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Topic:Spine
The equine spine is a complex structure composed of numerous vertebrae that provide support, facilitate movement, and protect the spinal cord. It is divided into several regions: cervical, thoracic, lumbar, sacral, and coccygeal, each contributing to the overall biomechanics and flexibility of the horse. The spine plays a significant role in the horse's locomotion, posture, and ability to perform various tasks. Research on the equine spine encompasses studies on its anatomy, function, and the impact of various conditions such as injuries, deformities, and age-related changes. This page compiles peer-reviewed research studies and scholarly articles that explore the structural and functional aspects of the equine spine, as well as its role in equine health and performance.
Anatomical and computed tomographic study of equine cervical spinal nerves and intervertebral foramina. Osseous enlargement of the cervical articular process joints due to osteoarthropathy or developmental hypertrophy can narrow the intervertebral foramen (IF), resulting in compression and neuritis of the exiting spinal nerves. Associated clinical signs may include neck pain, forelimb lameness or muscle atrophy. Computed tomography (CT) is the gold standard for IF evaluation; however, to date, visualisation of the equine spinal nerves based on CT imaging is insufficient. Objective: To improve the diagnostic accuracy of foraminal stenosis and cervical spinal nerve (CSN) compression based on CT, t...
[Atlantoaxial luxation in a neonatal Warmblood foal]. Atlantoaxial luxation represents a rare but clinically relevant differential diagnosis in neonatal foals presenting with neurological abnormalities or dysphagia. This case report describes a newborn filly without apparent ataxia, but presenting with a stiff head-neck posture and milky nasal discharge. Clinical examination revealed a compromised general condition and abnormal swelling in the region of the fossa retromandibularis. Radiographic examination confirmed the diagnosis of an atlantoaxial luxation. Due to the poor prognosis the foal was euthanized. This case highlights the diagnostic ap...
Cervical articular process joint versus ventral cervical stabilization in horses: A biomechanical study. To determine the biomechanical properties and modes of failure of a single level equine cervical spine immobilized with unilateral or bilateral articular process joint (APJ) stabilization, ventral cervical stabilization (VCS) and non-stabilized controls. Methods: Ex vivo experimental study. Methods: A total of 24 equine cadaver cervical spines. Methods: Cervical spinal units (C4-C5) were randomly assigned to four groups (n = 6/group): unilateral APJ stabilization, bilateral APJ stabilization, VCS using pedicle screws and rod constructs, or non-stabilized. Non-destructive testing assessed k...
Case Report : Streptococcus equi subspecies zooepidemicus bacteriemia and spondylodiscitis following direct contact with a horse. Streptococcus equi subspecies zooepidemicus is a zoonotic pathogen that commonly colonizes the respiratory tract and oral cavity of horses. Human infections are rare and most frequently present as bacteremia, meningitis, or pneumonia. Methods: We report the case of an 88-year-old patient who developed Streptococcus equi subspecies zooepidemicus spondylodiscitis after direct and exclusive contact with a live horse. Clinical, microbiological, and radiological findings were reviewed. Results: Blood cultures identified Streptococcus equi subspecies zooepidemicus. Magnetic resonance imaging confirm...
Unveiling Equine Pathologies from an Iron Age Ritual Deposit: Health, Management and Biomechanical Stress in the Protohistoric Horses of Casas del Turuñuelo (Badajoz, Spain). Equids played a central economic and symbolic role in Iberian Iron Age society, yet little is known about their health and management during the protohistoric period. This study examines the unusually well-preserved equid assemblage from the Tartessian site of Casas del Turuñuelo (Badajoz, Spain), dating from the 5th century BCE with the aim of reconstructing patterns of pathology and biomechanical stress. Thirty-one individuals were subjected to macroscopic paleopathological assessment following established diagnostic criteria and, for a subset of seven individuals, computed tomography (CT) ...
Scintigraphic Characteristics of the Occipitoatlantoaxial Region in Clinically Sound Horses. The equine occipitoatlantoaxial (OAA) region is biomechanically complex, yet normative scintigraphic reference data for this area are lacking. This retrospective study characterized the physiological radiopharmaceutical uptake pattern in the OAA region of 60 clinically sound horses, assigned equally into four age groups: under 6 years (Group A), 6-10 years (Group B), 11-15 years (Group C), and over 15 years (Group D). A standardized, semiquantitative analysis of lateral bone-phase scintigrams was performed using region of interest (ROI) ratios to determine uptake patterns. A highly consist...
Differential rotational and translational movements along the thoraco-lumbo-sacral spine of load and non-load pulling military and police horses walking and trotting on hard and soft surfaces. To improve detection of equine back-related disorders, it is important to establish how movement dynamics in horses' thoraco-lumbo-sacral spine are normally affected by intrinsic and extrinsic factors. This cross-sectional study aimed to quantify how discipline, gait, and surface impact differential rotational and translational movements along the backs of 107 horses from the military and police forces. The horses were walked and trotted in-hand in a straight-line over hard and soft surfaces. During the exercises, nine inertial sensors (XSens MTw) were mounted to the poll, withers, thoracic ve...
Multi-Detector Helical Computer Tomography, Transrectal Ultrasonography and Histology of the Lumbosacral Area: A Comparative Study in Warmblood Horse Cadavers. Pain arising from the lumbosacral region is a recognized cause of poor performance and impaired welfare in horses. However, structural changes in the intertransverse joints (ITJs), lumbar articular process joints (APJs), and lumbosacral intervertebral discs (LSDs) may also occur in asymptomatic horses, complicating interpretation of imaging findings.This study evaluated these structures in 14 middle-aged Warmblood cadavers that were not lame according to the owners prior the onset of the problem that resulted in euthanasia or slaughter and correlated ultrasonographic (US) and computed tomograp...
Thermographic analysis of chiropractic care on the back health of Mangalarga Marchador horses. Poor saddle fit can cause back pain and lesions in horses, highlighting the need for preventive therapies. Objective: To evaluate the effects of chiropractic treatment on the backs of Mangalarga Marchador horses using infrared thermography to monitor thermal changes associated with saddle-induced overload. Methods: Physiological, environmental, thermographic, and chiropractic parameters were evaluated in 13 horses subjected to a standardized 25-min exercise session. Animals were assigned to either a control group (GC, n = 6) or a chiropractic treatment group (GT, n = 7). Assessments were c...
Validation of a handheld smartphone markerless method for quantifying thoracolumbar flexion-extension range of motion in horses at trot. Back pain and poor performance in horses are difficult to assess objectively and thoracolumbar flexion-extension range of motion (FE) is not reliably evaluated by subjective observation alone. A handheld, smartphone-based markerless computer vision system (RealHorse®; RH) may enable objective clinical and field-based FE assessment but requires validation against an established optical motion capture reference system (Qualisys®; QS). Objective: To compare the accuracy and precision of RH relative to QS for measuring FE in horses trotting on a straight line and on a circle. Methods: Cross-sect...
Eight Weeks of 448 kHz Radiofrequency Therapy Increases Multifidus Muscle Cross-Sectional Area and Modulates Thoracolumbar Range of Motion in Horses with Chronic Back Pain. We aimed to investigate the effects of an 8-week 448 kHz radiofrequency (RF) on multifidus cross-sectional area (CSA) and thoracolumbar differential range of motion (ROM). Eight Thoroughbred horseball horses received four RF treatments (T9-L6) at 2-week intervals. Multifidus CSA (T10-L5) and differential spinal ROM between the withers (W), T13, T18, L3 and sacrum (S) were measured before treatment, immediately after the first session, 24 h after the first session, and at 8 weeks (15 days after the last session). Linear mixed models with Tukey post hoc comparisons were used. Significant effects...
Technical note on cervical epidural catheterization in two adult horses: Injectate distribution and epidural space effects. To determine the caudalmost extent of diffusion of contrast media administered through a cervical epidural catheter (CEC) and to describe pathologic changes associated with maintaining an indwelling CEC for up to 17 days. Methods: Pilot study. Methods: Two mature horses. Methods: CECs were placed under ultrasound guidance in two horses. Both horses were injected with 5 mL 50% Iohexol contrast solution, followed by radiographs of catheter insertion site to confirm placement. A total volume of 15 mL contrast solution was injected in 5 mL aliquots up to 25 min post-initial injection. La...
Species-specific effects of spinal stiffness on gait and actuation-cost proxy in simulated cheetah and horse galloping. Cursorial quadrupeds employ distinct mechanical strategies for high-speed locomotion, with felids relying more strongly on axial motion than equids. The biomechanical role of spinal stiffness, however, is difficult to isolate experimentally because it is coupled to limb mechanics, morphology, and coordination. Here, we used comparative three-dimensional trajectory optimization to test how spinal stiffness influences gait mechanics and actuation-demand proxies in simulated cheetah-like and horse-like galloping. Homologous cheetah and horse models were evaluated across spinal-stiffness values, p...
Equine nuclear medicine: Current state of play. Equine nuclear medicine provides functional information on bone turnover, perfusion, inflammation and tracer biodistribution. Its role has evolved from planar scintigraphy toward SPECT, PET and quantitative imaging. This review synthesised the historical foundations and contemporary state of equine nuclear medicine, with emphasis on racehorse and performance-horse applications. Methods: A PRISMA-aligned systematic narrative review and evidence map were undertaken. MEDLINE via PubMed, Web of Science Core Collection and SciQuest were searched, supplemented by reference-list screening, forward ci...
Anatomical Insights Into the Equine Cervical Intervertebral Foramina: Implications for Veterinary Practice. The equine cervical intervertebral foramina (IVF) represent vital anatomical regions facilitating the passage of spinal nerves and associated vasculature. An in-depth understanding of their anatomy is imperative for the safe implementation of diagnostic and surgical interventions. Despite their clinical significance, anatomical descriptions of the equine cervical IVF remain under-characterised in the existing literature, particularly in relation to the needs of equine veterinary surgeons. Our study provides comprehensive anatomical analysis of the IVF at the cervical vertebral levels C5/C6 and...
Comparative clinical and thermographic responses to dexamethasone and saline solution mesotherapy in horses with spinal disorders. Back pain and spinal dysfunction in horses are multifactorial conditions frequently associated with musculoskeletal alterations that may impair mobility, performance, and welfare. Mesotherapy has emerged as a minimally invasive adjunctive approach for managing musculoskeletal disorders; however, comparative clinical responses to different intradermal protocols in equine spinal conditions remain insufficiently investigated. The present study aims to compare the clinical and thermographic responses of two mesotherapy protocols in horses diagnosed with cervical or thoracolumbar spinal disorders. ...
Inertial measurement units are comparable to motion capture for measuring intersegmental spinal angular velocities in horses. To compare inertial measurement unit (IMU)-derived intersegmental spinal motion data with measurements obtained from a marker-based motion-capture system. Unassigned: 4 horses were instrumented with custom marker clusters incorporating a 3-D-printed base designed to secure the IMU, ensuring both systems recorded data from the same anatomical location and orientation. A total of 3,737 paired time points across 37 gait cycles were analyzed. Agreement in intersegmental angular velocities across 3 planes of motion was evaluated using Bland-Altman analysis and intraclass correlation coefficients. U...
Does the Distance Between Ground Poles Affect Limb, Spinal and Pelvic Kinematics in Horses When Walking In-Hand? Polework exercise is commonly used in equine training and rehabilitation; however, the influence of pole spacing on locomotor kinematics remains unclear. This study investigated the effects of pole spacing on limb, thoracolumbar and pelvic kinematics in horses walking in-hand. Eleven warmblood horses were assessed during overground walking and over five ground poles set at 85%, 100% and 105% of forelimb step length. Pole spacing did not significantly alter maximum fore- or hindlimb retraction; however, protraction-retraction range of motion (ROM) was reduced at 85% spacing. Forelimb ROM was re...
Comparison of palpation and ultrasonography findings in supraspinous ligaments of horses. The purpose of this study was to evaluate the utility of palpation as a diagnostic tool for supraspinous ligament injuries in horses. Diagnosis of SSL injuries typically relies on a combination of clinical examination and ultrasonographic findings. To the authors' knowledge, no previous studies have specifically investigated palpation as a diagnostic measure for these injuries. Unassigned: This retrospective study analyzed data from 126 horses resented to the University Veterinary Teaching Hospital for back pathology. Inclusion criteria required horses to have a documented descriptive palpator...
Equine-related injuries in rural Oklahoma: a 10-year experience emphasizing genitourinary trauma. Equine-related injuries are a significant yet under-researched cause of trauma in rural areas, particularly in high-equine-density states like Oklahoma. This study describes patterns, severity, and outcomes of equine-related injuries over a 10-year period at a Level II trauma center, with emphasis on genitourinary (GU) trauma. Methods: This retrospective cohort study included all patients admitted with equine-related injuries from May 2015 to December 2025 (n = 259). Data were abstracted from the trauma registry, including demographics, injury mechanisms, anatomic locations (with GU injuri...
Novel imaging protocol enables myelography of the cervical vertebral column using computed tomography with flexion and extension comparable to x-ray. Radiographic myelography is the traditional diagnostic method for detecting cervical spinal cord compression in horses but it is limited by superimposition and restriction to sagittal plane imaging. Computed tomography (CT) and CT myelography overcome many of these limitations yet previous CT protocols have not allowed dynamic imaging in flexion and extension comparable to radiographs. Objective: To describe and evaluate a novel CT myelography protocol that enables imaging of the equine cervical vertebral column (C to C/T) in flexion, neutral, and extension, and to compare intervertebral angle...
The immediate effect of whole-body vibration therapy on mechanical nociceptive thresholds in horses with thoracolumbar pain. Treating primary back pain in horses can be challenging and often necessitates a multimodal approach. Whole-body vibration therapy (WBV) has been used in both horses and humans to alleviate pain and strengthen muscles. A recent study showed worsening back pain following a 30-minute session of WBV; however, the immediate effects of WBV were not evaluated. The purpose of this study was to assess the immediate effects of whole-body vibration therapy on horses with back pain after a single session of WBV. Objective: The objective of the current study was to determine the immediate effects on mecha...
Diffuse idiopathic skeletal hyperostosis in a Roman-period horse from Gerulata (Bratislava-Rusovce, Slovakia): Diagnostic Considerations. To evaluate pathological changes identified in a skeleton of a horse from Roman-period Gerulata, Slovakia. Methods: The remains consist of a partially preserved, articulated skeleton of an adult horse from today's southern urban district of Bratislava-Rusovce in southwestern Slovakia. Methods: The specimen underwent macroscopic analysis to assess taxonomic identification, biological profile, and pathological changes. Thoracolumbar lesions were further evaluated using computed tomography (CT). Radiocarbon dating determined the absolute age of the remains. Results: Species determination indicate...
Advanced Imaging of the Cranium and the Cervical Spine for Equine Neurologic Disease. Diagnostic imaging is essential for evaluating and managing neurologic disease in horses. Following clinical lesion, neurolocalization imaging modalities are often necessary to further characterize the disease process. However, which technology to use depends on various factors, including the patient's size, clinical signs, and the anatomic region. Current advances in imaging technology, in general, and the adaptation of different modalities for equine patients, in particular, have substantially improved our ability to evaluate the equine central nervous system. This article will summarize the...
Cervical extradural mast cell tumour in a 2-year-old Irish Sport Horse colt. A 2-year-old Irish Sport Horse colt presented with acute, severe and rapidly progressive neurological signs, arriving recumbent to the hospital. Ante-mortem diagnostics did not reveal the cause of the recumbency, and the colt was euthanized after treatment and supportive care did not result in clinical improvement. A cranial cervical extradural mast cell tumour with eosinophilic granulomas and secondary compressive myelopathy with axonal degeneration was diagnosed on post-mortem evaluation. No other masses or clinically relevant findings were present, suggesting a primary neoplasm. Neoplasia a...
Characteristics of horse riding-related falls in patients presenting to emergency departments in manche department, france: a multicenter retrospective analysis. Horse riding-related falls are a frequent cause of emergency department (ED) presentations; however, their regional epidemiology in France is poorly described. We aimed to quantify the incidence of ED visits after falling from a horse in the Manche Department and characterize the injury patterns, resource use, and short-term outcomes. Methods: We conducted a multicenter retrospective study across six hospitals in Manche (France), including all patients presenting to the ED after a fall from a horse between May 1, 2021, and October 31, 2024. Demographics, initial clinical status, imaging findin...
A pilot study to assess feasibility of a computer-assisted surgery system for navigation in the equine cervical spine. To validate the accuracy of the Synaptive Medical computer-assisted surgery (CAS) system for navigation in the equine cervical spine, focusing on anatomical targets that require precise localization. Unassigned: 3 equine cervical spine cadavers were used (C1-T1) for an experimental study design. A custom fiducial array was mounted into the dorsal spinous process of C2, with additional fiducial markers distributed for landmark registration. Four participants with varying surgical expertise used the Synaptive Medical CAS system to navigate 9 radiodense pins into 3 anatomical targets, including t...
Acquired and Degenerative Conditions of the Cervical Vertebral Column in Horses. The cervical vertebral column in horses plays a crucial role in movement, posture, and performance and disorders affecting it can cause pain, ataxia, or lameness. This review discusses major acquired (traumatic, infectious, neoplastic) and degenerative (osteoarthritis, foraminal stenosis, intervertebral disc disease) conditions. Acquired lesions often arise from trauma, bacterial infection, or neoplasia, with clinical signs ranging from neck pain to neurologic deficits. Degenerative disorders, particularly osteoarthritis of articular process joints, are common in the caudal cervical spine and ...
Congenital Cervical Vertebral and Spinal Cord Anomalies. Congenital cervical vertebral anomalies in horses are structural changes in the neck vertebrae that develop during the fetal stage. These anomalies can vary in their severity and effects. Some horses may not show any clinical signs and can live normally, while others may develop serious problems such as spinal cord compression. This compression can lead to issues like ataxia or even paralysis, affecting the horse's mobility and quality of life. Recognizing and diagnosing these anomalies early are very important, as it helps guide decisions about the best treatment options and overall managemen...
Current and Future Central Nervous System Surgery-Part 1: Cervical Spinal Cord Compression. Ventral cervical stabilization remains the primary surgical approach, in general, for horses with spinal cord compression. Advancements in volumetric imaging offer a more comprehensive understanding of central nervous system dysfunction elucidating that other modes of compression exist. Minimally invasive instrumentation and computer-assisted surgery are expanding therapeutic possibilities for cervical vertebral compressive myelopathy, radiculopathy, vertebral fractures, and intracranial or intraspinal masses. Emerging techniques-such as articular process joint fixation, targeted decompression...
