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COMPARISON BETWEEN COMPUTED TOMOGRAPHIC AND SURGICAL FINDINGS IN NINE LARGE-BREED DOGS WITH LUMBOSACRAL STENOSIS
Authors:eryl C  Jones  DVM  PhD  Donald C  Sorjonen  DVM  MS  Stephen T  Simpson  DVM  MS  Joan R  Coates  DVM  MS  Stephen D  Lenz  DVM  PhD  John T  Hathcock  DVM  MS  Michelle W  Agee  MD  PhD  Jan E  Bartels  DVM  MS
Institution:Departments of Radiology (Jones, Hathcock, Bartels), Small Animal Medicine and Surgery, (Sorjonen, Simpson, Coates) and Pathobiology, (Lenz), College of Veterinary Medicine, Aubum University, Alabama;and from Alabama Imaging, PC, Opelika, Alabama (Agee).
Abstract:In a three-year prospective study, computed tomographic (CT) and surgical findings were compared for nine large breed dogs with lumbosacral stenosis. Surgically-excised tissue was examined histologically in seven dogs and additional necropsy evaluation was performed in one dog. The CT abnormalities observed at sites of confirmed cauda equina compression were: loss of epidural fat, increased soft tissue opacity, bulging of the intervertebral disc margin, spondylosis, thecal sac displacement, narrowed intervertebral foramen, narrowed vertebral canal, thickened articular process, articular process subluxation, articular process osteophyte, and telescoped sacral lamina. The CT characteristics of lumbosacral degenerative disease and discospondylitis were similar to those described in humans. In three dogs, CT findings at the site of cauda equina compression were consistent with congenital or developmental spinal stenosis, but the method of surgical exposure precluded confirmation. Epidural fibrosis (eight dogs) and multi-level CT abnormalities (six dogs) were identified but the cause(s) and significance were unknown.
Keywords:CT X-ray  dog diseases  cauda equina  spinal stenosis
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