal hyperostosis was significantly higher compared to spondylosis deformans.
Differences between disseminated idiopathic spinal hyperostosis and spondylosis deformans found on magnetic resonance imaging contribute to an increased differentiation between the two entities. Clinically relevant lesions in association with disseminated idiopathic spinal hyperostosis were rare compared to those seen with spondylosis deformans.
评估临床体征,描述影像学上分类为弥漫性特发性脊椎肥大症和/或退行性脊柱关节病的脊柱新骨形成的病变及磁共振成像表现差异,并使用Pfirrmann分级法比较椎间盘退变状态。
利用X线和磁共振成像检查信息,对18只患有脊柱疾病的犬进行回顾性分析。
所有犬均被发现同时患有弥漫性特发性脊椎肥大症和退行性脊柱关节病。两只犬出现了与弥漫性特发性脊椎肥大症相关的椎间孔狭窄所致神经体征。退行性脊柱关节病在15例中与椎间孔狭窄和/或椎间盘突出相关。与弥漫性特发性脊椎肥大症相比,退行性脊柱关节病在磁共振成像上的Pfirrmann评分显著更高,且弥漫性特发性脊椎肥大症所致新骨的信号强度与退行性脊柱关节病相比显著更高。
磁共振成像上发现的弥漫性特发性脊椎肥大症和退行性脊柱关节病之间的差异有助于增加这两种疾病之间的鉴别。与退行性脊柱关节病相比,与弥漫性特发性脊椎肥大症相关的临床相关病变较少见。