目的:确定影响猫脊柱的退行性变化的发生,评估其临床意义,并确定与其他脊柱疾病相比,患有椎间盘突出症的猫的发生。
方法:114只客户拥有的猫。
方法:对疑似脊髓病的猫进行了脊柱MRI检查,对医院的记录进行了回顾性分析。信号;病史;神经检查;神经定位;初级诊断;存在,type,和椎间盘突出的位置;以及其他退行性脊柱变化的存在和位置(椎间盘退变[IVDD],畸形颈椎病[SD],端板变化,背侧按压[DC],记录椎间孔狭窄[FS])。
结果:70%的猫表现出至少1次脊柱退行性改变。最常见的变化是IVDD,其次是SD和椎间盘突出(IVDP),而椎间盘挤压(IVDE),端板变化,DC,FS并不罕见。主要投诉归因于22%的猫的退行性疾病,包括IVDE的100%,9%与IVDP,43%患有退行性腰骶部狭窄(DLSS)。随着年龄和体重的增加,受IVDD影响的退行性脊柱改变和椎间盘数量的发生显着增加。年龄与SD和DLSS的发生呈正相关。椎间盘退变,IVDP,SD,DC,FS在腰骶交界处更为普遍。患有IVDD的猫更有可能出现IVDE和IVDP。
结论:这项研究表明,在一群出现脊髓病迹象的猫中,IVDE总是负责临床表现,DLSS通常被认为是偶然的,IVDP很少与神经系统体征相关。
OBJECTIVE: To determine the occurrence of degenerative changes affecting the vertebral column in cats, assess their clinical significance, and determine the occurrence in cats with intervertebral disk herniation compared to other spinal diseases.
METHODS: 114 client-owned cats.
METHODS: Hospital records were retrospectively reviewed for cats with suspected myelopathy that had undergone spinal MRI. Signalment; history; neurological examination; neurolocalization; primary diagnosis; presence, type, and location of intervertebral disk herniation; and presence and location of other degenerative spinal changes (intervertebral disk degeneration [IVDD], spondylosis deformans [SD], end plate changes, dorsal compressions [DC], and foraminal stenosis [FS]) were recorded.
RESULTS: 70% of cats showed at least 1 spinal degenerative change. The most common change was IVDD, followed by SD and intervertebral disk protrusion (IVDP), while intervertebral disk extrusion (IVDE), end plate changes, DC, and FS were uncommon to rare. Primary complaint was attributed to a degenerative condition in 22% of cats, including 100% with IVDE, 9% with IVDP, and 43% with degenerative lumbosacral stenosis (DLSS). The occurrence of degenerative spinal changes and number of intervertebral disks affected by IVDD significantly increased with age and body weight. Age was positively correlated with the occurrence of SD and DLSS. Intervertebral disk degeneration, IVDP, SD, DC, and FS were more prevalent in the lumbosacral junction. Cats with IVDD were significantly more likely to show IVDE and IVDP.
CONCLUSIONS: This study revealed that in a population of cats presenting for signs of myelopathy, IVDE was always responsible for the clinical presentation, DLSS was commonly considered incidental, and IVDP was infrequently related to neurological signs.