Correlations between severity of clinical signs and histopathological changes in 60 dogs with spinal cord injury associated with acute thoracolumbar intervertebral disc disease

Vet J. 2013 Oct;198(1):70-5. doi: 10.1016/j.tvjl.2013.04.003. Epub 2013 May 20.

Abstract

The outcome of spinal surgery in dogs with absent voluntary motor function and nociception following intervertebral disc (IVD) herniation is highly variable, which likely attests to differences in the severity of spinal cord damage. This retrospective study evaluated the extent to which neurological signs correlated with histologically detected spinal cord damage in 60 dogs that were euthanased because of thoracolumbar IVD herniation. Clinical neurological grades correlated significantly with the extent of white matter damage (P<0.001). However, loss of nociception also occurred in 6/31 (19%) dogs with relatively mild histological changes. The duration of clinical signs, Schiff-Sherrington posture, loss of reflexes and pain on spinal palpation were not significantly associated with the severity of spinal cord damage. Although clinical-pathological correlation was generally good, some clinical signs frequently thought to indicate severe cord injury did not always correlate with the degree of cord damage, suggesting functional rather than structural impairment in some cases.

Keywords: Canine; Intervertebral disc extrusion; Schiff-Sherrington posture.

MeSH terms

  • Animals
  • Dog Diseases / etiology
  • Dog Diseases / pathology*
  • Dogs* / injuries
  • Female
  • Intervertebral Disc Degeneration / complications
  • Intervertebral Disc Degeneration / pathology
  • Intervertebral Disc Degeneration / veterinary*
  • Intervertebral Disc Displacement / complications
  • Intervertebral Disc Displacement / pathology
  • Intervertebral Disc Displacement / veterinary*
  • Lumbar Vertebrae / injuries
  • Lumbar Vertebrae / pathology*
  • Male
  • Nociception
  • Posture
  • Reflex, Abnormal
  • Retrospective Studies
  • Spinal Cord Injuries / complications
  • Spinal Cord Injuries / pathology
  • Spinal Cord Injuries / veterinary*
  • Switzerland
  • Thoracic Vertebrae / injuries
  • Thoracic Vertebrae / pathology*

Supplementary concepts

  • Intervertebral disc disease