Open Veterinary Journal

Open Veterinary Journal

Peer-Reviewed Journal 
ISSN 2218-6050 (Online), ISSN 2226-4485 (Print) 

"Original Research"

Dural sac localization using myelography and its application to the lumbosacral epidural in dogs


Ana Zapata(1*), Carlos Ros(2), Elena Ríos Álvarez(1), Myriam Martín(1) and Alejandra García De Carellán Mateo(2)


1- Veterinary Hospital of Catholic University of Valencia San Vicente Mártir. Avenida Pérez Galdós n º51, Valencia, Spain

2- Department of Animal Medicine and Surgery, Faculty of Veterinary Sciences, Catholic University of Valencia “San Vicente Mártir”, Valencia, Spain

Abstract

Background: The techniques described for the identification of the lumbosacral (LS) epidural space in dogs do not guarantee the needle position or an accidental subarachnoid puncture, especially in small size dogs.

Aim: To determine the relationship between body weight and the location of the dural sac (DS) using myelography in dogs, and to determine the possibility of subarachnoid puncture during LS epidural based on the position of the DS.

Methods: Four masked observers evaluated 70 myelographic studies of dogs, annotating the vertebrae where the DS ended, if it was localized before or after the LS space, and if accidental subarachnoid puncture during LS epidural injection was possible (yes/no). Body weight (kg) was categorized into: less than 10 kg, between 10 – 20 kg and more than 20 kg and was also converted to body surface area (BSA) as continuous variable.

Results: The DS ended at the LS space or caudally in 50% of dogs. There was a statistically significant difference between the position of the DS and the dog’s BSA (p = 0.001). The DS ended caudal to the LS space in 72.7% of dogs weighing < 10 kg, in 25% of dogs between 10 – 20 kg and in 15% of dogs in the > 20 kg category. The observers considered a possible subarachnoid puncture during LS epidural in 69.7% of patients < 10 kg, 16.6% on those between 10-20 kg and in 11.7% of the dogs > 20 kg.

Conclusion: The DS ended caudal to the LS space in almost 3/4 dogs in the < 10 kg category, so accidental subarachnoid puncture during LS epidural is highly possible in this weight range.

Keywords: Body weight, Dog, Dural sac, Lumbosacral epidural, Myelography.

Cite this paper:

Zapata, A., Ros, C., Álvarez, E.R., Martín, M. and Mateo, A.G.D. 2020. Dural sac localization using myelography and its application to the lumbosacral epidural in dogs. Open Vet. J. 10(4), 371-376.