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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.
Fibrocartilaginous Emboli in a 15-Year-Old Pony Mare. 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. 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. 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. Objective: 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.Methods: 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 differenc...
Cone beam computed tomographic myelography in horses with cervical vertebral compressive myelopathy. 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. 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 significan...
Multicenter results for C7-T1 ventral interbody fusion in horses using the kerf cut cylinder. 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. 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. 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. 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. 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. 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. 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...
Spinal Injuries from Equestrian Activity: A US Nationwide Study. Equestrian activities can result in spine injuries. Most studies are from single centers, and none use a national database. It was the purpose of this study to describe the demographics, injury mechanisms, and types of equestrian-associated spinal injuries using a US national ED database. The National Electronic Injury Surveillance System database was queried for equestrian-related spine injuries from 2000-2023. ED disposition was categorized as discharged or not discharged. Statistical analyses accounted for the weighted, stratified nature of the data to obtain national estimates. There we...
Computed tomographic myelography of the cranial cervical spine in Warmblood horses with no spinal pathology-Inter- and intravertebral ratios and distribution of contrast columns in neutral and flexed cervical spine. Computed tomographic myelography (CTM) and radiographic myelography (RxM) are diagnostic for extradural spinal cord compression, but knowledge about the contrast distribution in flexion and normal position of nonaffected horses is lacking. Objective: (1) To determine the inter- and intravertebral ratios at C3-C4 of CTM in neutral and flexed positions in Warmbloods. (2) To compare the diameters of the spinal cord and the contrast columns at C3-C4 between neutral and flexed positions in CTM and RxM. (3) To evaluate the variability of measurements. Methods: Terminal in vivo method-comparison stud...
[Diagnostic imaging of the equine cervical spine and clinical significance of findings – review of literature – Part two: Ultrasonography, myelography, computed tomography, magnetic resonance tomography, and nuclear medicine]. Diagnostic imaging is an important part of the diagnostic approach in equine spinal ataxia especially with the cervical spine being commonly involved. The spinal cord may be affected by a variety of conditions including cervical vertebral malformations, osteoarthritis of the articular process joints or less commonly neoplasia. Advanced imaging techniques such as myelography are more accurate in diagnosing spinal cord compression and may be performed under general anesthesia in neutral, flexed and extended positions of the cervical spine. The use of ultrasound is non-invasive and allows ultraso...
A Retrospective Study of the Evolution of Orthopaedic Injuries in 70 Dressage Horses. There is limited information about the orthopaedic health of dressage horses. This study aimed to document the orthopaedic status, lesion distribution, and evolution of injuries in 70 horses undergoing a minimum of five in-depth orthopaedic assessments at six-months' intervals. Warmblood (70.0%) and Iberian (24.3%) breeds predominated. The median lameness grade at initial examination was 2/5 (interquartile range 2,2; range 0,3). Hypermetria (42.9%) or hypermetria and weakness (12.9%) were observed at the initial examination and did not change over time. Metacarpophalangeal/metatarsophalangeal ...
Assessment of erector spinal muscles activation in pre and post training with surface electromyography in an equestrian athlete with recurring non-specific low back pain: a case report. Several studies have highlighted the association between low back pain (LBP) and horse riding, but none have specifically analyzed the underlying causes. Furthermore, there is a lack of literature addressing LBP in equestrian athletes, as the focus is often placed on the health of the horse rather than that of the rider. This study aims to determine if surface electromyography can identify changes in spinal erector activation pre- and post-training in an equestrian athlete with recurring nonspecific LBP by measuring the flexion relaxation phenomenon (FRP). The patient, an equestrian athlete, e...
Spinal articular dysfunction is common in athletic horses. Spinal articular dysfunction disrupts normal neural function and may lead to stiffness, pain or poor performance. Back pain is common in equine athletes, and it is a common complaint by horse owners requesting chiropractic evaluations. Objective: To describe the prevalence of spinal articular dysfunction in showjumping horses. Methods: Retrospective analysis of clinical records. Methods: Records from 3 years of examinations in horses, from beginners to high-performance levels. Each horse had 30 spinal segments evaluated for the presence of dysfunctional articulations. Exams were performed by...
Internal fixation of a fractured cranial articular process of the sixth cervical vertebra by means of computer-assisted surgery in a Warmblood gelding. To describe the repair of a fractured cranial articular process (AP) of the sixth cervical vertebra (C6) with cortex screws placed in lag fashion using computer-assisted surgery. Methods: A 12-year-old Swiss Warmblood gelding. Methods: Case report. Methods: The gelding was presented with neck pain and ataxia after a fall. A fracture of the right cranial AP of C6 was identified on radiographs. The fracture was repaired by internal fixation with two 4.5 mm cortex screws of 58 and 48 mm length placed in lag fashion using computer-assisted surgery. Results: During general anesthesia, it was su...
Assessing thermal changes in the equine thoracolumbar region following different capacitive-resistive electrical transfer protocols. Capacitive-resistive electrical transfer (CRET) is an endogenous non-invasive technique, used as deep diathermy. We pursue to analyze the temperature changes by applying different CRET protocols in the thoracolumbar spine of horses, between thoracic vertebrae 15 and lumbar 2. Unassigned: Ten clinically sound horses without thoracolumbar pain underwent various CRET protocols applied to a standardized thoracolumbar region (T15-L2). The protocols included sham (device off), low intensity (LIP, 5%), medium intensity (MIP, 30%), and high intensity (HIP, 40%). The HIP protocol was further divided in...
Accuracy of computer-assisted drilling of equine cervical vertebral bodies using a purpose-built cervical frame-An experimental cadaveric study. To assess the accuracy of computer-assisted surgery (CAS) of equine cervical vertebrae using a purpose-built cervical frame (CF) for neck stabilization. Methods: Experimental cadaveric study. Methods: Six whole fresh equine cadavers. Methods: Cadavers were positioned in dorsal recumbency with the neck extended within the CF. A cone-beam computed tomography (CBCT)-based surgical navigation system with optical tracking was used. A ventral approach exposed cervical vertebrae C3-C5. In each cadaver, 12 drill corridors were prepared with the patient tracker on the CF (position CF), followed by 12 c...
Analysis of different techniques for injection of the interspinal space in horses. Impingement of spinous processes (SPs) is commonly diagnosed in the equine athlete. For diagnostic and therapeutic purposes, local injections are performed at the level of the space between adjacent spinous processes in affected horses. Objective: To assess the accuracy of different techniques for the local injection of the interspinal space in the equine thoracolumbar spine. Methods: Ex vivo experimental study. Methods: Equine thoracolumbar spine specimens were used to compare three techniques for needle insertion (midline; bilateral abaxial; unilateral oblique), two needles (20G-1½″; 20G-...
Retrospective radiographic myelogram measurements and long-term outcomes in horses undergoing cervical interbody fusion surgery: 22 cases. Site selection for cervical stabilization surgery in horses with spinal ataxia frequently relies on measurements derived from radiographic myelography. A variety of measurement criteria exist and can provide conflicting results. The main objectives of this study were to assess the correlation between two commonly used myelographic measures, dorsal contrast column reduction (DCCR) and dural diameter reduction (DDR), and their association with previously selected operative sites in a population of horses operated at a tertiary clinic. Secondary objectives were to determine if articular process j...
A dorsal ultrasound-guided approach to perineural injection of the sixth and seventh cervical spinal nerves in horses is accurate and does not result in epidural placement. To determine the accuracy of a dorsal ultrasound-guided approach for perineural injection of the sixth and seventh cervical spinal nerves (CSNs) with the use of a clinically relevant volume of injectate (2 mL). We hypothesized that the majority of injections would result in identification of contrast solution in the intervertebral foramen (IVF) on CT and corresponding methylene blue dye staining of the CSN on postmortem evaluation, and distribution of injectate into the epidural space would not occur. Unassigned: 7 horses donated to the University of Pennsylvania New Bolton Center for euthanas...
[Diagnostic imaging of the equine cervical spine – Part one: Radiography – A review of the literature on findings and their clinical significance]. A number of indications exist that necessitate radiologic examination of the equine cervical spine. Different neurologic and pain-associated clinical signs within the scope of lameness or poor performance may be associated to pathologies of the cervical spine. Moreover, the number of requests for radiographic examinations of the cervical spine, for example as part of the pre-purchase examination, has increased significantly in recent years. However, the interpretation of radiographs represents a challenge, particularly in the case of clinically sound horses, as it often necessitates the resolu...
Ex vivo biomechanical comparison of pedicle screw and rod constructs with and without interbody fusion devices for equine cervical vertebral stabilization. To determine the biomechanical properties of pedicle screw and rod (PSR) constructs alone and with an interbody fusion device (PSRIFD) for equine ventral cervical vertebral stabilization. Methods: Cadaveric ex vivo biomechanical analysis. Methods: A total of 14 (n = 14) adult equine cervical vertebral columns. Methods: Cervical vertebral columns were stabilized by PSR alone (n = 6) or PSRIFD (n = 5). Three columns were left unaltered as controls. Non-destructive biomechanical testing showed the kinematic range of motion (ROM), compliance, and neutral zone of each spinal unit in the...
Mild radiographic abnormalities of thoracolumbar spinous processes are not associated with decreased performance in 100 Warmblood jumping horses in active competition. Back pain is a common cause of poor performance in horses. However, the relationship between clinical signs and radiographic abnormalities is unclear. The aim of this study was to report radiographic findings of spinous processes in a population of Warmblood jumping horses and their association with performance. This was a descriptive observational study. One hundred Warmblood jumping horses (competing fence height: median 1.35 m, mean 1.3 m, range 0.90m-1.60 m), with no observed lameness and neurological signs, competing in 2018 were selected. Radiographs of spinous processes of the thoracolu...
A Closed Reduction of Cervical Spine Subluxation in an Arabian Foal with an External Neck Stabilizer. Cervical spine injuries that impact young horses and foals can result in mild to severe neurological signs or even result in sudden death. There are only a few reports on conservative treatment options for this condition in the scientific literature. If the condition is left untreated, it can lead to the development of degenerative joint disease, resulting in chronic neurological symptoms and discomfort. We present the case of a two-day-old Arabian foal that showed signs of ataxia following a neck injury, being the result of cervical spine subluxation. Radiological examination revealed a dislo...
Equestrian Sports Safety: An Update on Safety Equipment and Event Medical Coverage. Equestrian sports are associated with high rates of major injury compared to collision and powered two-wheel sports. Advancements in rider and horse safety equipment and the implementation of comprehensive emergency action planning standards may help mitigate injuries, particularly in regard to the Olympic disciplines of dressage, show jumping, and three-day eventing covered in this review. Personal safety equipment to consider includes helmets, safety and air vests, and horse tack including safety stirrups, acoustic dampeners, and breakaway reins. Equestrian event medical coverage requires em...
