Morphometric analysis of spinal cord termination in Cavalier King Charles Spaniels

Background There is an association between Chiari malformations, syringomyelia (CMSM) and tethered cord syndrome (TCS) in people, suggesting Cavalier King Charles Spaniels (CKCS) with CMSM could also have TCS. Currently there are no data on the position of the caudal spinal cord structures in CKCS....

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Veröffentlicht in:Journal of veterinary internal medicine 2019-03, Vol.33 (2), p.717-725
Hauptverfasser: Sparks, Courtney R., Robertson, Ian, Olby, Natasha J.
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container_title Journal of veterinary internal medicine
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creator Sparks, Courtney R.
Robertson, Ian
Olby, Natasha J.
description Background There is an association between Chiari malformations, syringomyelia (CMSM) and tethered cord syndrome (TCS) in people, suggesting Cavalier King Charles Spaniels (CKCS) with CMSM could also have TCS. Currently there are no data on the position of the caudal spinal cord structures in CKCS. Objective To describe and compare location of spinal cord termination in CKCS with weight‐matched controls and to examine the relationship between SM and spinal cord termination. Animals Thirty‐nine CKCS and 33 controls with thoracolumbar MRIs; 34 of 39 CKCS also had cervical MRIs. Methods Blinded retrospective study. Spinal cord and dural sac termination were determined from T2‐weighted sagittal and transverse images and half‐Fourier acquisition single‐shot turbo spin echo sequences. Intra‐observer reliability was determined using kappa analysis. Presence of SM was compared with location of spinal cord and dural sac termination. Results Intra‐observer reliability was moderate for identifying spinal cord termination (Kappa = 0.6) and good for dural sac termination (Kappa = 0.8). The spinal cord terminated at lumbar vertebra 6 (L6) in 1, 7 (L7) in 22, and sacrum in 16 CKCS versus 9 at L6, 23 at L7, 1 at sacrum in controls. Spinal cord (P
doi_str_mv 10.1111/jvim.15437
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Currently there are no data on the position of the caudal spinal cord structures in CKCS. Objective To describe and compare location of spinal cord termination in CKCS with weight‐matched controls and to examine the relationship between SM and spinal cord termination. Animals Thirty‐nine CKCS and 33 controls with thoracolumbar MRIs; 34 of 39 CKCS also had cervical MRIs. Methods Blinded retrospective study. Spinal cord and dural sac termination were determined from T2‐weighted sagittal and transverse images and half‐Fourier acquisition single‐shot turbo spin echo sequences. Intra‐observer reliability was determined using kappa analysis. Presence of SM was compared with location of spinal cord and dural sac termination. Results Intra‐observer reliability was moderate for identifying spinal cord termination (Kappa = 0.6) and good for dural sac termination (Kappa = 0.8). The spinal cord terminated at lumbar vertebra 6 (L6) in 1, 7 (L7) in 22, and sacrum in 16 CKCS versus 9 at L6, 23 at L7, 1 at sacrum in controls. Spinal cord (P &lt; .001) and dural sac (P = .002) termination were significantly more caudal in CKCS compared to controls. The presence of thoracolumbar SM was associated with more caudal dural sac termination in CKCS (P = .03). Conclusions and Clinical Importance The relationship between TL SM and possible spinal cord tethering because of a more caudal dural sac termination should be investigated.</description><identifier>ISSN: 0891-6640</identifier><identifier>EISSN: 1939-1676</identifier><identifier>DOI: 10.1111/jvim.15437</identifier><identifier>PMID: 30758868</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Animals ; conus medullaris ; Dog Diseases - diagnostic imaging ; Dogs ; Dura Mater - abnormalities ; dural sac ; Female ; filum terminale ; Image acquisition ; Magnetic Resonance Imaging - veterinary ; Male ; Neural Tube Defects - diagnostic imaging ; Neural Tube Defects - veterinary ; Neurological diseases ; Pain ; Reproducibility of Results ; Retrospective Studies ; Sacrum ; SMALL ANIMAL ; Spinal cord ; Spinal Cord - abnormalities ; Studies ; syringomyelia ; Syringomyelia - diagnostic imaging ; Syringomyelia - veterinary ; Tethering ; Vertebrae</subject><ispartof>Journal of veterinary internal medicine, 2019-03, Vol.33 (2), p.717-725</ispartof><rights>2019 The Authors. published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.</rights><rights>2019 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.</rights><rights>2019. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4487-d9b0ea7d39576c483eef05776d698241ea847538cb7f6af0a948814396bf40443</citedby><cites>FETCH-LOGICAL-c4487-d9b0ea7d39576c483eef05776d698241ea847538cb7f6af0a948814396bf40443</cites><orcidid>0000-0003-1349-3484</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430917/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430917/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1417,11562,27924,27925,45574,45575,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30758868$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sparks, Courtney R.</creatorcontrib><creatorcontrib>Robertson, Ian</creatorcontrib><creatorcontrib>Olby, Natasha J.</creatorcontrib><title>Morphometric analysis of spinal cord termination in Cavalier King Charles Spaniels</title><title>Journal of veterinary internal medicine</title><addtitle>J Vet Intern Med</addtitle><description>Background There is an association between Chiari malformations, syringomyelia (CMSM) and tethered cord syndrome (TCS) in people, suggesting Cavalier King Charles Spaniels (CKCS) with CMSM could also have TCS. Currently there are no data on the position of the caudal spinal cord structures in CKCS. Objective To describe and compare location of spinal cord termination in CKCS with weight‐matched controls and to examine the relationship between SM and spinal cord termination. Animals Thirty‐nine CKCS and 33 controls with thoracolumbar MRIs; 34 of 39 CKCS also had cervical MRIs. Methods Blinded retrospective study. Spinal cord and dural sac termination were determined from T2‐weighted sagittal and transverse images and half‐Fourier acquisition single‐shot turbo spin echo sequences. Intra‐observer reliability was determined using kappa analysis. Presence of SM was compared with location of spinal cord and dural sac termination. Results Intra‐observer reliability was moderate for identifying spinal cord termination (Kappa = 0.6) and good for dural sac termination (Kappa = 0.8). The spinal cord terminated at lumbar vertebra 6 (L6) in 1, 7 (L7) in 22, and sacrum in 16 CKCS versus 9 at L6, 23 at L7, 1 at sacrum in controls. Spinal cord (P &lt; .001) and dural sac (P = .002) termination were significantly more caudal in CKCS compared to controls. The presence of thoracolumbar SM was associated with more caudal dural sac termination in CKCS (P = .03). Conclusions and Clinical Importance The relationship between TL SM and possible spinal cord tethering because of a more caudal dural sac termination should be investigated.</description><subject>Animals</subject><subject>conus medullaris</subject><subject>Dog Diseases - diagnostic imaging</subject><subject>Dogs</subject><subject>Dura Mater - abnormalities</subject><subject>dural sac</subject><subject>Female</subject><subject>filum terminale</subject><subject>Image acquisition</subject><subject>Magnetic Resonance Imaging - veterinary</subject><subject>Male</subject><subject>Neural Tube Defects - diagnostic imaging</subject><subject>Neural Tube Defects - veterinary</subject><subject>Neurological diseases</subject><subject>Pain</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Sacrum</subject><subject>SMALL ANIMAL</subject><subject>Spinal cord</subject><subject>Spinal Cord - abnormalities</subject><subject>Studies</subject><subject>syringomyelia</subject><subject>Syringomyelia - diagnostic imaging</subject><subject>Syringomyelia - veterinary</subject><subject>Tethering</subject><subject>Vertebrae</subject><issn>0891-6640</issn><issn>1939-1676</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kV1rFDEUhkNR2m31xh8gAW-kMDWZfN8IsthabRH86G3IzpzpZslMxmR2y_77Zt1aqhfm5nA4D08O50XoFSVntLx3q43vz6jgTB2gGTXMVFQq-QzNiDa0kpKTI3Sc84qQWgihDtERI0poLfUMfbuOaVzGHqbkG-wGF7bZZxw7nEdfOtzE1OIJUl-6yccB-wHP3cYFDwl_8cMtni9dCpDx99ENHkJ-gZ53LmR4-VBP0M_zjz_mn6qrrxeX8w9XVcO5VlVrFgScapkRSjZcM4COCKVkK42uOQWnuRJMNwvVSdcRZ7jWlDMjFx0nnLMT9H7vHdeLHtoGhim5YMfke5e2Njpv_54Mfmlv48ZKzoihqgjePghS_LWGPNne5wZCcAPEdbY1NVLUSordX2_-QVdxncp9ClUbo3RNjCjU6Z5qUsw5Qfe4DCV2F5XdRWV_R1Xg10_Xf0T_ZFMAugfufIDtf1T2883l9V56D2kwnyM</recordid><startdate>201903</startdate><enddate>201903</enddate><creator>Sparks, Courtney R.</creator><creator>Robertson, Ian</creator><creator>Olby, Natasha J.</creator><general>John Wiley &amp; 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Currently there are no data on the position of the caudal spinal cord structures in CKCS. Objective To describe and compare location of spinal cord termination in CKCS with weight‐matched controls and to examine the relationship between SM and spinal cord termination. Animals Thirty‐nine CKCS and 33 controls with thoracolumbar MRIs; 34 of 39 CKCS also had cervical MRIs. Methods Blinded retrospective study. Spinal cord and dural sac termination were determined from T2‐weighted sagittal and transverse images and half‐Fourier acquisition single‐shot turbo spin echo sequences. Intra‐observer reliability was determined using kappa analysis. Presence of SM was compared with location of spinal cord and dural sac termination. Results Intra‐observer reliability was moderate for identifying spinal cord termination (Kappa = 0.6) and good for dural sac termination (Kappa = 0.8). The spinal cord terminated at lumbar vertebra 6 (L6) in 1, 7 (L7) in 22, and sacrum in 16 CKCS versus 9 at L6, 23 at L7, 1 at sacrum in controls. Spinal cord (P &lt; .001) and dural sac (P = .002) termination were significantly more caudal in CKCS compared to controls. The presence of thoracolumbar SM was associated with more caudal dural sac termination in CKCS (P = .03). Conclusions and Clinical Importance The relationship between TL SM and possible spinal cord tethering because of a more caudal dural sac termination should be investigated.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>30758868</pmid><doi>10.1111/jvim.15437</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1349-3484</orcidid><oa>free_for_read</oa></addata></record>
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subjects Animals
conus medullaris
Dog Diseases - diagnostic imaging
Dogs
Dura Mater - abnormalities
dural sac
Female
filum terminale
Image acquisition
Magnetic Resonance Imaging - veterinary
Male
Neural Tube Defects - diagnostic imaging
Neural Tube Defects - veterinary
Neurological diseases
Pain
Reproducibility of Results
Retrospective Studies
Sacrum
SMALL ANIMAL
Spinal cord
Spinal Cord - abnormalities
Studies
syringomyelia
Syringomyelia - diagnostic imaging
Syringomyelia - veterinary
Tethering
Vertebrae
title Morphometric analysis of spinal cord termination in Cavalier King Charles Spaniels
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