Vacuum phenomena on spinal CT scans and its association with intervertebral disc disease in dogs

Juliana F. S. Conceição, Ana C. B. de C. F. Pinto, Luísa Fonseca Oliveira, Igor de Almeida Santos, Mariana Ramos Queiroz, João Luís Revolta Callefe
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Abstract

Vacuum phenomenon (VP) refers to the presence of gas in joint spaces, including those in the spinal column. The phenomenon is associated with progressive and chronic diseases, such as intervertebral disc disease (IVDD). We reviewed 55 canine spinal CT images for the presence of VP, and studied its association with IVDD to determine the association between the VP and the clinical signs exhibited by the patients at the time of exam. All images were obtained between January 2016 and July 2018, at the Diagnostic Imaging Service of a Veterinary Hospital. Image consistent with VP was observed in 7 (12.7%) of the 55 cases. Of these 7 animals, pain and paresis was reported in 3, pain with plegia in 1, and plegia without pain in 3 dogs. One dog did not have a confirmed diagnosis of IVDD. Further studies with larger samples are still needed to confirm the relevance of this phenomenon in the diagnosis of IVDD in dogs.
犬脊柱CT扫描上的真空现象及其与椎间盘疾病的关系
真空现象(VP)是指关节间隙(包括脊柱间隙)存在气体。这种现象与进行性和慢性疾病有关,如椎间盘疾病(IVDD)。我们回顾了55张犬脊髓CT图像中VP的存在,并研究了其与IVDD的关系,以确定VP与患者在检查时表现出的临床体征之间的关系。所有图像均于2016年1月至2018年7月期间在一家兽医医院的诊断成像服务处获得。55例中有7例(12.7%)的影像与VP相符。在这7只动物中,有3只狗出现疼痛和麻痹,1只狗出现疼痛伴麻痹,3只狗出现麻痹无疼痛。一只狗没有被确诊为IVDD。还需要更多样本的进一步研究来证实这一现象在犬IVDD诊断中的相关性。
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