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Peer-reviewed veterinary case report

MRI predicts walking recovery in dogs with back disk paralysis

By Ito, Daisuke et al.·Published in Journal of the American Veterinary Medical Association·2005·Graduate School of Agricultural and Life Sciences, Japan·View original on PubMed

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Original publication title: Prognostic value of magnetic resonance imaging in dogs with paraplegia caused by thoracolumbar intervertebral disk extrusion: 77 cases (2000-2003).

Species:
dog

Plain-English summary

A group of 77 dogs with paraplegia (loss of movement in the back legs) due to a slipped disc in the spine underwent magnetic resonance imaging (MRI) to see if it could predict their recovery. The results showed that dogs without signs of spinal cord damage on the MRI had a much better chance of regaining the ability to walk compared to those with damage. Specifically, all dogs without spinal cord hyperintensity on the MRI recovered successfully, while only about half of those with damage did. This suggests that MRI findings can help veterinarians determine the likelihood of recovery in dogs with this condition.

People also search for: dog paraplegia recovery · MRI for dog back injury · slipped disc treatment in dogs

Abstract

OBJECTIVE: To determine whether magnetic resonance imaging findings in dogs with paraplegia caused by thoracolumbar intervertebral disk extrusion were predictive of clinical outcome. DESIGN: Retrospective case series. ANIMALS: 77 dogs. PROCEDURE: Medical records and magnetic resonance images were reviewed; clinical outcome was classified as successful (regained ability to walk with no more than mild neurologic deficits) or unsuccessful (severe neurologic deficits persisted). The prognostic value of magnetic resonance imaging was compared with prognostic value of deep pain perception, duration of clinical signs, and rate of onset of clinical signs. RESULT: 33 (43%) dogs had areas of hyperintensity of the spinal cord greater than or equal to the length of the L2 vertebral body on T2-weighted magnetic resonance images. All 44 dogs without areas of hyperintensity on T2-weighted images had a successful outcome, but only 18 of the 33 (55%) dogs with an area of hyperintensity did. Only 5 of 16 dogs with an area of hyperintensity that had also lost deep pain perception had a successful outcome. The odds ratio for an unsuccessful outcome for a dog with an area of hyperintensity (29.87) was higher than the odds ratio for a dog that had lost deep pain perception (5.24). Duration and rate of onset of clinical signs were not associated with clinical outcome. CONCLUSIONS AND CLINICAL RELEVANCE: Findings suggest that results of magnetic resonance imaging can be used to predict clinical outcome in dogs with paraplegia caused by intervertebral disk extrusion.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/16279391/