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Characterization of Spinal Shock in Dogs with Acute Spinal Cord Injury

McBride, Rebecca
http://rave.ohiolink.edu/etdc/view?acc_num=osu1614798860242158

Abstract Details

2021, Master of Science, Ohio State University, Comparative and Veterinary Medicine.
Acute spinal cord injury is common in dogs, where reduced pelvic limb reflexes typically suggest a lesion of the L4-S3 spinal cord segments. However, pelvic limb reflexes may also be reduced in dogs with a T3-L3 myelopathy and concurrent spinal shock, which can lead to clinical confusion. In order to help distinguish between these two neuroanatomic localizations, we compared clinical and demographic factors in a large, prospectively identified cohort of 59 dogs with T3-L3 myelopathies and spinal shock and a group of 13 dogs with L4-S3 myelopathies. Univariable logistic regression analyses were performed to assess the association between independent variables and the presence of spinal shock. Independent variables were selected for inclusion in a multivariable logistic regression model if they had a significant effect (p ≤ 0.100) on the odds of spinal shock in univariable logistic regression. The final multivariable model included the natural log of weight (kg), the natural log of duration of clinical signs (hours), severity (paresis versus paraplegia), and pelvic limb tone (normal versus decreased/absent). The odds of spinal shock decreased with increasing weight (OR = 0.28, p = 0.087), increasing duration (OR = 0.44, p= 0.025) and decreased pelvic limb tone (OR = 0.04, p = 0.003), and the presence of paraplegia (OR = 7.87, p = 0.041). A predictive formula, as developed by the present study and using these criteria, can be useful for assisting the clinician in determining the likelihood of spinal shock in various clinical scenarios and aid in diagnostic planning.
Sarah Moore (Advisor)
Ashley Hechler (Committee Member)
Page Yaxley (Committee Member)
Natasha Olby (Committee Member)
46 p.
Veterinary Services
spinal shock, acute spinal cord injury, intervertebral disc disease, dogs

Recommended Citations

Citations

  • McBride, R. (2021). Characterization of Spinal Shock in Dogs with Acute Spinal Cord Injury [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1614798860242158

    APA Style (7th edition)

  • McBride, Rebecca. Characterization of Spinal Shock in Dogs with Acute Spinal Cord Injury. 2021. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1614798860242158.

    MLA Style (8th edition)

  • McBride, Rebecca. "Characterization of Spinal Shock in Dogs with Acute Spinal Cord Injury." Master's thesis, Ohio State University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=osu1614798860242158

    Chicago Manual of Style (17th edition)

osu1614798860242158
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This open access ETD is published by The Ohio State University and OhioLINK.