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Topic:Vertebrae

The vertebrae in horses form a critical component of the equine skeletal system, providing structural support and facilitating movement. Horses possess a series of vertebrae categorized into five regions: cervical, thoracic, lumbar, sacral, and caudal. These vertebrae protect the spinal cord and serve as attachment points for muscles and ligaments, contributing to the horse's posture and locomotion. Variations in vertebral anatomy can influence a horse's performance and susceptibility to certain conditions. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, biomechanics, and clinical implications of vertebral health in horses.
Spinal Injuries from Equestrian Activity: A US Nationwide Study.
Journal of clinical medicine    June 26, 2025   Volume 14, Issue 13 4521 doi: 10.3390/jcm14134521
Loder RT, Walker AL, Blakemore LC. 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...
[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].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    June 13, 2025   Volume 53, Issue 3 191-196 doi: 10.1055/a-2536-5264
Hellige M, Geburek F.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...
Spinal articular dysfunction is common in athletic horses.
Equine veterinary journal    June 1, 2025   doi: 10.1111/evj.14541
Patricio CR, Winter GHZ, Garbade P.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...
Relationship between back pain and poor performance in show jumping athletic horses.
Open veterinary journal    March 31, 2025   Volume 15, Issue 3 1480-1487 doi: 10.5455/OVJ.2025.v15.i3.37
Shokry M, Ali LB, El-Sharkawy M.Showjumping athletic horses are frequently affected by back pain, which in turn influences their performance and equestrian activities. Unassigned: The aim of the present study was to determine the etiological factors predisposing to back problems in show jumping horses and how to diagnose, and manage them. Unassigned: A total of 75 cases (45 geldings and 30 mares, aged between 8 and 23 years and weighing 420-550 Kg) with histories suggestive of back problems and low competitive ability as show jumping were used in this study. The evaluation of data was based on the inputs of case history, cli...
Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study.
Children (Basel, Switzerland)    November 27, 2024   Volume 11, Issue 12 1443 doi: 10.3390/children11121443
Loder RT, Walker AL, Blakemore LC.Fractures often occur due to equestrian activities with injury patterns varying by age. The purpose of this study was to investigate in detail fracture patterns and associated demographics in children due to equine activities. Methods: The US National Electronic Injury Surveillance System was queried for all injuries with the consumer product code 1239 (horseback riding) from 2000 to 2023. Those <16 years old with fractures were extracted. Statistical analyses were performed with SUDAAN 11.0.01™ software to obtain national estimates. Results: There were an estimated 101,677 patients with a f...
Tracing horseback riding and transport in the human skeleton.
Science advances    September 20, 2024   Volume 10, Issue 38 eado9774 doi: 10.1126/sciadv.ado9774
Hosek L, James RJ, Taylor WTT.Among the most widely used methods for understanding human-horse relationships in the archaeological record is the identification of human skeletal pathologies associated with mounted horseback riding. In particular, archaeologists encountering specific bony changes to the hip, femur, and lower back often assert a causal link between these features and prolonged periods of mounted horseback riding. The identification of these features have recently been used to assert the early practice of mounted horseback riding among the Yamnaya culture of western Eurasia during the third and fourth millenn...
Ultrasound-guided caudal cervical articular process arthrocentesis is accurate in live horses with and without arthropathy.
Equine veterinary journal    July 11, 2024   doi: 10.1111/evj.14133
Davidson EJ, Stefanovski D, Slack J, Manzi TJ.Cervical articular process joint (CAPJ) therapy is advocated for horses with neck disorders. Several ultrasound-guided CAPJ techniques have been described in cadaver studies with 72%-89% intra-articular injection accuracy; however, the CAPJ injection accuracy in clinical equine practice has not been extensively reported. Objective: To describe a modified cranial approach for ultrasound-guided caudal CAPJ injections, to investigate the accuracy of this CAPJ injection technique in live horses, and to assess the effect of CAPJ injection location, laterality, operator, and radiographic CAPJ enlarg...
Closure of the neuro-central synchondrosis and other physes in foal cervical spines.
Equine veterinary journal    April 9, 2024   doi: 10.1111/evj.14093
Olstad K, Bugge MD, Ytrehus B, Kallerud AS.The neuro-central synchondrosis (NCS) is a physis responsible for the growth of the dorsal third of the vertebral body and neural arches. When the NCS of pigs is tethered to model scoliosis, stenosis also ensues. It is necessary to describe the NCS for future evaluation of its potential role in equine spinal cord compression and ataxia (wobbler syndrome). Objective: To describe the NCS, including when it and other physes closed in computed tomographic (CT) scans of the cervical spine of foals, due to its potential role in vertebral stenosis. Methods: Post-mortem cohort study. Methods: The cerv...
Lumbar vertebral bone density is decreased in horses with pituitary pars intermedia dysfunction.
Equine veterinary journal    December 27, 2023   Volume 56, Issue 2 368-376 doi: 10.1111/evj.14039
Colbath AC, Fortin JS, Burglass CM, Panek C, Vergara-Hernandez FB, Johnson TN, Robison CA, Logan AA, Nelson NA, Nielsen BD, Schott HC.Pathological fractures have been reported in equids with pituitary pars intermedia dysfunction (PPID) but their prevalence and pathogenesis is unknown. Objective: To compare: (1) bone mineral density (BMD) in weight bearing and nonweight bearing bones in PPID+ equids and aged and young PPID- controls; and (2) biomechanical properties of the fourth lumbar vertebral body in PPID+ equids and aged PPID- equids. Methods: Case-control study: five PPID+ equids and six aged and four young PPID- control horses. Methods: PPID status was based on clinical signs and necropsy examination of the pituitary g...
Dural and deep cervical musculature anesthetic blockade for atlantoaxial collection of cerebrospinal fluid in horses.
Journal of equine veterinary science    December 21, 2023   Volume 132 104987 doi: 10.1016/j.jevs.2023.104987
Pereira GF, Fenelon ACG, Horr M, Nogueira GM, Delfiol DJZ.The analysis of cerebrospinal fluid has diagnostic, prognostic, and therapeutic value in neurological illnesses in horses. There are different methods for obtaining cerebrospinal fluid, with the collection between the C1 and C2 vertebrae being a more recent methodology, which allows the procedure to be performed in standing patients, without the limitations of general anesthesia and with a low contamination of the sample with blood, presenting itself as a practical alternative. This study evaluated the efficacy and safety of a local dural blockade in healthy horses submitted to cerebrospinal f...
Historic Horse Family Displaying Malformations of the Cervicothoracic Junction and Their Connection to Modern German Warmblood Horses.
Animals : an open access journal from MDPI    November 3, 2023   Volume 13, Issue 21 3415 doi: 10.3390/ani13213415
Zimmermann E, Ros KB, Pfarrer C, Distl O.Malformations of the equine cervicothoracic junction affect the C6 and C7 cervical vertebrae, the T1 thoracic vertebra and in variable extent the first and second sternal ribs. To date, the clinical impact of this malformation, its prevalence and mode of inheritance in equine populations are not yet determined. We examined five skeletons for signs of malformation of the cervicothoracic junction, including three skeletons from widely used Thoroughbred stallions affected with the malformation and two skeletons serving as a comparison. The three affected historical horses were the Thoroughbred st...
Characterization of the Caudal Ventral Tubercle in the Sixth Cervical Vertebra in Modern Equus ferus caballus.
Animals : an open access journal from MDPI    July 22, 2023   Volume 13, Issue 14 doi: 10.3390/ani13142384
May-Davis S, Dzingle D, Saber E, Blades Eckelbarger P.This study examined the anomalous variations of the ventral process of C6 in modern E. ferus caballus. The aim was to provide an incremental grading protocol measuring the absence of the caudal ventral tubercle (CVT) in this ventral process. The findings revealed the most prevalent absent CVT (aCVT) was left unilateral (n = 35), with bilateral (n = 29) and right unilateral (n = 12). Grading was determined in equal increments of absence 1/4, 2/4, 3/4, with 4/4 representing a complete aCVT in 56/76, with a significance of p = 0.0013. This also applied to bilateral specimens. In those C6 osseous ...
Morphology of the Ventral Process of the Sixth Cervical Vertebra in Extinct and Extant Equus: Functional Implications.
Animals : an open access journal from MDPI    May 17, 2023   Volume 13, Issue 10 1672 doi: 10.3390/ani13101672
May-Davis S, Hunter R, White R.In this study, we examined the ventral process of C6 in extinct and extant (sister taxa to only) with the purpose of describing normal morphology and identifying anomalous variations relevant to recent studies describing a congenital malformation in . Overall, 83 specimens from 9 museums and 3 research/educational facilities were examined, totalling 71 extinct specimens from 12 species and 12 extant specimens from 5 species. The lateral view revealed that a large convexity exists in the ventral process between the cranial ventral tubercle (CrVT) and the caudal ventral tubercle (CVT) in the e...
A novel surgical technique for treatment of cervical vertebral stenotic myelopathy (wobbler syndrome) in a filly.
Journal of equine veterinary science    April 17, 2023   Volume 126 104493 doi: 10.1016/j.jevs.2023.104493
Mannaa M, Shamaa AA, Shawky A, Hassan IM, Refaey AM, Abu-Seida AM.Cervical vertebral stenotic myelopathy (CVSM), also known as equine wobbler syndrome or cervical ataxia, is a devastating neurological syndrome resulting from compression of the spinal cord at the cervical region. This report describes a novel surgical technique for treatment of 16-month-old Arabian filly with CVSM. The filly showed grade 4 ataxia, hypermetria, weakness of the hind limbs, stumbling during walking, and abnormal gait. Case history, clinical signs and myelography revealed spinal cord compression between the C3 and C4 and C4-C5. The filly underwent a novel surgical interference fo...
Shapes of cervical articular process joints and association with histological evidence of osteochondrosis in Warmblood foals: A post-mortem study.
Equine veterinary journal    April 3, 2023   doi: 10.1111/evj.13940
Bergmann W, Vernooij JCM, Grinwis GCM, Gröne A.Osteochondrosis dissecans (OCD) of articular process joints (APJs) is involved in cervical vertebral compressive myelopathy (CVM). Biomechanical forces, important in development of OCD, depend on joint conformation. Oval and flat APJ surfaces are considered normal. Objective: To identify and grade gross shape variation of cervical and cranial thoracic APJ surfaces and determine association with histological evidence of osteochondrosis. Methods: Case series. Methods: Eight hundred and four cervical and cranial thoracic APJ surfaces of 30 foals were evaluated for shape(s) and grades, and were co...
Post-Mortem Computed Tomographic Features of the Most Caudal Lumbar Vertebrae, Anatomical Variations and Acquired Osseous Pathological Changes, in a Mixed Population of Horses.
Animals : an open access journal from MDPI    February 19, 2023   Volume 13, Issue 4 743 doi: 10.3390/ani13040743
Scilimati N, Angeli G, Di Meo A, Dall'Aglio C, Pepe M, Beccati F.The radiographic, ultrasonographic, and scintigraphic findings of horses with thoracolumbosacral pain have been previously reported. In this study, the computed tomographic appearance of anatomical variations and pathological changes of the equine caudal lumbar region through a post-mortem examination were investigated. A total of 40 horses that had died or were submitted for euthanasia, for reasons unrelated to the study, were included in the study. From all the specimens, the modified vertebral system was adopted to evaluate and describe the four most caudal lumbar vertebrae, which were numb...
Truly dorsostable runners: Vertebral mobility in rhinoceroses, tapirs, and horses.
Journal of anatomy    December 15, 2022   Volume 242, Issue 4 568-591 doi: 10.1111/joa.13799
Belyaev RI, Kuznetsov AN, Prilepskaya NE.The vertebral column is a hallmark of vertebrates; it is the structural basis of their body and the locomotor apparatus in particular. Locomotion of any vertebrate animal in its typical habitat is directly associated with functional adaptations of its vertebrae. This study is the first large-scale analysis of mobility throughout the presacral region of the vertebral column covering a majority of extant odd-toed ungulates from 6 genera and 15 species. In this study, we used a previously developed osteometry-based method to calculate available range of motion. We quantified all three directions ...
Adaptations in equine axial movement and muscle activity occur during induced fore- and hindlimb lameness: A kinematic and electromyographic evaluation during in-hand trot.
Equine veterinary journal    December 14, 2022   doi: 10.1111/evj.13906
Spoormakers TJP, St George L, Smit IH, Hobbs SJ, Brommer H, Clayton HM, Roy SH, Richards J, Serra Bragança FM.The inter-relationship between equine thoracolumbar motion and muscle activation during normal locomotion and lameness is poorly understood. Objective: To compare thoracolumbar and pelvic kinematics and longissimus dorsi (longissimus) activity of trotting horses between baseline and induced forelimb (iFL) and hindlimb (iHL) lameness. Methods: Controlled experimental cross-over study. Methods: Three-dimensional kinematic data from the thoracolumbar vertebrae and pelvis, and bilateral surface electromyography (sEMG) data from longissimus at T14 and L1, were collected synchronously from clinicall...
Age and sex correlate with bony changes and anatomic variations of the lumbosacroiliac region of the vertebral column in a mixed population of horses.
Journal of the American Veterinary Medical Association    November 8, 2022   Volume 261, Issue 2 258-265 doi: 10.2460/javma.22.07.0293
Scilimati N, Beccati F, Dall'Aglio C, Di Meo A, Pepe M.To provide a postmortem description of anatomic variations and changes of the lumbosacroiliac region in horses. The authors hypothesized that lesion severity would increase with age and body weight and correlate to anatomic variations. Lumbosacroiliac vertebral specimens from 38 horses (mean age, 16 years; range, 5 to 30 years) that died or were euthanized for reasons unrelated to the study between November 2019 and October 2021. The lumbosacroiliac region of the vertebral column was removed from each cadaver. After dissection, disarticulation, and boiling, the anatomic specimens were examined...
The effect of manually facilitated flexion of the thoracic spine on the interspinous space among horses with impinging dorsal spinous processes of the thoracic vertebrae.
Veterinary journal (London, England : 1997)    September 29, 2022   Volume 289 105909 doi: 10.1016/j.tvjl.2022.105909
O'Sullivan S, McGowan CM, Junnila J, Hyytiäinen HK.Impinging dorsal spinous processes (IDSP) are typically diagnosed and graded using radiography, during which the effect of the horses' thoracolumbar posture on the interspinous spaces is not commonly considered. Posture can be altered from a spontaneous, relatively extended, or lordotic, position by manual facilitation of thoracic flexion ('thoracic lift'). This study aimed to ascertain if the thoracic vertebral interspinous space distances were increased by using facilitated thoracic flexion to alter the posture in horses diagnosed with IDSP. Seven horses of mixed breed and sex, median age 9....
CT measures of osseous cervicothoracic intervertebral foramina are repeatable and associated with CT measures of adjacent articular processes in horses. Rovel T, Duchateau L, Saunders J, Vandenberghe F, Vanderperren K.Narrowing of the equine cervicothoracic intervertebral foramina (IF) has the potential to cause forelimb lameness and/or neck pain although limited information is available on CT of the IF. The aims of this retrospective, analytical study were to describe a protocol for quantifying CT cervicothoracic IF size; evaluate the repeatability of IF size measures; test associations between IF size and adjacent articular process (AP) size, ventral extent, and anatomic location; and determine the proportion of IF with narrowing. Computed tomographic images were acquired in 20 Warmblood horses that prese...
Cervical Vertebral Stenotic Myelopathy.
The Veterinary clinics of North America. Equine practice    August 12, 2022   Volume 38, Issue 2 225-248 doi: 10.1016/j.cveq.2022.05.002
Woodie B, Johnson AL, Grant B.Cervical vertebral stenotic myelopathy is a common cause of ataxia in horses secondary to spinal cord compression. Early articles describing this problem indicate genetic predisposition as a known risk factor. Further studies have shown the problem is a developmental abnormality which might have genetic predisposition and environmental influences.
A Systematic Review of Clinical Signs Associated With Degenerative Conditions and Morphological Variations of the Equine Caudal Neck.
Journal of equine veterinary science    July 2, 2022   Volume 116 104054 doi: 10.1016/j.jevs.2022.104054
Kernot N, Butler R, Randle H.Conditions of the equine caudal neck (C5-C7) are thought to be associated with various clinical signs. However, little investigation has been undertaken to isolate clinical indicators associated with specific conditions of the equine caudal cervical spine. This systematic review aimed to evaluate associations of clinical signs with anatomical malformation of caudal cervical vertebrae, spinal cord compression of the caudal cervical spine, and arthropathy of the caudal cervical articular process joints (APJs). A literature search was carried out using Google Scholar in accordance with PRISMA (Pr...
Investigation of a contributing factor for cervical vertebral stenotic myelopathy using computed tomography for measuring the cervical vertebral volume.
The Journal of veterinary medical science    June 8, 2022   Volume 84, Issue 8 1084-1087 doi: 10.1292/jvms.22-0188
Kondo T, Mashimo Y, Sato F, Tsuzuki N, Yamada K.Thoroughbred horses appear to be particularly predisposed to cervical vertebral stenotic myelopathy (CVSM), also known as wobbler syndrome. We hypothesized that variations in the cervical vertebral volumes can affect the dynamic instability of the cervical vertebrae. This observational study aimed to clarify whether cervical vertebral volume could be considered as a contributing factor in CVSM in Thoroughbred horses. Computed tomography (CT) was used to investigate a total of 21 male Thoroughbred horses (age range, 217-1,002 days; mean, 542.3 days). The study population comprised 17 CVSM horse...
The existence of intertransverse joints in young warmblood foals.
Journal of the American Veterinary Medical Association    April 27, 2022   Volume 260, Issue 10 1206-1210 doi: 10.2460/javma.22.02.0051
Spoormakers TJP, Bergmann W, Veraa S, van Weeren PR, Brommer H.To verify the existence of intertransverse joints (ITJs) in young foals. 11 warmblood foals. Postmortem examination of the lumbar area in foals < 200 days old using CT, MRI, dissection, and histomorphology. Data were analyzed with descriptive statistics. Age of foals varied between 1 and 200 days (median, 11 days). Ten foals had 6 lumbar (L) vertebrae, and 1 foal had 5. All 11 foals, irrespective of age, had ITJs between the first sacral and last lumbar vertebrae and between the last and second-to-last lumbar vertebrae. In 6 foals (all with 6 L vertebrae), ITJs also existed between the four...
Three-Dimensional Modeling and In Silico Kinematic Evaluation of Interspinous Ligament Desmotomy in Horses.
Frontiers in bioengineering and biotechnology    April 1, 2022   Volume 10 817300 doi: 10.3389/fbioe.2022.817300
Biedrzycki AH, Elane GL. Interspinous ligament desmotomy (ISLD) has been shown to improve the comfort of horses diagnosed with overriding dorsal spinous processes (DSP), but its effects on spine mobility are unknown. To objectively quantify the change in mobility of thoracic vertebrae following ISLD using CT and medical modeling software. Prospective cadaveric manipulation of seven equine thoracolumbar spines collected from T11-L1. Spines were collected from T11-L1 with the musculature intact. Flexion and extension phases were achieved with a ratchet device calibrated to 2000N. Bone volume CT scans were performed ...
Characteristic computed tomographic myelography findings in 23 Thoroughbred horses.
The Journal of veterinary medical science    February 23, 2022   Volume 84, Issue 4 525-532 doi: 10.1292/jvms.22-0036
Kondo T, Sato F, Tsuzuki N, Watanabe K, Horiuchi N, Kobayashi Y, Yamada K.The purpose of this observational study was to determine the characteristic computed tomographic (CT) myelography findings of cervical vertebral stenotic myelopathy (CVSM) lesions in Thoroughbred horses. A total of 23 Thoroughbred horses (age range, 155-717 days on CT examination; mean, 410.9 days) were analyzed. All 23 Thoroughbred horses underwent unenhanced radiography, radiographic myelography, and CT myelography. Unenhanced radiographs were observed the presence of cervical vertebral malalignment and osseous lesions. Radiographic myelograms were observed for signs of cervical spinal cord ...
An objective index for spinal cord compression on computed tomography in Thoroughbred horses.
Veterinary medicine and science    February 13, 2022   Volume 8, Issue 3 1072-1078 doi: 10.1002/vms3.767
Kondo T, Sato F, Tsuzuki N, Chen CJ, Yamada K.Computed tomographic myelography can be a useful tool for evaluating vertebral canal stenosis. However, an index of spinal cord compression is yet to be established. This observational descriptive study aimed to establish an index for spinal cord compression using computed tomography (CT). Twenty-three Thoroughbred horses (age, 155-717 days; weight, 205-523 kg) with suspected cervical vertebral malformation were subjected to computed tomographic myelography in dorsal recumbency using large-bore gantry CT to define the entire cervical vertebrae from C1 to C7. Subsequently, the height of the sp...
Osteochondrosis and other lesions in all intervertebral, articular process and rib joints from occiput to sacrum in pigs with poor back conformation, and relationship to juvenile kyphosis.
BMC veterinary research    January 18, 2022   Volume 18, Issue 1 44 doi: 10.1186/s12917-021-03091-6
Olstad K, Aasmundstad T, Kongsro J, Grindflek E.Computed tomography (CT) is used to evaluate body composition and limb osteochondrosis in selection of breeding boars. Pigs also develop heritably predisposed abnormal curvature of the spine including juvenile kyphosis. It has been suggested that osteochondrosis-like changes cause vertebral wedging and kyphosis, both of which are identifiable by CT. The aim of the current study was to examine the spine from occiput to sacrum to map changes and evaluate relationships, especially whether osteochondrosis caused juvenile kyphosis, in which case CT could be used in selection against it. Whole-body ...
Intervertebral disc degeneration in warmblood horses: Histological and biochemical characterization.
Veterinary pathology    January 4, 2022   Volume 59, Issue 2 284-298 doi: 10.1177/03009858211067463
Bergmann W, de Lest CV, Plomp S, Vernooij JCM, Wijnberg ID, Back W, Gröne A, Delany MW, Caliskan N, Tryfonidou MA, Grinwis GCM.Gross morphology of healthy and degenerated intervertebral discs (IVDs) is largely similar in horses as in dogs and humans. For further comparison, the biochemical composition and the histological and biochemical changes with age and degeneration were analyzed in 41 warmblood horses. From 33 horses, 139 discs and 2 fetal vertebral columns were evaluated and scored histologically. From 13 horses, 73 IVDs were assessed for hydration, DNA, glycosaminoglycans, total collagen, hydroxyl-lysyl-pyridinoline, hydroxylysine, and advanced glycation end-product (AGE) content. From 7 horses, 20 discs were ...
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