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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.
Equine-related injuries in rural Oklahoma: a 10-year experience emphasizing genitourinary trauma.
World journal of urology    May 23, 2026   Volume 44, Issue 1 378 doi: 10.1007/s00345-026-06498-8
Charles J, Shurkhay V, Huo J, Tamo E, Jagadeesh M, Obermark A, Hollman N, Khorgami Z, Charles M.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.
Equine veterinary journal    May 13, 2026   doi: 10.1002/evj.70187
Schulze N, Tull T, Drumond B, Reuter T, Werpy N.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.
Journal of equine veterinary science    April 30, 2026   105919 doi: 10.1016/j.jevs.2026.105919
Giancola SC, Ellis KL.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.
International journal of paleopathology    April 21, 2026   Volume 53 82-91 doi: 10.1016/j.ijpp.2026.03.005
Smíšek M, Dvořáková R, Kolon T, Hrnčiarik E, Bíšková J, Hanáček F, Klontza-Jaklová V.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.
The Veterinary clinics of North America. Equine practice    April 2, 2026   Volume 42, Issue 1 31-46 doi: 10.1016/j.cveq.2025.12.011
Manso-Díaz G.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.
Journal of comparative pathology    March 24, 2026   Volume 227 1-3 doi: 10.1016/j.jcpa.2026.02.001
Palunas V, Fussell D, Helgert N, Long AE, Aitken MR, Abraham M.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.
Scandinavian journal of trauma, resuscitation and emergency medicine    March 10, 2026   doi: 10.1186/s13049-026-01593-6
Lemercier J, Pasco J, Olivier G, Amiot F.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.
American journal of veterinary research    February 18, 2026   Volume 87, Issue 6 ajvr.25.12.0441 doi: 10.2460/ajvr.25.12.0441
Masca SA, Easley JT, Koch DW, Aragon JM, Winston SE, Bonilla AF.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 Veterinary clinics of North America. Equine practice    February 12, 2026   S0749-0739(25)00078-1 doi: 10.1016/j.cveq.2025.12.010
Schmidt S, Swagemakers JH, le Jeune SS.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.
The Veterinary clinics of North America. Equine practice    February 6, 2026   S0749-0739(25)00073-2 doi: 10.1016/j.cveq.2025.12.005
Haussler KK.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.
The Veterinary clinics of North America. Equine practice    February 6, 2026   S0749-0739(25)00074-4 doi: 10.1016/j.cveq.2025.12.006
Nelson BB, Easley JT.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...
Congenital malformations of the thoracic vertebral column in a mature competition pony.
Journal of equine veterinary science    February 4, 2026   Volume 158 105800 doi: 10.1016/j.jevs.2026.105800
Hoogelander B, Frippiat T, Bergman HJ, Vanderperren K, van Veggel ECS.Thoracolumbar congenital abnormalities are considered rare in mature, performing horses. This case report describes a 14-year-old Welsh pony presented with marked epaxial muscle atrophy, mid-thoracic spinal pain, and stiffness, most pronounced during canter. The thoracic spine exhibited scoliosis, centered at T9-T10, and kyphosis. Radiography and postmortem computed tomography revealed complex congenital malformations of the thoracic vertebral column, including abnormal morphology of the T10-T12 vertebral bodies, partial vertebral fusion, a malformed spinous process, a malformed rib with assoc...
Identifying by Radiograph Grade 4 Aplasia of the Caudal Lamina Ventralis in the Equine Sixth Cervical Vertebra and Three Coinciding Morphological Variations.
Animals : an open access journal from MDPI    February 4, 2026   Volume 16, Issue 3 482 doi: 10.3390/ani16030482
DeClue A, Workman K, May-Davis S.To date, radiographically identifying the bony landmarks relevant to diagnosing the complete C6 aplasia of the caudal lamina ventralis (C6 aCLV4) has not been described. Furthermore, a gross study has identified C6 aCLV4 as the main correlation between transposition of the CLV from C6 to C7, where coinciding neck pain was commonly reported. This study aimed to identify C6 aCLV4 in radiographs, where the outcome might benefit equine practitioners in isolating neck pain. Initially, the relevant bony landmarks were radiographically determined from a normal C6 by applying a lateral 30° dorsal-ven...
Multiplanar intersegmental angular velocity in the assessment of topline movement in horses.
American journal of veterinary research    January 19, 2026   1-10 doi: 10.2460/ajvr.25.09.0331
Ursini TL, Clayton HM, Levine D, Richards J.To measure intersegmental movement in the sagittal, dorsal, and transverse planes of the cranial thoracic to caudal thoracic, caudal thoracic to lumbar, and lumbar to sacral segments using range of motion and angular velocity as measures of quality of movement. Unassigned: 6-degrees-of-freedom spinal motion was measured at the walk and trot in 3 sound Thoroughbred and Thoroughbred cross horses, and the data were pooled, giving a total of 54 gait cycles at walk and 33 at trot. These were compared against 8 cycles at walk and 13 at trot from 1 Thoroughbred horse that was confirmed as having mode...
Localisation and outcome of presumed thoracolumbar vertebral stress fracture in 35 UK Thoroughbred racehorses using nuclear scintigraphy.
Equine veterinary journal    December 1, 2025   doi: 10.1111/evj.70113
Chapple AR, Daglish J, Stover SM, Slipchenko N, Phillips KL.Stress fracture is an important cause of mortality and morbidity in racing Thoroughbreds. Nuclear scintigraphy is the imaging modality of choice for investigating unlocalised stress-related bone remodelling in horses. Stress fractures of the caudal lumbar vertebral column have been previously described in both racing Quarter horses and racing Thoroughbreds post-mortem. There is a lack of literature describing the imaging appearance of vertebral stress fractures in racehorses ante-mortem. Objective: To describe: (1) ante-mortem scintigraphic appearance of presumed thoracolumbar vertebral stress...
Computed tomographic myelography of the cranial cervical vertebral column in unaffected Warmblood horses – comparison of transverse vertebral ratios in the flexed and neutral cranial cervical vertebral column.
Journal of equine veterinary science    November 20, 2025   Volume 156 105735 doi: 10.1016/j.jevs.2025.105735
Hellige M, Schröder C, Seehusen F, Rohn K, Geburek F.Computed tomographic myelography (CTM) is diagnostic for extradural spinal cord compression but knowledge about vertebral ratios from transverse images in flexion and normal position of unaffected horses is lacking. Objective: To compare the ratios of the cross-sectional areas (CSAs) of the spinal cord, the vertebral canal and of the contrast enhanced dural tube on transverse CTM images at C3-C4 in neutral and flexed positions in unaffected Warmbloods. Methods: CTM was performed in 13 neurologically unaffected Warmbloods in neutral and flexed cervical vertebral column positions. Ratios were ca...
Radiological assessment of equestrian-related trauma: A retrospective cohort study.
Injury    November 20, 2025   112898 doi: 10.1016/j.injury.2025.112898
Norrlund RR, Caragounis EC, Olsén MF.Equestrian sports have been found to cause high rates of injuries. In clinical practise after such injuries, polytrauma protocol workups usually include whole-body computed tomography (WBCT), CT of the chest, abdomen and pelvis with intravenous iodine contrast medium, and CT of the cervical spine and brain without contrast. The purpose was to investigate the use of WBCT in equestrian-related accidents, to analyse demographics, mechanism of injury (MOI), therapy and severity of equine-related accidents, radiology, and the use of protecting equipment. Methods: This is a retrospective study inclu...
Fibrocartilaginous Emboli in a 15-Year-Old Pony Mare.
Veterinary medicine and science    November 14, 2025   Volume 11, Issue 6 e70699 doi: 10.1002/vms3.70699
Kyle-LaBell E, Andersson A, Baughman B.Fibrocartilaginous embolic myelopathy (FCE) was diagnosed in a 15-year-old pony mare by histopathologic examination of the spinal cord. The horse was euthanized and submitted for necropsy following focal seizures and lateral recumbency for approximately 12 h. Histopathology of spinal cord segments C5-C7 revealed severe ischemic myelomalacia with intravascular amorphous material that stained positive with Alcian Blue, consistent with cartilaginous matrix. These features in addition to the acute onset of clinical signs are characteristic for FCE. This case report describes the clinical and histo...
The effect of repeated shocks on the low back during horse riding.
Journal of biomechanics    November 13, 2025   Volume 194 113067 doi: 10.1016/j.jbiomech.2025.113067
Smit NA, Bos JE, van Dieën JH, Kingma I.Repeated shocks, such as those occurring during horse riding, may result in a risk of overloading the low back. This study investigated accelerations and angular changes in the low back during horse riding, using Inertial measurement units (IMUs) on the pelvis, and L4, L1, and T11 spine levels during 30 min of walking and 10 min of cantering in twelve female participants. The root mean squared (RMS) linear acceleration of each IMU and the transmission (signal transfer) between each pair of IMUs were calculated from the measured accelerations. Additionally, angular motions between IMU's were ...
Ex vivo biomechanical testing of a three-dimensional printed titanium plate and spacer construct and 4.5 mm locking compression plate for ventral cervical fusion of C4-C5 in the horse.
Veterinary surgery : VS    September 29, 2025   Volume 54, Issue 7 1344-1352 doi: 10.1111/vsu.70014
Zedler S, Jukic C, van Eps A, Stefanovski D, Genton M, Rossignol F.To compare the biomechanical properties of a three-dimensional (3D) printed titanium plate and spacer (3DM) and a 4.5 mm broad locking compression plate (LCP) for intervertebral fusion of C4-C5 in the horse. Methods: Ex vivo experimental study. Methods: Twenty-four equine cadaveric cervical spines. Methods: Twenty-four cadaver equine cervical spines were randomly assigned to ventral intervertebral fusion with either 3DM (n = 12) or LCP (n = 12) at C4-C5. Four-point bending tests were performed in flexion (3DM n = 6, LCP n = 6) and extension (3DM n = 6, LCP n = 6) in a sin...
Prevalence of Low Back Pain in Competitive Dressage Riders: A Cross-Sectional Study.
Journal of chiropractic medicine    September 27, 2025   Volume 24, Issue 1-4 84-91 doi: 10.1016/j.jcm.2025.08.012
Landman DM, Handley A, Peterson C.The purpose of this study was to identify the point and lifetime prevalence of low back pain (LBP) among dressage riders and identify riding-related variables that may precipitate LBP. Unassigned: A cross-sectional, exploratory, quantitative study was conducted using an online questionnaire. One hundred dressage riders competing at preliminary and higher levels were recruited at the South African Equestrian Federation's registered shows. Frequencies and descriptive statistics were performed on each question in addition to cross-tabulations for associations between variables or differences betw...
Cone beam computed tomographic myelography in horses with cervical vertebral compressive myelopathy.
Equine veterinary journal    September 18, 2025   doi: 10.1111/evj.70094
González-Medina S, Barrett MF, Aboellail TA, Nelson BB, Nout-Lomas YS.While computed tomographic (CT) myelography is increasingly available and has been evaluated in alive horses, objective criteria for diagnosing cervical vertebral compressive myelopathy (CVCM) are lacking. Objective: To establish morphometric dimensions of the cervical vertebral canal and spinal cords from horses with CVCM and compare those to unaffected horses with the use of cone beam CT (CBCT). Methods: Prospective observational study. Methods: Four control horses and ten horses with CVCM underwent diagnostic imaging and histopathology. Morphometric measurements were obtained from cervical ...
Impinging and Overriding Spinous Processes in Horses: A Narrative Review.
Animals : an open access journal from MDPI    September 13, 2025   Volume 15, Issue 18 2679 doi: 10.3390/ani15182679
Pilati N, Pressanto MC, Palumbo Piccionello A, De Angelis Corvi F, Beccati F.The term overriding spinous processes (ORSPs), commonly known as "kissing spine syndrome," refers to a skeletal abnormality in horses that is characterized by the narrowing (<4 mm) of the interspinous space and touching or overlapping of the spinous processes (SPs). This condition primarily affects the mid- and caudal thoracic vertebrae; however, ORSP can also affect the lumbar SPs. In the veterinary community, kissing spine is widely recognized as a common condition in sport horses, as it is often associated with chronic back pain and contributes to poor performance. Despite its significant c...
Multicenter results for C7-T1 ventral interbody fusion in horses using the kerf cut cylinder.
Veterinary surgery : VS    September 8, 2025   Volume 54, Issue 7 1326-1336 doi: 10.1111/vsu.70013
Janicek JC, Grant BD, Woodie JB, Reed SM, Mariën T, Anderson J.To describe the surgical approach used in horses undergoing C7-T1 ventral interbody fusion using a kerf cut cylinder (KCC) implant and report the short- and long-term outcomes. Methods: Observational retrospective study. Methods: A total of 38 client-owned horses. Methods: Medical records of horses that underwent ventral interbody fusion because of C7-T1 cervical vertebral stenotic myelopathy from 2004 to 2024 were reviewed. Preoperative variables included age, sex, breed, and affected site(s). Surgical variables included types of KCC used, intraoperative complications, and anesthesia related ...
Effects of sand, asphalt, and a three degrees hind toe or heel elevation on equine cervical and thoracolumbosacral kinematics at walk and trot.
Journal of equine veterinary science    September 4, 2025   Volume 154 105697 doi: 10.1016/j.jevs.2025.105697
Caure S, Miljak K, Dendaw P, Thesée L, Villedey E, Malinvaud A, Cousty M, Prié V, Horan K, Weller R.Effects of ground surface and hoof angles on equine cervical and thoracolumbosacral kinematics are poorly understood. However, the equine cervical and thoracolumbosacral areas present frequent lesions and he management of factors that might improve treatment and rehabilitation outcomes, such as ground surface and hoof angles, requires more investigation. Objective: Our objectives were to determine the influence of ground surface (asphalt versus sand) and a 3 degrees hind toe or heel elevation on cervical and thoracolumbosacral kinematics during walking and trotting. Methods: Six saddle horses ...
Major trauma in equestrian activities in New South Wales, Australia: An eleven-year review.
Injury    August 7, 2025   Volume 56, Issue 10 112676 doi: 10.1016/j.injury.2025.112676
Knee CJ, Symes M, Sivakumar BS, McGready JR, Venkatesha V, Gillett M.Equestrian activities are popular in Australia for both work and recreation. However, these activities are associated with high rates of injury [including major trauma] when compared to other physical activities and sports. Research assessing equestrian-related major trauma is limited. This study analyses the characteristics of equestrian-related major trauma in New South Wales, Australia, to guide injury prevention initiatives. Methods: A retrospective analysis was conducted using data from the New South Wales Trauma Registry on equestrian-related major trauma cases over an 11-year period fro...
Intervertebral fusion for the repair of articular cervical fractures in three horses.
Veterinary surgery : VS    August 6, 2025   doi: 10.1111/vsu.70000
Campos Schweitzer A, Vercherin A, Rossignol F.To report successful stabilization of three cervical fracture types with articular involvement using different ventral cervical intervertebral fusion constructs. Methods: A 9-year-old French sport pony gelding, a 5-year-old Anglo-Arabian gelding and a 2-year-old French Warmblood mare. Methods: Short case series. Methods: Ventral cervical intervertebral fusion was performed in three cervical fracture cases: A vertebral body, a vertebral arch and a unilateral facet joint fracture. Selected implants for this purpose were an 11-hole 4.5/5.0 LCP, a three-dimensional (3D)-printed titanium cervical i...
Motion Coupling at the Cervical Vertebral Joints in the Horse-An Ex Vivo Study Using Bone-Anchored Markers.
Animals : an open access journal from MDPI    August 1, 2025   Volume 15, Issue 15 2259 doi: 10.3390/ani15152259
Bosch K, Zsoldos RR, Hartig A, Licka T.The influence of soft tissue structures, including ligaments spanning one or more intervertebral junctions and the nuchal ligament, on motion of the equine cervical joints remains unclear. The present study addressed this using four post-mortem horse specimens extending from head to withers with all ligaments intact. Three-dimensional kinematics was obtained from markers on the head and bone-anchored markers on each cervical and the first thoracic vertebra during rotation, lateral bending, flexion and extension of the whole head, and neck segment. Yaw, pitch, and roll angles in 8 cervical join...
An Ultrasound-Guided Thoracolumbar Erector Spinae Plane Block: An Experimental Preliminary Study in Horses.
Animals : an open access journal from MDPI    August 1, 2025   Volume 15, Issue 15 2264 doi: 10.3390/ani15152264
Medina-Bautista F, Nocera I, Sánchez de Medina A, Di Franco C, Briganti A, Morgaz J, Granados MDM.The objective of this study was to evaluate the feasibility and efficacy of the ultrasound-guided thoracolumbar erector spinae plane (TL-ESP) block in standing horses. A total of 24 injections ( = 12) were performed at the L1 level using either 0.1 mL/kg of saline solution (SS group) or 2% lidocaine (LID group). The block feasibility was assessed based on needle visualization and injection time, while efficacy was evaluated through craniocaudal and dorsoventral (DV) spread using the pinprick technique over 270 min. Desensitization was observed at least once in 100% of horses in the LID group a...
Evaluation of water treadmill training, lunging and treadmill training in the rehabilitation of horses with back pain.
BMC veterinary research    July 29, 2025   Volume 21, Issue 1 495 doi: 10.1186/s12917-025-04950-2
Geiger T, Lindenhahn L, Delarocque J, Geburek F.Data about efficacy of different training modalities during rehabilitation of horses with back pain is scarce. The aim of this study was to analyze the effect of water treadmill training, lunging and dry treadmill training in horses with back pain. Methods: Eighteen warmblood riding horses referred with confirmed clinical signs of back pain including abnormal responses to passive mobilisation were randomized into three groups to participate in a 6-week water treadmill training, lunging or dry treadmill program under otherwise identical conditions. Two clinicians, one blinded to the program, pe...
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