Front Vet Sci. 2020 Nov 26;7:596059. doi: 10.3389/fvets.2020.596059. eCollection 2020.
Prognostic Factors in Canine Acute Intervertebral Disc Disease.
Frontiers in veterinary science
Natasha J Olby, Ronaldo C da Costa, Jon M Levine, Veronika M Stein,
Affiliations
Affiliations
- Department of Clinical Sciences, North Carolina State University College of Veterinary Medicine, Raleigh, NC, United States.
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, United States.
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, United States.
- Department for Clinical Veterinary Medicine, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
PMID: 33324703
PMCID: PMC7725764 DOI: 10.3389/fvets.2020.596059
Abstract
Knowledge of the prognosis of acute spinal cord injury is critical to provide appropriate information for clients and make the best treatment choices. Acute intervertebral disc extrusions (IVDE) are a common cause of pain and paralysis in dogs with several types of IVDE occurring. Important prognostic considerations are recovery of ambulation, return of urinary and fecal continence, resolution of pain and, on the negative side, development of progressive myelomalacia. Initial injury severity affects prognosis as does type of IVDE, particularly when considering recovery of continence. Overall, loss of deep pain perception signals a worse outcome. When considering Hansen type 1 IVDE, the prognosis is altered by the choice of surgical vs. medical therapy. Concentration of structural proteins in the plasma, as well as inflammatory mediators, creatine kinase, and myelin basic protein in the cerebrospinal fluid (CSF) can provide additional prognostic information. Finally, cross-sectional area and length of T2 hyperintensity and loss of HASTE signal on MRI have been associated with outcome. Future developments in plasma and imaging biomarkers will assist in accurate prognostication and optimization of patient management.
Copyright © 2020 Olby, da Costa, Levine, Stein and the Canine Spinal Cord Injury Consortium (CANSORT SCI).
Keywords: acute intervertebral disc extrusion; acute non-compressive nucleus pulposus extrusion; ambulation; dog; pain perception; paraplegia; spinal cord injury
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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