Prevalence and Risk Factors for Presumptive Ascending/Descending Myelomalacia in Dogs after Thoracolumbar Intervertebral Disk Herniation

摘要

BackgroundAscending/descending myelomalacia (ADMM) is a severe complication of thoracolumbar intervertebral disk herniation (TL-IVDH) in dogs. Hypothesis/ObjectivesTo investigate the prevalence and risk factors for ADMM in nonambulatory dogs with surgically treated TL-IVDH. AnimalsSix-hundred and fifty-two client-owned dogs evaluated for TL-IVDH that underwent decompressive spinal surgery. MethodsRetrospective medical record review from February 2007 through December 2015. ResultsThirteen dogs developed ADMM, with an overall prevalence of 2.0%. The prevalence of ADMM was 0% in dogs with neurological signs graded 1 or 2 at admission or before magnetic resonance imaging (MRI) or surgical procedures, 0.6% in dogs with neurological signs graded 3, 2.7% in dogs with neurological signs graded 4, and 14.5% in dogs with neurological signs graded 5. Age (4.57 were significant risk factors in the univariate analysis for development of ADMM. Conclusions and Clinical ImportanceThe factors identified in this study may be useful for the prediction of ADMM. Multicenter studies with a higher number of dogs with ADMM are required to confirm these data.