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1.
    
Cauda equina syndrome in the dog is a common neurologic disorder caused by compression of the spinal cord, nerve roots and spinal nerves caudal to the fifth lumbar vertebra. This paper describes the clinical signs, radiographic findings of discography and/or epidurography, and comparison with surgery or necropsy of 21 dogs with cauda equina syndrome. Discograms were performed by using a 20- or 22-gauge spinal needle introduced in a sagittal plane into the lumbosacral (LS) disc space under fluoroscopic guidance. Epidurograms were performed following discography by injecting contrast medium after repositioning the tip of the needle into the ventral epidural space at the level of the LS junction. Direct examination of the LS junction was performed in all dogs by surgical exploration and/or necropsy. On survey radiographs, the most common findings were spondylosis, malalignment of the sacrum to the last lumbar vertebra, collapse of the LS disc space, stenosis of the vertebral canal at the LS junction, and transitional vertebral segments. Discography was considered of diagnostic quality in 19/21 (90%) of the dogs, showing disc protrusion in 14/21 (67%). Epidurography was of diagnostic quality in 18/18 (100%) dogs, showing abnormal findings in 14/18 (78%). No adverse reaction was noted to the radiographic procedure when dogs were allowed to recover from anesthesia before surgery. Based on macroscopic findings, combination of survey radiographs and disco-epidurography was correctly positive in 16/18 dogs (89%). It is concluded that discography associated with epidurography is a valuable procedure for evaluation of the LS junction in the dog. A combination of both procedures reduces the possibility of technical artifacts by outlining both sides of the compressive lesion, i.e., the disc and the epidural space.  相似文献   

2.
    
Lumbar myelography, intraosseous caudal vertebral venography, and epidurography were performed in 12 normal, mature mixed-breed dogs. The radiographic appearance of the lumbosacral region was evaluated in both the lateral and ventrodorsal projections. These three radiographic contrast procedures were repeated in the same dogs after the introduction of a silicone mass into the spinal canal at the lumbosacral junction. The radiographic findings were compared with postmortem findings to determine which contrast procedure was most useful in detecting the mass in the lumbosacral spine. None of the procedures evaluated consistently produced good-quality studies in the normal dogs. After introduction of the silicone mass, lumbosacral epidurography yielded the largest number of positive correlations. However, the sensitivity of lumbosacral epidurography was less than 50% in the lateral projection and less than 20% in the ventrodorsal projection. Though none of the procedures were consistently helpful in the diagnosis of the lumbosacral masses, lumbosacral epidurography has the most potential to give consistently good-quality studies and thereby a greater probability of detecting an abnormality.  相似文献   

3.
F. Rossi  DVM    G. Seiler  DVM    A. Busato  DVM habil.  MSc.    C. Wacker  DVM    J. Lang  DVM habil. 《Veterinary radiology & ultrasound》2004,45(5):381-387
The geometry of the lumbosacral region has been suspected to play a role in the development of degenerative lumbosacral stenosis in the dog. In this study, 50 dogs (21 German Shepherd dogs and 29 dogs of other breeds) with clinical signs of cauda equina compression were studied by magnetic resonance (MR) imaging. The orientation of the articular process joints in the L5-S1 region and the angle difference between two adjacent motion segments were calculated. Intervertebral disc degeneration of the same region was identified and classified in four stages. A positive association between MR-imaging stage and articular process joint angle difference in the transverse plane was found in the two groups of animals. German Shepherd dogs and dogs of other breeds had different geometry of the lumbosacral region with different articular process joint angles in the transverse plane and statistically different stages of disc degeneration.  相似文献   

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The transrectal ultrasonographic appearance of the lumbosacral joint was assessed in 43 horses with no history or clinical evidence of back pain or hindlimb lameness. In the majority of horses (34/43, 79.1%) the lumbosacral disc had uniform or mildly heterogeneous echogenicity. However, variation in the ultrasonographic appearance of the lumbosacral joint was also identified, including hyperechogenic regions within the lumbosacral disc with or without an acoustic shadow, and mild or moderate irregularity of the opposing surfaces of the last lumbar and the first sacral vertebral bodies. Marked irregularity of the bony surfaces or marked disruption of the lumbosacral disc was not seen in any horse. The mean distance between the ventral aspects of the last lumbar and first sacral vertebrae was 14.2 mm (range: 7.1–26.5 mm, median: 14.4 mm). The degree of protrusion of the ventral aspect of the lumbosacral disc ranged from 0 to 5 mm (mean: 1.32 mm, median: 1.2 mm). The mean angle between the ventral surfaces of the last lumbar and first sacral vertebrae was 147° (range: 118–165°, median: 150°). There was no significant effect of age, breed, gender, or the size of the horses on either subjective findings in the lumbosacral joint or objective measurements.  相似文献   

6.
The prevalence of lumbosacral transitional vertebrae (LTV) was determined by reviewing the pelvic radiographs of 4000 medium- and large-breed dogs of 144 breeds routinely screened for canine hip dysplasia. An LTV was seen in 138 (3.5%) dogs. The prevalence was higher in German Shepherd dogs and Greater Swiss Mountain dogs than in the other breeds, suggesting a genetic predisposition. There was no gender predisposition. The transverse processes of the LTV were divided into three types based on their morphological characteristics: lumbar type or type 1; intermediate type or type 2; and sacral type or type 3. In a symmetric LTV, both transverse processes are of the same type, while in an asymmetric LTV they are not. The frequency of occurrence of symmetric and asymmetric LTV was similar. In symmetric LTV, intermediate-type transverse processes predominated. Most of the asymmetric LTV had an intermediate-type transverse process combined with a lumbar or sacral type, respectively. Highly asymmetric LTV were often angled relative to the adjacent vertebrae. We hypothesize that an LTV is not the result of transformation of a lumbar into a sacral vertebra or vice versa, but rather is an autonomous intermediate type of vertebra. It occurs when the point of contact of the pelvis with the vertebral column is slightly cranial or caudal to its normal position. The resulting formative stimulus on the vertebral ossification centers, sagittally still separated, causes the various morphologies seen in LTV including the asymmetric variations.  相似文献   

7.
    
Objective To investigate whether rostral extension of the hind limbs increases the cranio‐caudal dorsal interlaminar distance between the seventh lumbar vertebra and the sacral bone (LS distance) in sternally recumbent anesthetized dogs. Study design Prospective clinical study. Animals Eighteen dogs (eight neutered males, three intact males, six spayed females, one intact female) of various breeds, weighing 4–34 kg and ranging in age from 1 to 13 years. Methods Each dog was grouped by size: small (≤10 kg), medium (15–20 kg) or large (≥25 kg). Each dog was anesthetized and positioned in sternal recumbency. Computed tomography (CT) of the lumbosacral area was performed with the hind limbs resting on the stifle and the feet extended posteriorly, and then with the hind limbs extended rostrally. LS distance, craniocaudal dorsal interlaminar distance between sixth and seventh lumbar vertebra (L6–L7 distance), length of L7 vertebral body and lumbosacral angle (LS angle) were measured on a reconstructed mid‐sagittal CT image from the two hind limb positions. The measurements from the two hind limb positions for the whole dog population and by size were compared using Student’s T tests. Diagnostic interpretation of the CT images was performed. Results The length of L7 was taken as the reference value as it was not affected by hind limb position. LS distance, L6–L7 distance and LS angle were significantly higher when the hind limbs were extended rostrally in all three size groups. The CT images of ten dogs showed clinically undetected osteoarthrosis of the ileo‐ and lumbosacral area. Conclusions and clinical relevance Rostral extension of the hind limbs significantly increases LS and L6–L7 distance and LS angle even in dogs with clinically undetected osteoarthrosis of the ileo‐ and lumbosacral area, and may enhance the ease of lumbosacral epidural injection in sternally recumbent anesthetized dogs.  相似文献   

8.
Daniel A.  Feeney  DVM  MS  Petra  Evers  DVM  Thomas F.  Fletcher  DVM  PhD  Robert M.  Hardy  DVM  MS  Larry J.  Wallace  DVM  MS 《Veterinary radiology & ultrasound》1996,37(6):399-411
The lumbosacral spine of six normal dogs weighing 4.5 to 24.5kg was imaged by computed tomography in 5.0 mm & 10.0 mm transverse planes. The vertebral canal and thecal sac (including emerging nerve roots not distinguished as separate structures from the spinal cord) were measured along dorsoventral and transverse dimensions at cranial, middle and caudal levels within each vertebra from transverse tomographic images. Linear measurements were standardized to the dorsoventral dimension of the L6 vertebral midbody to permit comparison and averaging of the vertebral and thecal sac dimensions among different sized dogs. The dorsoventral and transverse vertebral canal size progressively increased from cranial to caudal within each vertebra from L1?L6 (p ≤ 0.05). The transverse dimension of the thecal sac image increased caudally within each vertebra from L1?L4 (p ≤ 0.05). The vertebral canal dorsoventral and transverse dimensions were largest in the midlumbar area (p ≤ 0.05). The transverse, but not the dorsoventral, imaged dimension of the thecal sac peaked in the L4 vertebra (p ≤ 0.05). The dorsoventral thecal sac image was observed to fill the vertebral canal in the cranial and middle vertebral levels in vertebrae L1 through L5 in over 60% of these normal dogs. However, epidural fat could almost always be seen lateral to the thecal sac regardless of what lumbar vertebra or vertebral level was imaged. Cranial to the lumbosacral junction, the dorsal intervertebral disk margin was almost always concave relative to the thecal sac. However, at the L7-S1 junction, some dogs had flat or even slightly convex dorsal intervertebral disk margins. The dorsal and ventral longitudinal ligaments and the ligamentum flavum could not be identified as distinct structures on the 5.0 mm transverse tomographic images.  相似文献   

9.
OBJECTIVE: Using force plate analysis (FPA), determine ground reaction forces in dogs with degenerative lumbosacral stenosis (DLS) and evaluate the effects of lumbosacral decompressive surgery. STUDY DESIGN: Prospective clinical study. ANIMALS: Twelve dogs with DLS. METHODS: DLS was diagnosed by clinical signs, radiography, computed tomography, and/or magnetic resonance imaging. FPA was performed before surgery, and 3 days, 6 weeks, and 6 months after surgery. The mean peak braking (Fy+), peak propulsive (Fy-), and peak vertical (Fz+) forces of 8 consecutive strides were determined. The ratio between the total Fy- of the pelvic limbs and the total Fy- of the thoracic limbs (P/TFy-), reflecting the distribution of Fy-, was analyzed to evaluate any changes in locomotion pattern postoperatively. Ground reaction force data for DLS dogs were compared with data derived from 24 healthy dogs (control). RESULTS: In dogs with DLS, the propulsive forces (Fy-) of the pelvic limbs were significantly smaller than those of controls. P/TFy- was significantly smaller in dogs with DLS than in control dogs, and increased during the follow-up period, reaching normal values 6 months after surgery. CONCLUSIONS: Cauda equina compression in dogs with DLS decreases the propulsive force of the pelvic limbs and surgical treatment restores the propulsive force of the pelvic limbs in a 6-month period. CLINICAL RELEVANCE: In dogs with DLS, FPA is an effective method in evaluating the response to surgical treatment. Normal propulsive force in the pelvic limbs was restored during 6 months after decompressive surgery.  相似文献   

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11.
German shepherd dogs are overrepresented in the group of dogs with cauda equina compression syndrome due to degenerative lumbosacral stenosis. A congenital predisposition for early degeneration of the lumbosacral intervertebral disc has been suspected. Our aims were to assess the morphologic appearance of the lumbosacral intervertebral disc and the lumbosacral junction in healthy German shepherd dogs compared to other breeds and to evaluate for an early onset of degenerative changes. The lumbosacral spine of 110 clinically sound German shepherd dogs and 47 healthy dogs of other large breeds was examined using magnetic resonance (MR) imaging. The degeneration of every intervertebral disc was graded using an established classification system. Signal intensity of the entire lumbosacral disc and the nucleus pulposus was determined independently. Lumbosacral malalignment was assessed according to a previously described method. The findings for the German shepherd dogs were compared to those of the other breeds. Although most dogs were younger than 18 months at the date of examination, significantly higher grades of degeneration were detected for the lumbosacral intervertebral disc of German shepherd dogs (P < 0.003). Degeneration of the lumbosacral intervertebral disc was independent from findings in the other lumbar discs. We conclude that the German shepherd dog has a predisposition for degenerative changes in the lumbosacral intervertebral disc.  相似文献   

12.
There are many imaging modalities available for evaluating the canine lumbosacral region. These include conventional radiography, stress radiography, myelography, epidurography, transosseous and intravenous venography, discography, linear tomography, computed tomography, and magnetic resonance imaging. Myelography, epidurography and discography are commonly used, but often lack sensitivity. Myelography is of little value when evaluating the cauda equina because the dural sac is elevated from the vertebral canal floor and frequently ends before the lumbosacral junction. Epidurography will identify a ventrally located compressive lesion and discography can delineate the dorsal extent of the diseased disc; however, both are sometimes difficult to interpret. Therefore, more than one of these imaging techniques must be used in order to make a diagnosis. Computed tomography and magnetic resonance imaging have become valuable in evaluating the lumbosacral region in dogs. These modalities have proven to be both sensitive and specific for determining cauda equina compression in both humans and in dogs.  相似文献   

13.
    
Intracranial diseases are common in dogs and improved noninvasive diagnostic tests are needed. Magnetic resonance (MR) spectroscopy is a technique used in conjunction with conventional MR imaging to characterize focal and diffuse pathology, especially in the brain. As with conventional MR imaging, there are numerous technical factors that must be considered to optimize image quality. This study was performed to develop an MR spectroscopy protocol for routine use in dogs undergoing MR imaging of the brain. Fifteen canine cadavers were used for protocol development. Technical factors evaluated included use of single‐voxel or multivoxel acquisitions, manual placement of saturation bands, echo time (TE), phase‐ and frequency‐encoding matrix size, radiofrequency coil, and placement of the volume of interest relative to the calvaria. Spectrum quality was found to be best when utilizing a multivoxel acquisition with the volume of interest placed entirely within the brain parenchyma without use of manually placed saturation bands, TE = 144 ms, and a quadrature extremity radiofrequency coil. An 18 × 18 phase‐ and frequency‐encoding matrix size also proved optimal for image quality, specificity of voxel placement, and imaging time.  相似文献   

14.
  总被引:1,自引:0,他引:1  
The testicles of ten dogs presented for routine castration were imaged with real time ultrasound. A scanning technique using multiple imaging planes (sagittal, transverse, and dorsal planes) was developed to image the testicles and epididymi. The testes were characterized by a coarse medium echo pattern. The mediastinum testis was consistently seen as a 0.2 cm wide linear hyperechoic structure in the central long axis of the testis. The ability to identify and the appearance of the epididymis was variable. The tail was consistently seen as an anechoic to hypoechoic structure. Ultrasound images were compared for anatomical structure with frozen gross sections. Ultrasonic and gross measurements were made and analyzed. Individual gross and ultrasonic measurements compared favorably. Linear regression coefficients between body surface area versus testicular length and diameter were 0.73 and 0.58 respectively. A Wilcoxin signed rank test for similarity p = 0.33 value was found when comparing the right to the left testicle.  相似文献   

15.
    
High resolution computed tomography (CT) was used to determine the normal appearance of the brain of an adult Beagle dog. Objects as small as 0.6 mm for bony structures (high contrast) and 1.5–2.0 mm for soft tissue structures (low contrast) could be resolved in the CT images. Multiplanar imaging using direct transverse and reformatted dorsal and sagittal images made it possible to obtain a three dimensional presentation of anatomy. Selective viewing, where CT number window and level settings were varied, was used to optimize visualization of specific brain structures. Normal high contrast components, cerebrospinal fluid, and osseous land-marks, were important aids in identification of various intracranial structures. Quantitative densitometry was performed to characterize various regions of the brain in terms of their x-ray attenuation values or CT numbers. This study indicated that high resolution CT provides a qualitative and quantitative appraisal of the canine brain that is unavailable using conventional radiographic technics.  相似文献   

16.
    
High resolution computed tomography (CT) is a noninvasive imaging modality that has been used extensively in evaluating diseases of the human lumbosacral spine. Excellent spatial and contrast resolution, combined with multiplanar reformatting capability make high resolution CT scanners well-suited for similar applications in dogs. Consistently good quality images can be obtained when careful attention is given to factors affecting resolution. This paper reviews and illustrates some principles of high resolution CT, and proposes a technique for regional CT examination of the canine lumbosacral spine.  相似文献   

17.
This study examined the blood flow velocities and flow patterns in the normal dog using pulsed wave spectral Doppler echocardiography in eight areas of the heart. Two breeds of dogs, aged between 8 and 112 weeks and of both sexes, were used. The dogs were fully conscious and no drugs were used. The areas examined were the mitral valve, left atrium, tricuspid valve, right atrium, aorta, left ventricular outflow tract, pulmonary valve and the right ventricular outflow tract. The peak and mean velocities, direction of flow and whether flow was systolic or diastolic was determined for each of these flow areas. Additionally each of these waveforms were described. Aortic flow was also measured from the thoracic inlet by continuous wave Doppler.  相似文献   

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A delay in imaging following intravenous contrast medium administration has been recommended to reduce misdiagnoses. However, the normal variation of contrast enhancement in dogs following a delay has not been characterized. Contrast‐enhanced MR imaging of 22 dogs was assessed, in terms of identification of normal anatomic structures, to investigate the variation associated with 10‐min delay between contrast medium administration and imaging. All dogs had a normal brain MR imaging study and unremarkable cerebrospinal fluid. Specific regions of interest were assessed both objectively, using computer software, and subjectively using three observers. Mean contrast enhancement >10% was seen in the pituitary gland, choroid plexus, meninges, temporal muscle, trigeminal nerve, and the trigeminal nerve root. Structures with an active blood–brain barrier had minimal contrast enhancement (<6%). Enhancing structures had significantly more contrast enhancement at t=1 min vs. t=10 min, except in temporal muscle, the trigeminal nerve and the trigeminal nerve root. Interobserver agreement was moderate to good in favor of the initial postcontrast T1‐weighted (T1w) sequence. The observers found either no difference or poor agreement in identification of the nonvascular structures. Intraobserver agreement was very good with all vascular structures and most nonvascular structures. A degree of meningeal enhancement was a consistent finding. The initial acquisition had higher enhancement characteristics and observer agreement for some structures; however, contrast‐to‐noise was comparable in the delayed phase or not significantly different. We provide baseline references and suggest that the initial T1w postcontrast sequence is preferable but not essential should a delayed postcontrast T1w sequence be performed.  相似文献   

20.
The patellar ligament angle (PLA) was assessed in 105 normal stifle joints of 79 dogs and 33 stifle joints of 26 dogs with a ruptured cranial cruciate ligament (CrCL). The PLA of stifles with complete CrCL rupture was significantly lower than that of normal stifles, particularly at a flexion angle of 60~80° in both plain and stress views. If the PLA was <90.55° on the stress view with a 60~80° flexion angle, the dog was diagnosed with a complete rupture of the CrCL with a sensitivity of 83.9% and specificity of 100%. In conclusion, measuring the PLA is a quantitative method for diagnosing complete CrCL rupture in canines.  相似文献   

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