Mateo Isidro, Vet Lic, Paniagua Rocio, Vet Grado, Cloquell Ana, Vet Lic, Vazquez Fernando, Vet Lic
From Hospital Clínico Veterinario, Universidad Alfonso X el Sabio, Madrid, Spain.
J Am Anim Hosp Assoc. 2019 May/Jun;55(3):e55303. doi: 10.5326/JAAHA-MS-6883. Epub 2019 Mar 14.
Although intervertebral disc extrusions are extremely frequent in dogs, those affecting the cranial thoracic spine in large-breed dogs have not been reported. In this case report, the clinical, radiological, surgical, and histopathological findings in two German shepherd dogs with T3-T4 disc extrusions are reported. Clinical and imaging findings (acute onset and radiological evidence of lateralized disc material dispersed beyond the margins of the intervertebral disc space) allowed proper diagnosis of disc extrusion. Decompressive surgery via hemilaminectomy was performed in both patients with favorable outcomes. Intervertebral disc extrusions should be considered as a differential diagnosis of large-breed dogs with acute onset, upper-thoracic spinal cord disease. Imaging findings can aid in differentiating thoracic intervertebral disc extrusions from protrusions, thus leading to appropriate treatment.
虽然椎间盘突出症在犬类中极为常见,但大型犬颅部胸椎受影响的情况尚未见报道。在本病例报告中,报道了两只患有T3 - T4椎间盘突出症的德国牧羊犬的临床、放射学、手术及组织病理学检查结果。临床和影像学表现(急性发病以及椎间盘物质向外侧分散至椎间盘间隙边缘之外的放射学证据)有助于准确诊断椎间盘突出症。两名患者均接受了半椎板切除术减压手术,效果良好。对于急性发病的大型犬胸椎脊髓疾病,应将椎间盘突出症纳入鉴别诊断范围。影像学表现有助于区分胸椎椎间盘突出症与椎间盘膨出,从而实现恰当治疗。