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  4. Magnetic resonance imaging and neurologic characterization of combined osseous- and disc-associated cervical spondylomyelopathy in dogs

Magnetic resonance imaging and neurologic characterization of combined osseous- and disc-associated cervical spondylomyelopathy in dogs

J Vet Intern Med, 2023 · DOI: 10.1111/jvim.16792 · Published: July 1, 2023

NeurologyMedical ImagingVeterinary Medicine

Simple Explanation

Cervical spondylomyelopathy (CSM), or wobbler syndrome, affects the cervical vertebral column in dogs, causing compression of the spinal cord and nerve roots. There are two main forms of CSM: disc-associated (DA-CSM), caused by intervertebral disc protrusion, and osseous-associated (OA-CSM), caused by bony proliferation. This study focuses on dogs with both DA-CSM and OA-CSM, examining MRI characteristics and neurologic findings to understand the combined condition better.

Study Duration
January 2005 to May 2019
Participants
Sixty dogs with disc and osseous-associated CSM
Evidence Level
Retrospective study

Key Findings

  • 1
    A substantial percentage of dogs with CSM (26% in this study) present with both IVD protrusion and osseous changes, often at the same location.
  • 2
    Dogs with concurrent osseous and disc-associated compressions at the same site were more likely to have a higher neurologic grade.
  • 3
    There was a very strong correlation between degenerated IVDs and articular processes with surface degenerative changes and absent synovial fluid signal.

Research Summary

This study investigates the characteristics of combined disc- and osseous-associated cervical spondylomyelopathy (CSM) in dogs using MRI and neurological examination. The findings indicate that a significant proportion of CSM-affected dogs have both IVD protrusions and osseous changes, often at the same site, which can impact neurologic grade. The study highlights the importance of carefully evaluating all cervical levels in dogs with CSM to avoid overlooking additional lesions and to inform appropriate treatment strategies.

Practical Implications

Improved Diagnosis

Recognizing combined forms of CSM is crucial for accurate diagnosis and surgical planning.

Tailored Treatment

The presence of both osseous and disc-associated lesions may necessitate a combination of surgical procedures.

Prognosis

Dogs with combined compressions at the same site may have a worse neurologic status, influencing treatment decisions.

Study Limitations

  • 1
    Retrospective nature of the study with varying imaging protocols.
  • 2
    Lack of dynamic MRI studies (flexion/extension) for all dogs.
  • 3
    The importance of secondary compressive sites might have been underestimated.

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