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Use of the ventrodorsal myelographic view to predict lateralization of extruded disk material in small-breed dogs with thoracolumbar intervertebral disk extrusion: 104 cases (2004-2005).
J Am Vet Med Assoc. 2007 Jun 15; 230(12):1860-5.JA

Abstract

OBJECTIVE

To determine whether the ventrodorsal myelographic view can be used to accurately predict the circumferential location of extruded disk material in dogs with thoracolumbar intervertebral disk extrusion (IVDE) and to describe paradoxical contrast obstruction (PCO).

DESIGN

Retrospective case series.

ANIMALS

104 dogs with Hansen type I IVDE. Procedures-Ventrodorsal myelographic views were reviewed, and contrast patterns were categorized according to 8 predetermined patterns. Agreement among observers was compared, and the predicted location of extruded disk material was compared with surgical findings.

RESULTS

Agreement regarding myelographic pattern and location of extruded disk material was moderate (kappa = 0.74 and 0.80, respectively) among the 4 observers. Ninety-three (89%) dogs had myelographic evidence of lateralized extrusion, and in 83 of the 93 (89%), predicted location of extruded disk material matched the surgically confirmed location. In 33 of the 40 (83%) dogs with bilateral contrast column gaps of unequal length, disk material was found to be located on the side with the shorter, rather than the longer, contrast gap, a phenomenon described as PCO.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested that the ventrodorsal myelographic view could be used to predict the circumferential location of extruded disk material in dogs with thoracolumbar IVDE more often than previously reported. The PCO phenomenon may be useful in determining the side of lateralization when contrast material does not outline the extruded disk material.

Authors+Show Affiliations

Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17571991

Citation

Bos, Alexandra Squires, et al. "Use of the Ventrodorsal Myelographic View to Predict Lateralization of Extruded Disk Material in Small-breed Dogs With Thoracolumbar Intervertebral Disk Extrusion: 104 Cases (2004-2005)." Journal of the American Veterinary Medical Association, vol. 230, no. 12, 2007, pp. 1860-5.
Bos AS, Brisson BA, Holmberg DL, et al. Use of the ventrodorsal myelographic view to predict lateralization of extruded disk material in small-breed dogs with thoracolumbar intervertebral disk extrusion: 104 cases (2004-2005). J Am Vet Med Assoc. 2007;230(12):1860-5.
Bos, A. S., Brisson, B. A., Holmberg, D. L., & Nykamp, S. G. (2007). Use of the ventrodorsal myelographic view to predict lateralization of extruded disk material in small-breed dogs with thoracolumbar intervertebral disk extrusion: 104 cases (2004-2005). Journal of the American Veterinary Medical Association, 230(12), 1860-5.
Bos AS, et al. Use of the Ventrodorsal Myelographic View to Predict Lateralization of Extruded Disk Material in Small-breed Dogs With Thoracolumbar Intervertebral Disk Extrusion: 104 Cases (2004-2005). J Am Vet Med Assoc. 2007 Jun 15;230(12):1860-5. PubMed PMID: 17571991.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Use of the ventrodorsal myelographic view to predict lateralization of extruded disk material in small-breed dogs with thoracolumbar intervertebral disk extrusion: 104 cases (2004-2005). AU - Bos,Alexandra Squires, AU - Brisson,Brigitte A, AU - Holmberg,David L, AU - Nykamp,Stephanie G, PY - 2007/6/19/pubmed PY - 2007/7/31/medline PY - 2007/6/19/entrez SP - 1860 EP - 5 JF - Journal of the American Veterinary Medical Association JO - J. Am. Vet. Med. Assoc. VL - 230 IS - 12 N2 - OBJECTIVE: To determine whether the ventrodorsal myelographic view can be used to accurately predict the circumferential location of extruded disk material in dogs with thoracolumbar intervertebral disk extrusion (IVDE) and to describe paradoxical contrast obstruction (PCO). DESIGN: Retrospective case series. ANIMALS: 104 dogs with Hansen type I IVDE. Procedures-Ventrodorsal myelographic views were reviewed, and contrast patterns were categorized according to 8 predetermined patterns. Agreement among observers was compared, and the predicted location of extruded disk material was compared with surgical findings. RESULTS: Agreement regarding myelographic pattern and location of extruded disk material was moderate (kappa = 0.74 and 0.80, respectively) among the 4 observers. Ninety-three (89%) dogs had myelographic evidence of lateralized extrusion, and in 83 of the 93 (89%), predicted location of extruded disk material matched the surgically confirmed location. In 33 of the 40 (83%) dogs with bilateral contrast column gaps of unequal length, disk material was found to be located on the side with the shorter, rather than the longer, contrast gap, a phenomenon described as PCO. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that the ventrodorsal myelographic view could be used to predict the circumferential location of extruded disk material in dogs with thoracolumbar IVDE more often than previously reported. The PCO phenomenon may be useful in determining the side of lateralization when contrast material does not outline the extruded disk material. SN - 0003-1488 UR - https://www.unboundmedicine.com/medline/citation/17571991/Use_of_the_ventrodorsal_myelographic_view_to_predict_lateralization_of_extruded_disk_material_in_small_breed_dogs_with_thoracolumbar_intervertebral_disk_extrusion:_104_cases__2004_2005__ L2 - http://avmajournals.avma.org/doi/full/10.2460/javma.230.12.1860?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -