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仅表现为背痛症状的犬椎间盘疾病:25例(1986 - 1993年)

Intervertebral disk disease in dogs with signs of back pain alone: 25 cases (1986-1993).

作者信息

Sukhiani H R, Parent J M, Atilola M A, Holmberg D L

机构信息

Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Canada.

出版信息

J Am Vet Med Assoc. 1996 Oct 1;209(7):1275-9.

PMID:8837650
Abstract

OBJECTIVE

To evaluate the population characteristics, historical, clinical, and diagnostic findings; and treatment outcome of dogs with thoracolumbar intervertebral disk disease (IVDD) whose only clinical signs were those of back pain.

DESIGN

Retrospective case series.

ANIMALS

Dogs with IVDD and clinical signs of back pain only, without neurologic deficits, in which survey radiography of the vertebral column and diagnostic myelographic studies were performed.

PROCEDURE

Review of the medical record, evaluation of survey radiographs of the vertebral column, evaluation of myelograms and estimation of apparent extent of spinal cord compression, and follow-up information provided by telephone contact with owners.

RESULTS

Spinal cord compression was detected on myelography in 20 of 25 (80%) dogs. Treatment included decompressive surgery in 18 of 25 (72%) dogs and all dogs underwent intervertebral disk fenestration. The condition was improved in 24 of 25 (96%) dogs after surgery.

CLINICAL IMPLICATIONS

Dogs with thoracolumbar IVDD that have clinical signs of back pain alone, without neurologic deficits, may have substantial compression of the spinal cord.

摘要

目的

评估仅表现为背痛的胸腰椎椎间盘疾病(IVDD)犬的种群特征、病史、临床及诊断结果,以及治疗效果。

设计

回顾性病例系列研究。

动物

患有IVDD且仅表现为背痛临床症状、无神经功能缺损的犬,对其进行了脊柱X线平片检查和诊断性脊髓造影研究。

方法

查阅病历,评估脊柱X线平片,评估脊髓造影并估计脊髓受压的明显程度,通过与犬主电话联系获取随访信息。

结果

25只犬中有20只(80%)在脊髓造影时检测到脊髓受压。治疗包括25只犬中的18只(72%)接受减压手术,所有犬均接受了椎间盘开窗术。术后25只犬中有24只(96%)病情改善。

临床意义

仅表现为背痛临床症状、无神经功能缺损的胸腰椎IVDD犬可能存在脊髓严重受压情况。

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