Vet Comp Orthop Traumatol 2018; 31(01): 030-036
DOI: 10.3415/VCOT-17-04-0052
Original Research
Schattauer GmbH Stuttgart

Influence of Radiographic Positioning on Canine Sacroiliac and Lumbosacral Angle Measurements

Susan Jones
,
Mason Savage
,
Brian Naughton
,
Susheela Singh
,
Ian Robertson
,
Simon C. Roe
,
Denis J. Marcellin-Little
,
Kyle G. Mathews
Further Information

Publication History

18 April 2017

14 September 2017

Publication Date:
11 January 2018 (online)

Abstract

Objectives To evaluate the influence of radiographic malpositioning on canine sacroiliac and lumbosacral inclination angles.

Methods Using canine cadavers, lateral pelvic radiographs were acquired with the radiographic beam in a neutral position and then rotated 5, 10 and 15° to mimic rotational malpositioning. The focal point of the beam was then focused over the abdomen and again over mid-diaphysis of the femur to mimic an abdominal or femoral radiographic study.

Results Five degrees of rotational malpositioning did not influence measurements of sacroiliac or lumbosacral inclination, but malpositioning by more than 5° led to a significant decrease in both sacroiliac and lumbosacral angles. Moving the focal point to the femur significantly decreased the measured lumbosacral angle. Abdominally centred radiographs had no effect on lumbosacral and sacroiliac angle measurements.

Clinical Significance When evaluating canine lumbosacral and sacroiliac angles radiographically, pelvic rotation of more than 5° should be avoided as should the use of lateral radiographs centred over the femur.

 
  • References

  • 1 Gradner G, Bockstahler B, Peham C, Henninger W, Podbregar I. Kinematic study of back movement in clinically sound Malinois dogs with consideration of the effect of radiographic changes in the lumbosacral junction. Vet Surg 2007; 36: 472-481
  • 2 Prieur W. Coxarthrosis in the dog Part 1: normal and abnormal biomechanics of the hip joint. Vet Surg 1980; 9: 145-149
  • 3 Saunders FC, Cave NJ, Hartman KM. , et al. Computed tomographic method for measurement of inclination angles and motion of the sacroiliac joints in German shepherd dogs and Greyhounds. Am J Vet Res 2013; 74: 1172-1182
  • 4 Schmid V, Lang J. Measurements on the lumbosacral junction in normal dogs and those with cauda equina compression. J Small Anim Pract 1993; 34: 437-442
  • 5 Smidt GL, Wei SH, McQuade K, Barakatt E, Sun T, Stanford W. Sacroiliac motion for extreme hip positions. A fresh cadaver study. Spine 1997; 22: 2073-2082
  • 6 Breit S, Künzel W. On biomechanical properties of the sacroiliac joint in purebred dogs. Ann Anat 2001; 183: 145-150
  • 7 Cook JL, Romlinson JL, Constantinescu GM. Pathophysiology, diagnosis, and treatment of canine hip dysplasia. Compend Contin Educ Pract 1996; 18: 853-867
  • 8 Gregory CR, Cullen JM, Pool R, Vasseur PB. The canine sacroiliac joint. Preliminary study of anatomy, histopathology, and biomechanics. Spine 1986; 11: 1044-1048
  • 9 Breit SM, Knaus IM, Künzel WW. Use of routine ventrodorsal radiographic views of the pelvis to assess inclination of the wings of the sacrum in dogs. Am J Vet Res 2002; 63: 1220-1225
  • 10 Knaus I, Breit S, Künzel W. Appearance of the sacroiliac joint in ventrodorsal radiographs of the normal canine pelvis. Vet Radiol Ultrasound 2003; 44: 148-154
  • 11 Hankinson SE, Manson JE, Spiegelman D, Willett WC, Longcope C, Speizer FE. Reproducibility of plasma hormone levels in postmenopausal women over a 2-3-year period. Cancer Epidemiol Biomarkers Prev 1995; 4: 649-654
  • 12 Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull 1979; 86: 420-428
  • 13 Goode A, Hegedus EJ, Sizer P, Brismee JM, Linberg A, Cook CE. Three-dimensional movements of the sacroiliac joint: a systematic review of the literature and assessment of clinical utility. J Manual Manip Ther 2008; 16: 25-38
  • 14 Amonoo-Kuofi HS. Changes in the lumbosacral angle, sacral inclination and the curvature of the lumbar spine during aging. Acta Anat (Basel) 1992; 145: 373-377
  • 15 Onyemaechi NO, Anyanwu GE, Obikili EN, Onwuasoigwe O, Nwankwo OE. Impact of overweight and obesity on the musculoskeletal system using lumbosacral angles. Patient Prefer Adherence 2016; 10: 291-296
  • 16 Itoi E. Roentgenographic analysis of posture in spinal osteoporotics. Spine 1991; 16: 750-756
  • 17 Peleg S, Dar G, Steinberg N, Peled N, Hershkovitz I, Masharawi Y. Sacral orientation revisited. Spine 2007; 32: E397-E404
  • 18 Toy JO, Tinley JC, Eubanks JD, Qureshi SA, Ahn NU. Correlation of sacropelvic geometry with disc degeneration in spondylolytic cadaver specimens. Spine 2012; 37: E10-E15
  • 19 Bowen V, Cassidy JD. Macroscopic and microscopic anatomy of the sacroiliac joint from embryonic life until the eighth decade. Spine 1981; 6: 620-628
  • 20 Kirkaldy-Willis WH, Hill RJ. A more precise diagnosis for low-back pain. Spine 1979; 4: 102-109
  • 21 Richardson DC, Toll PW. Relationship of nutrition to developmental skeletal disease in young dogs. Vet Clin Nutr 1997; 4: 6-13
  • 22 Meschan I, Farrer-Meschan RM. Important aspects in the roentgen study of the normal lumbosacral spine. Radiology 1958; 70: 637-648
  • 23 Roaf R. Vertebral growth and its mechanical control. J Bone Joint Surg Br 1960; 42-B: 40-59
  • 24 Flückiger MA, Damur-Djuric N, Hässig M, Morgan JP, Steffen F. A lumbosacral transitional vertebra in the dog predisposes to cauda equina syndrome. Vet Radiol Ultrasound 2006; 47: 39-44
  • 25 Morgan JP, Bahr A, Franti CE, Bailey CS. Lumbosacral transitional vertebrae as a predisposing cause of cauda equina syndrome in German shepherd dogs: 161 cases (1987-1990). J Am Vet Med Assoc 1993; 202: 1877-1882
  • 26 Sturesson B, Uden A, Vleeming A. A radiostereometric analysis of movements of the sacroiliac joints during the standing hip flexion test. Spine 2000; 25: 364-368
  • 27 Holmgren U, Waling K. Inter-examiner reliability of four static palpation tests used for assessing pelvic dysfunction. Man Ther 2008; 13: 50-56
  • 28 Robinson HS, Brox JI, Robinson R, Bjelland E, Solem S, Telje T. The reliability of selected motion- and pain provocation tests for the sacroiliac joint. Man Ther 2007; 12: 72-79
  • 29 Mattoon JS, Koblik PD. Quantitative survey radiographic evaluation of the lumbosacral spine of normal dogs and dogs with degenerative lumbosacral stenosis. Vet Radiol Ultrasound 1993; 34: 194-206