Computed tomography features of discospondylitis in dogs

Abstract Background Computed tomography (CT) findings of dogs with discospondylitis have not been widely described despite increased availability of this imaging modality. Objectives Describe the CT features of discospondylitis in a population of clinically affected dogs with discospondylitis diagno...

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Main Authors: Sergio A. Gomes, Mike Targett, Mark Lowrie
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:Journal of Veterinary Internal Medicine
Subjects:
Online Access:https://doi.org/10.1111/jvim.16551
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author Sergio A. Gomes
Mike Targett
Mark Lowrie
author_facet Sergio A. Gomes
Mike Targett
Mark Lowrie
author_sort Sergio A. Gomes
collection DOAJ
description Abstract Background Computed tomography (CT) findings of dogs with discospondylitis have not been widely described despite increased availability of this imaging modality. Objectives Describe the CT features of discospondylitis in a population of clinically affected dogs with discospondylitis diagnosed by magnetic resonance imaging (MRI). Animals Forty‐one dogs (63 affected discs) with MRI‐identified discospondylitis presented to a single referral hospital between 2012 and 2022. Methods Retrospective, single center, descriptive case series with analysis of MRI‐identified discospondylitis sites and concomitant CT imaging. Computed tomographic features of MRI‐affected sites including intervertebral disc space (IVDS), endplates, vertebral body, epidural space and paraspinal tissues were described. Results The most frequently found changes were: (1) endplate involvement (87.3%) most frequently bilateral (94.5%), with erosion (61.9%) and multifocal osteolysis (67.3%); (2) periosteal proliferation adjacent to the IVDS (73%) and spondylosis (66.7%); and (3) vertebral body involvement (66.7%) involving one‐third of the vertebra (85.7%) with multifocal osteolysis (73.5%). Other less prevalent features included an abnormal IVDS (narrowed or collapsed), sclerosis of the adjacent vertebral body or endplates, presence of disseminated idiopathic skeletal hyperostosis or vacuum artifact. Conclusions and Clinical Importance We determined that bilateral endplate erosion and periosteal proliferation were very common in dogs with discospondylitis. Careful evaluation of CT in all 3 planes (dorsal, sagittal, transverse) is necessary to identify an affected IVDS. These described CT features can aid in the diagnosis of discospondylitis in dogs but equivocal cases might still require MRI.
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spelling doaj.art-18cf2d7a84bf4217a1e6dafec1b777d02022-12-26T07:32:23ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762022-11-013662123213110.1111/jvim.16551Computed tomography features of discospondylitis in dogsSergio A. Gomes0Mike Targett1Mark Lowrie2Dovecote Veterinary Hospital Derby UKSchool of Veterinary Medicine and Science University of Nottingham Leicestershire UKDovecote Veterinary Hospital Derby UKAbstract Background Computed tomography (CT) findings of dogs with discospondylitis have not been widely described despite increased availability of this imaging modality. Objectives Describe the CT features of discospondylitis in a population of clinically affected dogs with discospondylitis diagnosed by magnetic resonance imaging (MRI). Animals Forty‐one dogs (63 affected discs) with MRI‐identified discospondylitis presented to a single referral hospital between 2012 and 2022. Methods Retrospective, single center, descriptive case series with analysis of MRI‐identified discospondylitis sites and concomitant CT imaging. Computed tomographic features of MRI‐affected sites including intervertebral disc space (IVDS), endplates, vertebral body, epidural space and paraspinal tissues were described. Results The most frequently found changes were: (1) endplate involvement (87.3%) most frequently bilateral (94.5%), with erosion (61.9%) and multifocal osteolysis (67.3%); (2) periosteal proliferation adjacent to the IVDS (73%) and spondylosis (66.7%); and (3) vertebral body involvement (66.7%) involving one‐third of the vertebra (85.7%) with multifocal osteolysis (73.5%). Other less prevalent features included an abnormal IVDS (narrowed or collapsed), sclerosis of the adjacent vertebral body or endplates, presence of disseminated idiopathic skeletal hyperostosis or vacuum artifact. Conclusions and Clinical Importance We determined that bilateral endplate erosion and periosteal proliferation were very common in dogs with discospondylitis. Careful evaluation of CT in all 3 planes (dorsal, sagittal, transverse) is necessary to identify an affected IVDS. These described CT features can aid in the diagnosis of discospondylitis in dogs but equivocal cases might still require MRI.https://doi.org/10.1111/jvim.16551bacteriainfectionintervertebral discMRIneuroimagingspinal
spellingShingle Sergio A. Gomes
Mike Targett
Mark Lowrie
Computed tomography features of discospondylitis in dogs
Journal of Veterinary Internal Medicine
bacteria
infection
intervertebral disc
MRI
neuroimaging
spinal
title Computed tomography features of discospondylitis in dogs
title_full Computed tomography features of discospondylitis in dogs
title_fullStr Computed tomography features of discospondylitis in dogs
title_full_unstemmed Computed tomography features of discospondylitis in dogs
title_short Computed tomography features of discospondylitis in dogs
title_sort computed tomography features of discospondylitis in dogs
topic bacteria
infection
intervertebral disc
MRI
neuroimaging
spinal
url https://doi.org/10.1111/jvim.16551
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