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.
Repeatability of back kinematics in horses during treadmill locomotion. We tested the hypothesis that repeatability of a standardised protocol for quantifying back kinematics is sufficiently high not to prevent its use in the clinical evaluation of horses with back problems. We investigated the extent to which differences between laboratories may affect the results when a standardised protocol is used. As a clinical tool, movement analysis techniques are helpful for the objective and quantitative assessment of kinematics. Knowledge about the repeatability of the kinematic data is very important. The present study investigates the repeatability of back kinematics i...
Equine herpesvirus type 1 (EHV-1) myeloencephalopathy: a case report. An outbreak of neurological disease occurred in a well-managed riding school. Ataxia and paresis were observed in several horses, five of which became recumbent and were euthanized. Post-mortem analysis revealed scattered haemorrhages along the spinal cord, that were reflected by multiple haemorrhagic foci on formalin-fixed sections, with the thoracic and lumbar segments being the most affected. Pathohistologically, perivascular mononuclear cuffing and axonal swelling, especially in the white matter, were evident. Parallel to the course of disease, alterations in myelin sheets and activation o...
The use of magnetic motor evoked potentials in horses with cervical spinal cord disease. The aim of this study was to investigate the use of magnetic motor evoked potentials as an ancillary diagnostic test in horses with cervical cord lesions. Transcranial magnetic stimulation was performed in 12 ataxic horses and the results of the evoked responses were compared to those found in normal horses. The latency and peak-to-peak amplitude of the potentials in the 12 ataxic horses were significantly different from those measured in normal horses. The configuration of the abnormal potentials was also polyphasic. Normalisation of the evoked potentials occurred in none of the horses, prese...
Impingement of the dorsal spinous processes in two hundred and fifteen horses: case selection, surgical technique and results. The surgical treatment of impingement of dorsal spinous processes (DSPs) at 2 equine veterinary hospitals following a similar diagnostic and surgical protocol is described with special reference to the diagnosis and case selection. The diagnosis was made from clinical examination and results of radiography and diagnostic analgesia of the affected sites. Scintigraphy was also used as an aid to diagnosis at one hospital. Surgical treatment was generally recommended when conservative treatment, which included 3-9 months rest, intralesional corticosteroids and physiotherapy, had failed. The DSPs w...
Cervical stenotic myelopathy in a horse. A 13-year-old, Thoroughbred gelding presented with a 3-year history of progressive ataxia of all 4 limbs. Physical and neurological examinations indicated a compressive lesion affecting the cervical spinal cord. Radiographs confirmed a lesion, and a myelogram a narrowing of the spinal canal at cervical vertebrae (6-7). Necropsy confirmed cervical stenotic myelopathy.
Range of back movement at trot in horses without back pain. The aim of this study was to establish basic reference data for evaluating 3-dimensional movement of the equine back at the trot. In 22 mature horses without any clinical signs of back pain, the movement of the back was measured during trotting on a treadmill with a system for motion analysis. The position of the markers placed on the head, hooves, skin above the spinous processes of T5, T10, T16, L3 and on 2 of the sacral spines was recorded. The results of all movements were expressed in percent of the horse's height at its withers. At the trot, the maximum lateral movement at the head was 1...
Evaluation of the EMG activity of the long back muscle during induced back movements at stance. In this study we investigated the activity of the main back muscle (Musculus longissimus) by surface electromyography (EMG) during induced extension and lateral flexion at stance. Measurements were taken of 15 horses (age 5-20 years, 450-700 kg bwt) without signs of back pain. Reflecting markers were placed on the head, spinous processes of T5, T12, T16, L3 and on 2 of the sacral bones. The surface EMG electrodes were situated on the Musculus longissimus on both sides of the dorsal spinous processes of T12, T16 and L3. In all horses and all movements (extension, lateral flexion to the left and...
Segmental in vivo vertebral kinematics at the walk, trot and canter: a preliminary study. Understanding the pathophysiology of equine back problems, for clinical evaluation, treatment or injury prevention, requires understanding of the normal 3-dimensional motion characteristics of the vertebral column. Recent studies have investigated regional vertebral kinematics; however, there are no reported measures of direct in vivo segmental vertebral kinematics in exercising horses. Relative movements between 2 adjacent vertebrae were recorded for 3 horses that were clinically sound and did not have a known history of a back problem. A transducer consisting of 2 fixtures and an array of li...
Three-dimensional kinematics of the equine spine during canter. Most research on equine kinematics has previously been performed in the walking and/or trotting animal. This is also true for the few studies on the kinematics of the equine back. These studies have, for the major part, focused on the flexion-extension movement in the sagittal plane. However, vertebrae can rotate in 3 dimensions. This study was designed to determine all 3 rotations in various segments of the vertebral column of a cantering horse. Five Dutch Warmblood horses were measured during treadmill canter (7.3 m/s). Steinmann pins were inserted into the dorsal spinous processes of 8 thor...
[Ataxia and pruritus in a pony due to a cervical vertebral fracture]. A mini-Shetland stallion was referred with bilateral pruritus localized to the anterior neck. More detailed clinical examination also revealed ataxia, and diagnostic imaging, including pre- and post-contrast computed tomography, revealed an old fracture of C2. Spinal cord compression was diagnosed. The probable causal relation between the fracture, the ataxia, and the localized pruritus seems comparable to the 'contusio cervicalis posterior' in humans, in which spinal cord trauma may cause pruritus in the associated dermatome.
Basic three-dimensional kinematics of the vertebral column of horses trotting on a treadmill. To determine movements of the vertebral column of horses during normal locomotion. Methods: 5 young Dutch Warmblood horses that did not have signs of back problems or lameness. Methods: Kinematics of 8 vertebrae (T6, T10, T13, T17, L1, L3, L5, and S3) and both tuber coxae were determined, using bone-fixated markers. Measurements were recorded when the horses were trotting on a treadmill at a constant speed of 4.0 m/s. Results: Flexion-extension and axial rotation were characterized by a double sinusoidal pattern of motion during 1 stride cycle, whereas lateral bending was characterized by 1 pe...
Methodology and validity of assessing kinematics of the thoracolumbar vertebral column in horses on the basis of skin-fixated markers. To determine the validity of using skin-fixated markers to assess kinematics of the thoracolumbar vertebral column in horses. Methods: 5 Dutch Warmblood horses without abnormalities of the vertebral column. Methods: Kinematics of T6, T10, T13, T17, L1, L3, L5, S3, and both tuber coxae were determined by use of bone-fixated and skin-fixated markers. Three-dimensional coordinate data were collected while horses were walking and trotting on a treadmill. Angular motion patterns were calculated and compared on the basis of 2-dimensional analysis of data from skin-fixated markers and 3-dimensional a...
Neurological signs in a horse due to metastases of an intestinal adenocarcinoma. A 22-year-old Dutch Warmblood mare was referred to Utrecht University with progressive left hind limb paresis and hyporeflexia. The preliminary clinical diagnosis was the neurological form of equine herpes virus (EHV-1) infection. Within 1 day of admission, the mare became recumbent and deteriorated rapidly. Postmortem examination revealed an adenocarcinoma of the caecum, with metastases in all regional lymph nodes and extending from the lumbar nodes into the vertebral canal, causing spinal cord compression and destruction of the left 4th and 5th lumbar nerves.
Marginal siderosis and degenerative myelopathy: a manifestation of chronic subarachnoid hemorrhage in a horse with a myxopapillary ependymoma. Marginal siderosis is recognized in humans as an uncommon clinicopathologic entity characterized by degeneration of neural tissue at the surface of the brain and spinal cord, in association with the accumulation of hemosiderin, and resulting from chronic subarachnoid hemorrhage. The sources of hemorrhage are various and include neoplasms, malformations, cysts, and vasculopathy. Marginal siderosis of the spinal cord due to a myxopapillary ependymoma was diagnosed in a 19-year-old Dutch Warm Blood horse with clinical signs of myelopathy. There is only one previous report of marginal siderosis in...
Concentrations of trace minerals in the spinal cord of horses with equine motor neuron disease. To compare concentrations of trace minerals in the spinal cord of horses with equine motor neuron disease (EMND) with those of horses without neurologic disease (control horses). Methods: 24 horses with EMND and 22 control horses. Methods: Spinal cord trace mineral concentrations in horses with EMND and control horses were analyzed by use of inductively coupled plasma atomic emission spectroscopy (calcium, phosphorus, sodium, potassium, magnesium, copper, iron, manganese, nickel, zinc, aluminum, cobalt, and chromium), atomic absorption spectrophotometry (lead and cadmium), flameless atomic abs...
Spinal ataxia in a horse caused by an arachnoid diverticulum (cyst). No abstract available
Basic three-dimensional kinematics of the vertebral column of horses walking on a treadmill. To determine kinematic movements of the vertebral column of horses during normal locomotion. Methods: 5 Dutch Warmblood horses without apparent lameness or problems associated with the vertebral column. Methods: Kinematics of 8 vertebrae (T6, T10, T13, T17, L1, L3, L5, and S3) and both tuber coxae were determined, using bone-fixated markers. Horses were recorded while walking on a treadmill at a constant speed of 1.6 m/s. Results: Flexion-extension was characterized by 2 periods of extension and flexion during 1 stride cycle, whereas lateral bending and axial rotation were characterized by 1 p...
Radiographic diagnosis: thoracic spinal fracture resulting in kyphosis in a horse. No abstract available
Kinematics of the equine back: flexion-extension movements in sound trotting horses. This study was undertaken to evaluate the flexion-extension movements of the back in a group of sound trotting horses. Using a 3-D kinematic analysis system, 13 clinically sound horses fitted with 5 skin markers placed on the dorsal midline of their trunk were recorded while trotting on a track in the conditions of the routine lameness examination. These markers were used to calculate 3 back angles (thoracic, thoracolumbar and lumbosacral angle). These back angles were then filtered using Fourier series. To evaluate the repeatability of flexion-extension movements, the intra- and inter-individ...
Spinal cord compression secondary to hemangiosarcoma in a saddlebred stallion. Hemangiosarcoma in the spinal canal was diagnosed in a 25-year-old stallion showing progressive and symmetrical 4-limb ataxia, proprioceptive deficits, and weakness. On necropsy, an extradural mass consisting of spindle-shaped cells and numerous free erythrocytes was found at the level of C7-T1. Immunohistochemical staining confirmed a neoplasm of endothelial origin.
Validity of saddle pressure measurements using force-sensing array technology–preliminary studies. Back pain is a common and poorly understood clinical problem. An important factor in this regard is the induction or exacerbation of back pain from badly designed or poorly fitting saddles. This study used a pressure-sensing mat to investigate saddle fit. The aims of the study were to confirm the accuracy and reliability of the force-sensing array technology when used to measure pressure beneath the saddles of horses, and to collect some initial data from normal healthy horses with well-fitting saddles. Experiments were undertaken to establish that a linear relationship existed between the tot...
[Radiologic examination of the spine in “back problems” of the standing horse]. The radiological examination of the thoracolumbar spine of a horse with a potential back problem is most important in order to come to a diagnosis and the imaging method of choice. The use of parallel grid-cassettes, appropriate films, rare earth screens and aluminium filters requires radiographic equipment with an output of 60-120 kV and 25-90 mAs. By use of this technique in the standing horse it is possible to obtain radiographs of the summits of the dorsal spinal processes of the thoracolumbar spine from the first thoracic (T1) to approximately the third of fourth lumbar vertebrae (L3/4). ...
[Hypothesis concerning the anatomical basis of cauda equina syndrome and transient nerve root irritation after spinal anesthesia]. Cauda equine syndrome is a rare neurological complication associated with subarachnoid anesthesia, and particularly with the use of 5% hyperbaric lidocaine and small gauge catheters. Our aim was to study a possible anatomical factor that might impede adequate dilution of local anesthetic and explain the development of cauda equine syndrome and transitory radicular irritation. Methods: The spinal dura matters and their contents from two male human cadavers were examined after organs had been extracted for transplantation. Both men had recently died at ages 56 and 65 years of age. Samples were f...
Back problems. Radiology and scintigraphy. Radiology and, more recently, scintigraphy are important ancillary diagnostic aids in the diagnosis of a horse with suspected back pain. Although the image quality is restricted by the size of the patient, radiographs have been used for several decades. With the introduction of modern fast-screen film systems, the quality of the images has greatly improved. These imaging techniques allow assessment of the anatomy and physiology of structures in the spine that are difficult or impossible to palpate. This article reviews the techniques and limitations of imaging the equine back, in addition to c...
Osseous spinal pathology. Pathologic changes have been observed at the spinous processes, intervertebral articulations, and sacroiliac joints in horses. Varying severity of degenerative articular changes are found in many articular processes, intertransverse, lumbosacral, and sacroiliac joints. Pathologic lesions tend to affect multiple vertebral locations within a specimen. Further studies need to be conducted to evaluate the clinical significance of the numerous vertebral and pelvic pathologic findings found in a sample of Thoroughbred racehorses that died because of unrelated injuries. Increased knowledge of osseous...
Ultrasonographic evaluation of back lesions. With progressive advances in ultrasonographic equipment, evaluation of a number of axial skeletal structures is now possible. Ultrasonography is presently the best technique for evaluation of the SSpL and lumbosacral intervertebral discs. It is a useful adjunct to radiography for assessment of spinous processes and AP injuries.
Physical therapy for the equine back. Before a physical therapy and rehabilitation program is suggested, the end requirement must be considered. All physiotherapeutic machines are subject to laboratory screening. In the United States, the approval of the Food and Drug Administration is required; in the United Kingdom, certification by the National Physics Laboratory has been required by law since January 1996. Laboratory experiments are continually conducted to examine and evaluate the effects on tissues of varied electrical waveforms, low-intensity electrical currents, sound waves, and light rays delivered by a variety of therape...
Medical management of back pain. The most common causes of back pain and their medical treatment are discussed. These include: dermatologic problems and conditions resulting from saddle trauma; discomfort and stiffness owing to injured paraspinal muscles; pain associated with supraspinous ligament damage; osseous pain and nerve dysfunction related to the spine and sacroiliac area; and neurologic diseases that can manifest as back pain. Bitting problems, cervical pain, and coexisting lameness are also considered.
Spinal ligament pathology. Young elite athletes, particularly horses used for jumping, are at a relatively high risk for injury to the ligaments associated with the axial skeleton. Extreme back flexion appears to be a contributing factor to ligament damage. Back pain due to injury of the ligaments of the axial skeleton has often been considered to be secondary to lower limb injury, to the extent that a separate definitive diagnosis, treatment, and prognosis were unnecessary. Diagnostic imaging, ultrasound in particular, has demonstrated ligamentous damage that can be the limiting factor in return to previous athletic us...