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1.
OBJECTIVES: To document the contributions of trial repetition, limb side, and intraday and inter-week measurements on variation in vertical and craniocaudal ground reaction force data. Methods: Following habituation, force and time data were collected for all four limbs of seven Labrador Retrievers during sets of five valid trot trials. Each set was performed twice daily (morning and afternoon), every seven days for three consecutive weeks. A repeated measures analysis of variance was used to determine the effects of limb, trial, intraday, and inter-week factors on ground reaction force data for the thoracic and pelvic limbs. RESULTS: Of the four factors evaluated, variation due to trial repetition had the largest magnitude of effect on ground reaction forces. Trial within a set of data had an effect on all craniocaudal, but not vertical, ground reaction force variables studied, for the thoracic limbs. The first of five trials was often different from later trials. Some thoracic limb and pelvic limb variables were different between weeks. A limb side difference was only apparent for pelvic limb vertical ground reaction force data. Only pelvic limb craniocaudal braking variables were different between sets within a day. DISCUSSION AND CLINICAL SIGNIFICANCE: When controlling for speed, handler, gait, weight and dog breed, variation in ground reaction forces mainly arise from trial repetition and inter-week data collection. When using vertical peak force and impulse to evaluate treatment, trial repetition and inter-week data collection should have minimal effect of the data.  相似文献   

2.
Objective— To evaluate the long-term outcome after decompressive surgery in dogs with degenerative lumbosacral stenosis (DLS), using force plate analysis (FPA) and owner questionnaires.
Study Design— Prospective clinical study.
Animals— Dogs with DLS (n=31) and 24 clinically normal Labrador Retrievers.
Methods— FPA was performed before surgery (31 dogs) and at 3 days, 6 weeks, 6 months (each, 31 dogs) and ≥1.5 years (12 dogs) after surgery. Peak vertical forces (Fz+), braking (Fy+), and propulsive forces (Fy), and the corresponding impulses were determined. Questionnaires were completed by the owners before and at 6 months and ≥1.5 years after surgery.
Results— Fy of the pelvic limbs and the ratio pelvic/thoracic of Fy (P/TFy) were significantly smaller in dogs with DLS than controls. Fy and P/TFy decreased significantly 3 days after surgery, and increased during 6 months follow-up, but with long-term follow-up the values remained the same and were smaller than controls. From questionnaires there was a significant improvement after surgery compared with function before surgery. Most owners were satisfied with outcome after surgery.
Conclusions— Propulsive forces of the pelvic limbs in dogs with DLS are impaired and are partially restored by decompressive surgery.
Clinical Relevance— Owner's questionnaires illustrate that decompressive surgery restores function as perceived by owners whereas FPA continues to show impaired propulsive forces for the pelvic limbs.  相似文献   

3.
OBJECTIVE: To characterize ground reaction forces (GRFs) and determine whether there were correlations between forces and passive coxofemoral joint laxity in puppies. ANIMALS: Fifty-one 16-week-old hound-breed dogs. PROCEDURE: Force-plate gait evaluation and distraction radiographic imaging were performed. Ground reaction forces evaluated included x (mediolateral), y (craniocaudal breaking and propulsion), and z (vertical) peak force and impulse. Z-plane limb loading and unloading rates, loading interval, and weight distribution and y-plane stance time breaking and propulsion percentages were calculated. One-way ANOVA with the Duncan multiple range test was used to evaluate differences in gait variables among limbs. The relationships of left, right, highest, and mean distraction index (DI) with individual limb data of each dog were evaluated with the Spearman rank correlation. Left and right DIs were compared by means of linear regression analysis. RESULTS: Mean +/- SEM DI was 0.67 +/- 0.02. Left and right DIs were strongly correlated, but there were no significant relationships between DIs and gait variables. Most fore- and hind limb gait variables differed significantly, whereas paired fore- and hind limb gait variables did not. Asymmetry was most pronounced in the x- and y-planes. CONCLUSIONS AND CLINICAL RELEVANCE: GRFs were consistent with those of clinically normal mature dogs, supporting an absence of association between GRF and DI in young dogs. The GRFs and elucidation of the relationship between GRFs and DI may be useful for future studies in immature dogs.  相似文献   

4.
Objective— To describe the activity pattern of the vastus lateralis muscle in dogs at walk measured by surface electromyography (EMG) in relation to kinematics and kinetics of the pelvic limb.
Study Design— Experimental.
Animals— Malinois dogs (n=11).
Methods— Dogs (mean ± SD age, 5.5 ± 2.9 years; weight, 27.3 ± 3.8 kg; shoulder height, 62.7 ± 3.3 cm) walked on a treadmill system with integrated force plates, which allowed simultaneous analysis of kinematics, kinetics, and EMG data from all limbs. The maxima, minima, and their time of occurrence in the motion cycle of the EMG and the pelvic limb kinematics and kinetics were calculated; correlations between joint movement patterns, ground reaction forces (GRF), and activity pattern of the muscle group were investigated.
Results— The vastus lateralis muscle had an activity pattern with 2 peaks and a close positive correlation with GRF. The 1st peak occurred in early stance, followed by a decrease in activity during mid-stance. The 2nd peak occurred directly before the quick activity decrease in late stance phase, reaching its minimum early in swing phase.
Conclusions— These results suggest that the vastus lateralis muscle supports the vertical position and elevation of the pelvis during stance and push-off. During early stance, the muscle acts as a coantagonist to the hamstring muscle group and the gastrocnemius muscle, and restrains flexion during the late stance.
Clinical Relevance— Results of this study could enhance diagnosis of locomotor system disorders and facilitate monitoring effects of treatments (e.g., therapeutic exercises) on gait ability and muscle function.  相似文献   

5.
Objective— To determine the effect of humeral wedge and humeral slide osteotomies on force distribution between the articular surfaces of the humerus and the radius and ulna in normal canine thoracic limbs.
Study Design— In vitro mechanical testing.
Sample population— Cadaveric canine right thoracic limbs (n=12).
Methods— Transarticular elbow force maps were measured using a tactile array pressure sensor in elbow joints of axially aligned limbs under 200 N axial load before and after humeral wedge and humeral slide osteotomies.
Results— Loading induced 2 distinct areas of high forces that corresponded with the proximal articular surfaces of the radius and ulna. Mean force on the proximal articular surface of the ulna was reduced by 25% and 28% after 4 and 8 mm sliding osteotomies, respectively. Statistically significant differences were not observed for the wedge osteotomies.
Conclusion— Humeral slide osteotomy significantly decreases force on the proximal articular surface of the ulna.
Clinical Relevance— The proximal articular surface of the ulna contributes significantly to load transfer through the canine elbow joint. Abnormalities that significantly increase this force might contribute to canine elbow dysplasia, specifically fragmentation of the medial coronoid process and osteochondritis dissecans of the medial aspect of the humeral condyle. Under the conditions studied, the overall reduction in mean joint surface force across the proximal articular surface of the ulna after humeral slide osteotomy indicates that this technique merits further investigation for potential use in medial compartmental osteoarthritis of the canine elbow joint.  相似文献   

6.
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   

7.
Objectives — (1) To determine the usefulness of one specific oscillometric monitor for making indirect measurements of arterial pressure in cats. (2) To determine the difference between two specific cuff placement sites. (3) To determine if clipping the hair beneath the cuff has an affect on the accuracy of oscillometric blood pressure determination.
Study Design — Prospective study comparing the accuracy of the Datascope Passport (Data-scope Corp, Paramus, NJ) with concurrent invasive measurements.
Animals — Six anesthetized domestic felines weighing 4.5 to 5 kg.
Methods — The direct arterial pressure was measured using a cannula placed in the right common carotid artery. Oscillometric cuffs of appropriate size were placed on both thoracic limbs distal to the elbow and both pelvic limbs distal to the stifle. The hair in the areas of cuff placement on the right limbs was clipped circumferentially. Measurements of systolic, diastolic, and mean arterial pressure (MAP) were taken for each site during normotension, hypotension, and hypertension. Comparisons between indirect and direct measurements were made using a parametric analysis of method comparison.
Results — No significant differences were noted when die clipped limbs were compared with the corresponding limbs which were left undipped ( P >.378) or when the thoracic limb measurements were compared widi those of the pelvic limb ( P >.088). There were significant differences ( P <.002) between the two pressure measurement methods for the systolic, diastolic, and mean arterial pressures over all three pressure ranges.
Conclusions — The Datascope Passport did not accurately estimate the invasively measured arterial pressure.
Clinical Relevance — Use of noninvasive blood pressure monitoring equipment is increasing in use in veterinary medicine, and the accuracy of one specific monitor is reported.  相似文献   

8.
Force plate analysis of the walking gait in healthy dogs   总被引:2,自引:0,他引:2  
Ground reaction forces, impulses, and their relationships to morphometric measurements were evaluated for walking gait in 17 healthy dogs. A force plate was used to record forces at 1-ms intervals. Vertical, craniocaudal, and mediolateral forces were measured and normalized by body weight. Impulses, defined as the total force applied over time, were calculated in vertical and craniocaudal directions. Craniocaudal impulses were further divided into braking and propulsion phases. Braking impulses were significantly greater in the forelimbs (P less than or equal to 0.001), whereas propulsion impulses were generally greater in the hind limbs. Impulses and peak forces were then compared with morphometric measurements (body weight, humeral and femoral lengths, and paw length). All relationships were linear, with correlation coefficients significant (P less than or equal to 0.001). As the size of the dog increased, braking, propulsion and vertical impulses increased. Conversely, as morphometric measurements increased, peak vertical forces decreased. Thus, larger dogs had a lower peak force on each limb, but had a higher total impulse applied during stance phase. As stance phase time increased, peak vertical forces decreased. The results indicated that healthy dogs had significant correlations between ground reaction forces, impulses, and morphometric measurements.  相似文献   

9.
Objective: To evaluate the relationship of body weight (BW) and size, dog velocity, and vertical ground reaction forces (GRF) from a large number of dogs of various sizes. Study Design: Clinical research. Animals: Orthopedically healthy dogs (n=129) Methods: BW and dog size, represented as height at the withers (WH), were obtained. Stance times (ST), vertical impulses (VI), and peak vertical forces (PVF) of thoracic and pelvic limbs were measured on a force plate at controlled trotting speed. They were evaluated against BW and WH using linear regression analysis in absolute (nonnormalized) values, and when normalized to BW and/or body size according to the theory of dynamic similarity. Relative velocities were calculated for each dog. Results: Absolute ST, VI, and PVF showed strong positive correlations with BW and/or body size. When GRFs were normalized to BW, correlations with body size were markedly reduced, but remained positive for VI, and turned negative for PVF. Normalizing the time‐dependent variables (ST and VI) also to WH eliminated most size influence. A small dependency of fully normalized GRF on body size remained that was because of differences in relative velocity between dogs of different sizes. Reference values for the fully normalized data are given. Conclusions: The inherent relationship between BW, body size, dog velocity, and vertical GRF was demonstrated. Clinical Relevance: BW, body size, and relative dog velocity must be accounted for when wanting to obtain GRF variables that are comparable between different dogs.  相似文献   

10.

Background

The most accepted means of evaluating the response of a patient with cervical spondylomyelopathy (CSM) to treatment is subjective and based on the owner and clinician's perception of the gait.

Objective

To establish and compare kinetic parameters based on force plate gait analysis between normal and CSM‐affected Dobermans.

Animals

Nineteen Doberman Pinschers: 10 clinically normal and 9 with CSM.

Methods

Force plate analysis was prospectively performed in all dogs. At least 4 runs of ipsilateral limbs were collected from each dog. Eight force platform parameters were evaluated, including peak vertical force (PVF) and peak vertical impulse (PVI), peak mediolateral force (PMLF) and peak mediolateral impulse, peak braking force and peak braking impulse, and peak propulsive force (PPF) and peak propulsive impulse. In addition, the coefficient of variation (CV) for each limb was calculated for each parameter. Data analysis was performed by a repeated measures approach.

Results

PMLF (P = .0062), PVI (P = .0225), and PPF (P = .0408) were found to be lower in CSM‐affected dogs compared with normal dogs. Analysis by CV as the outcome indicated more variability in PVF in CSM‐affected dogs (P = 0.0045). The largest difference in the CV of PVF was seen in the thoracic limbs of affected dogs when compared with the thoracic limbs of normal dogs (P = 0.0019).

Conclusions and Clinical Importance

The CV of PVF in all 4 limbs, especially the thoracic limbs, distinguished clinically normal Dobermans from those with CSM. Other kinetic parameters less reliably distinguished CSM‐affected from clinically normal Dobermans.  相似文献   

11.
OBJECTIVE: To determine the combination of ground reaction forces (GRFs) that best discriminates between lame and non-lame dogs. To compare the sensitivity of force platform gait analysis and visual observation at detecting gait abnormalities in Labradors after surgery for rupture of the cranial cruciate ligament (CCL). ANIMALS: All dogs were adult Labrador Retrievers: 17 free of orthopedic and neurologic abnormalities, 100 with unilateral CCL rupture, and 131 studied 6 months after surgery for unilateral CCL injury, 15 with observable lameness. PROCEDURE: Dogs were walked over a force platform with GRF recorded during the stance phase. Analytic properties of force platform gait analysis were calculated for several combinations of forces. The probability of visual observation detecting a gait abnormality was compared with that of force platform gait analysis. RESULTS: We determined that a combination of peak vertical force (PVF) and falling slope were optimal for discriminating sound and lame Labradors. After surgery, many dogs (75%) with no observable lameness failed to achieve GRFs consistent with sound Labradors. CONCLUSION: A force platform is an accurate method of assessing lameness in Labradors with CCL rupture and is more sensitive than visual observation. Assessing lameness with a combination of GRFs is better than using univariate GRFs. CLINICAL RELEVANCE: Therapies for stifle lameness can be accurately and objectively evaluated using 2 vertical ground reaction forces obtained from a force platform.  相似文献   

12.
Objective— To report management of a chronic slipped capital femoral epiphysis (SCFE) in an alpaca using cementless total hip replacement (THR).
Study Design— Case report.
Animal— An 18-month-old, 47 kg alpaca male.
Methods— Cementless THR was performed in an alpaca with a chronic, right SCFE, and secondary osteoarthritis. Force plate gait analysis was performed before and 8 weeks after surgery. Outcome was determined through clinical evaluation, radiography, and force plate gait analysis.
Results— Cementless THR resulted in marked improvement in the alpaca's comfort level, degree of lameness, and range of motion. On preoperative force plate gait analysis there was decreased contact time ( P =.01) and vertical impulse ( P <.01) of the affected limb, whereas at 8 weeks postoperatively significant differences in gait analysis between pelvic limbs were not apparent.
Conclusion— THR using a BioMedtrix® canine cementless modular prosthesis restored hip function in an alpaca with coxofemoral osteoarthritis from chronic SCFE.
Clinical Relevance— THR may be an appropriate treatment for selected traumatic and degenerative conditions of the coxofemoral joint in alpacas.  相似文献   

13.
Objective— To evaluate the relationship between previously used subjective and objective measures of limb function in normal dogs that had an induced lameness.
Study Design— Prospective, blinded, and induced animal model trial.
Animals— Normal, adult, and mixed-breed dogs (n=24) weighing 25–35 kg.
Methods— Force platform gait analysis was collected in all dogs before and after induction of lameness. All gait trials were videotaped; 60 video trials were evaluated by 3 surgeons with practice limited to small animal orthopedics and 3 first year veterinary students in an effort to establish the relationship between subjective and objective measures of lameness. Evaluators were unaware of the force platform data.
Results— Concordance coefficients were low for all observers and were similar between students and surgeons. These values were further decreased when normal and non-weight bearing trials were removed. Agreement with the force platform data was low even when observers only had to be within ±10% of the ground reaction forces. When repeat trials were evaluated surgeons had a much higher repeatability compared with students.
Conclusions— Subjective evaluation of the lameness in this study varied greatly between observers and agreed poorly with objective measures of limb function.
Clinical Relevance— Subjective evaluation of gait should be interpreted cautiously as an outcome measure whether performed from a single or from multiple observers.  相似文献   

14.
Objective— To report surgical planning, technique, and long-term outcome of custom transcutaneous tibial implants used to restore ambulation after bilateral pelvic limb amputation in a dog.
Study Design— Case report.
Animals— A 4-year-old, 25.5 kg, female spayed, Siberian Husky.
Methods— Computed tomographic scans of the pelvic limbs were used to build sterolithographic models of the remaining tibia after bilateral amputation of the distal aspect of the tibiae. The sterolithographic models facilitated fabrication of implants that would replace the missing distal segments of the tibiae. Custom implants were surgically placed in both limbs.
Results— Assisted ambulation was restored immediately postoperatively and unassisted locomotion occurred at 7 days. At 14 months, aseptic loosening of the right implant occurred, it was removed and a 2nd transcutaneous implant was fabricated and implanted. At 26 months after initial surgery and 17 months after revision of the right implant, function is restored at a walk, trot, and run.
Conclusion— Based on over a 2-year follow-up, transcutaneous tibial implants allowed for restoration of locomotion.
Clinical Relevance— Transcutaneous tibial implants offer a potentially viable treatment option for restoring ambulation after amputation of the distal aspect of the tibiae in the dog.  相似文献   

15.
Objective— Quantitative and objective assessment of hindlimb kinetics after cranial cruciate ligament (CrCL) transection and subsequent stifle stabilization using the tibial plateau leveling osteotomy (TPLO) in normal dogs.
Study Design— In vivo experimental biomechanical evaluation.
Animals— Six healthy adult foxhounds.
Methods— Dogs were screened by orthopedic and radiographic examination before study entry. Force plate analysis of gait was measured before extirpation of the right CrCL and TPLO and again at 8 and 18 weeks after surgery.
Results— There was a significant decrease in peak vertical forces (PVFs) and vertical impulse (VI) of the treated hindlimb at 8 weeks when compared with preoperative and 18-week measurements. When compared with preoperative values, there was no significant difference in 18 week PVF and VI in dogs that had TPLO.
Conclusion— TPLO can restore kinetic measures of limb function at 18-weeks after surgery when compared with preoperative values after experimental transection of the CrCL in dogs.
Clinical Relevance— TPLO induces lameness that returns to near normal at 18 weeks. The severity and duration of lameness was similar to that reported for other experimental models of stifle instability repaired by different techniques.  相似文献   

16.
OBJECTIVE: To determine the effect of interday variation on vertical ground reaction force variables in dogs. ANIMALS: 52 clinically normal Greyhounds of either sex weighing between 22 and 35 kg. PROCEDURE: Dogs were led at a trot across a floor-mounted force platform to determine vertical ground reaction force variables (peak [PFz] and impulse [IFz]) from hind limbs. Data were collected from each dog on 3 consecutive days. Variance components were estimated, using maximal likelihood to evaluate contributions of interday variation within dogs and variation attributable to dogs and repetitions. An ANOVA was used to test significance of interday variation within dogs and day within dog interactions. RESULTS: PFz, IFz, or both differed significantly from day to day for 29 of 52 dogs. Only PFz differed significantly among days for 16 dogs, and only IFz differed among days for 5 dogs. The PFz and IFz differed significantly from day to day in 8 dogs. Using ANOVA, the difference for PFz and IFz among days within dogs was significant. CONCLUSIONS: Effect of day within dog variation (interaction) should be considered as a component in statistical models in which data from 1 day are evaluated against data from the same subject on another day. We propose a statistical model that incorporates an accommodation for interday variation. Investigators should determine the factors that affect their studies, including the extent of interday variation, and compensate for the variation attributable to each factor in the statistical models used to analyze their data.  相似文献   

17.
A three‐year‐old neutered male whippet was presented with intermittent, exercise‐induced paraparesis. Femoral pulses were bilaterally absent. Neurologic examination was suggestive of a thoracolumbar myelopathy. Blood pressure measurements revealed hypotension in both pelvic limbs, hypertension in the right thoracic limb and it was immeasurable in the left thoracic limb. Echocardiography was within reference limits. A clear vascular pulsation was palpable on the right ventral abdominal wall. Computed tomographic angiography revealed a dissection of the aortic wall between the left subclavian artery and the brachiocephalic trunk with subsequent thrombus formation. A shunt between the right internal thoracic, cranial and caudal epigastric arteries to preserve blood flow to the pelvic limbs was visualized. Necropsy was declined by the owner. This is the first case report describing the formation of a unilateral vascular shunt following a thoracic aortic occlusion, which presented as exercise‐induced paraparesis .  相似文献   

18.
Objective— To describe a surgical technique for total knee replacement (TKR) in dogs with severe osteoarthritis (OA) and report 1-year outcome.
Study Design— Prospective clinical case study.
Animals— Dogs (n=6) with severe stifle OA.
Methods— Preoperative and postoperative evaluations were compared after 6 dogs had TKR. Data gathered included radiographs, goniometric measures of passive range of motion, ground reaction forces, and girth measurements of the thigh before surgery and at 6 weeks, 3 months, 6 months, and 1 year.
Results— Stifle extension and excursion angles were significantly improved by 3 months after TKR. Mean peak vertical force and impulse were significantly improved by 6 months.
Conclusions— TKR is a viable treatment option for dogs with severe stifle OA.
Clinical Relevance— With continued refinement of surgical technique, instrumentation, and implants, TKR could become a reliable treatment for dogs with disabling, painful nonseptic stifle OA.  相似文献   

19.
OBJECTIVE: To evaluate gait, range of motion (ROM), and lameness in normal dogs after arthroscopy or arthrotomy of the cubital joint. STUDY DESIGN: Experimental study. ANIMALS: Fourteen mature, healthy dogs. METHODS: Dogs were randomly assigned to treatment groups. Seven underwent arthrotomy and 7 underwent arthroscopy of the left cubital joint. Dogs were evaluated using kinetic gait assessment, subjective evaluation scores, and cubital joint ROM. Evaluations were performed before and on days 2, 4, 7, 15, 22, and 29 after surgery. Radiographs made before and after the surgical procedures were evaluated. RESULTS: Significant differences in peak vertical force and vertical impulse force were not observed between surgery groups (P =.88 and.49, respectively). Joint ROM was not significantly different between groups (P =.09 for flexion and.91 for extension). For all dogs, joint ROM and radiographic evaluations remained normal throughout the study period. Significant differences in subjective lameness scores, weight bearing, or pain were not observed between groups (P >/ or =.19 for all variables). CONCLUSIONS: In this study population, significant differences between dogs undergoing arthroscopy or arthrotomy of the cubital joint with respect to postoperative pain, weight bearing, joint ROM, or temporal improvement of ground reaction forces were not observed. CLINICAL RELEVANCE: The results of this study suggest that postoperative morbidity should not be a factor when making a decision to perform either arthroscopy or arthrotomy for exploration of the medial compartment of the canine cubital joint.  相似文献   

20.
An 8-year-old neutered female Rhodesian Ridgeback developed acute, nonneurological right pelvic limb lameness. Femoral pulsation was poor, and oscillometric blood pressure measurements between the two pelvic limbs differed markedly. A caudal aortic right external iliac embolus was detected sonographically. Radiographically, there was a caudal esophageal mass and thoracic vertebral spondylitis typical of spirocercosis. Using CT-angiography, a caudal thoracic aortic aneurysm with a mural thrombus was detected. The dog recovered following heparin and aspirin therapy but signs recurred 7 months later. Subsequently, the patient improved on treatment and remains asymptomatic. This report illustrates the value of CT-angiography in detecting aortic thrombosis in dogs with spirocercosis.  相似文献   

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