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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
More conservative use of antimicrobials does not adversely affect treatment outcomes in foal bronchopneumonia.
Veterinary journal (London, England : 1997)    February 19, 2026   Volume 316 106605 doi: 10.1016/j.tvjl.2026.106605
Boeger L, Volkmann N, Probst J, Kemper N, Venner M.The emergence of antimicrobial resistance raises concerns about using antibiotics in veterinary medicine, particularly in cases of bronchopneumonia in foals diagnosed early based on a screening programme. Many subclinical foals recover spontaneously, thus, interest in more restrictive antibiotic usage is increasing. Objective: To determine whether initiating antimicrobial therapy at a later stage of bronchopneumonia decreases antimicrobial usage without compromising successful resolution of pathology in affected foals. Methods: A total of 1200 warmblood foals born in 2020, 2022, 2023 and 2024 ...
Manual graphic roadmap for transarterial coil embolization of guttural pouch arteries in horses: A technical note.
Veterinary surgery : VS    February 18, 2026   doi: 10.1111/vsu.70088
Mählmann K, Lischer CJ.This technical note describes the use of a manual graphic roadmap (MGR) to assist fluoroscopic guidance during transarterial coil embolization (TACE) for guttural pouch (GP) arterial hemorrhage. Horses underwent MGR-assisted TACE at the Equine Clinic, Free University of Berlin, between 2012 and 2024. Surgery was performed under general anesthesia with fluoroscopic guidance. Following the initial angiogram, a transparent foil was secured to the fluoroscopy monitor, and an assistant traced the vascular anatomy with a waterproof marker to create the MGR, which then served as a guide for catheter ...
Functional and histopathologic evidence of laryngeal reinnervation using the spinal accessory nerve in horses.
Veterinary surgery : VS    February 18, 2026   doi: 10.1111/vsu.70083
Campos Schweitzer A, Mespoulhes-Rivière C, Perkins JD, Ducharme NG, Piercy RJ, Lynch N, Rossignol F.To evaluate functional and histopathologic outcomes of standing selective laryngeal reinnervation using the spinal accessory nerve (SAN) in horses with experimentally induced recurrent laryngeal neuropathy (RLN). Methods: Five Thoroughbred mares. Methods: Prospective cohort study. Methods: The horses underwent left recurrent laryngeal neurectomy followed 8 weeks later by selective laryngeal reinnervation using the SAN. Follow-up evaluations at 4.5, 6, 8, and 12 months included treadmill exercising endoscopy, ultrasonography of intrinsic laryngeal muscles, and percutaneous electrical stimul...
Proctectomy with coloanal anastomosis in horses – a cadaveric study.
Journal of equine veterinary science    February 18, 2026   Volume 159 105814 doi: 10.1016/j.jevs.2026.105814
Strugava L, Serighelli-Júnior G, Stadler LM, Flores LADS, Minozzo GA, Dornbusch LPTC, Moreno JCD, Dornbusch PT.Rectal amputation is a surgical approach indicated for the management of severe rectal lacerations or extensive rectal prolapse when transmural compromise or primary repair is unfeasible. These conditions, although uncommon, present substantial challenges in equine practice due to the anatomical complexity of the pelvic region and the potential for life-threatening complications if not adequately addressed. This study aimed to describe and standardize a reproducible surgical technique for rectal amputation in horse cadavers. Six equine cadavers (mean body mass, 441.83± 66.84 kg) were position...
Optimising Camera-ChArUco Geometry for Motion Compensation in Standing Equine CT: A CT-Motivated Benchtop Study.
Sensors (Basel, Switzerland)    February 18, 2026   Volume 26, Issue 4 1310 doi: 10.3390/s26041310
Aliani C, Lorenzetto Bologna C, Francia P, Bocchi L.Standing equine computed tomography (CT) acquisitions are susceptible to residual postural sway, which can introduce view-inconsistent motion and degrade image quality. External optical tracking based on ChArUco fiducials is a promising, low-cost strategy to enable projection-wise motion compensation, yet quantitative guidance on how camera-marker geometry affects pose-estimation performance remains limited. This CT-motivated benchtop study characterizes how the relative camera-ChArUco configuration influences both the accuracy (bias with respect to ground truth) and the precision (repeatabili...
3D printed aiming device for equine proximal interphalangeal joint arthrodesis: Ex vivo study.
Veterinary surgery : VS    February 18, 2026   doi: 10.1111/vsu.70085
Aimonetti E, Genton M, Lischer CJ, Rossignol F.To determine the benefit of using a three-dimensional (3D)-printed titanium aiming device for placing two 5.5-mm transarticular screws during proximal interphalangeal joint (PIPJ) arthrodesis in equine species. Methods: Ex vivo study. Methods: A total of 40 cadaveric forelimbs from adult horses. Methods: A senior surgeon and a first-year resident each performed 20 constructs: 10 using the device and 10 using a freehand technique. Procedure duration and number of intraoperative radiographs were recorded. Final radiographs were evaluated by an ECVS-certified surgeon unaware of treatment group, b...
Short- and Long-Term Outcomes in Horses Following Laparoscopic Nephrosplenic Space Ablation.
Veterinary sciences    February 17, 2026   Volume 13, Issue 2 196 doi: 10.3390/vetsci13020196
Cerullo A, Scilimati N, Di Nicola MR, Colla L, Mazza S, Bertoletti A, Nannarone S, Gialletti R.Left dorsal displacement of the large colon (LDDLC) is a common cause of colic in horses and it is frequently associated with recurrent episodes, with significant implications for horse management, athletic performance, and owner satisfaction. Laparoscopic nephrosplenic space (NSS) ablation is a preventive surgical technique aimed at reducing recurrence in horses with a history of medically or surgically treated LDDLC. This retrospective study evaluated 48 horses that underwent laparoscopic NSS ablation in two Italian Veterinary Teaching Hospitals between 2016 and 2024. Short-term outcomes, in...
Equine dental destructive disorders: an epidemiological survey in northern Germany.
Frontiers in veterinary science    February 17, 2026   Volume 13 1706621 doi: 10.3389/fvets.2026.1706621
Häussling MPP, Steinberg T, Büttner K, Hannig C, Hannig M, Lemke L, Zierau O, Staszyk C.Destructive lesions of the peripheral and infundibular cementum are increasingly recognized in equine dentistry. While similarities to human caries have been noted, current evidence does not conclusively support this classification. This study aims to assess the prevalence, distribution, and potential risk factors associated with these lesions in a defined horse population. Unassigned: A total of 114 horses from northern Germany underwent standardized oral examination between 2021 and 2023. Clinical data on peripheral and infundibular lesions, diastemata, and influencing factors such as age an...
In vitro anthelmintic activity of extracts and bioactive compounds from Azadirachta indica and Cnidoscolus angustidens on strongyles L3 larvae in horses.
Journal of equine veterinary science    February 16, 2026   Volume 159 105807 doi: 10.1016/j.jevs.2026.105807
Díaz-Alvarado T, Alcala-Canto Y, Elghandour MMMY, Salem MZM, Mariezcurrena-Berasain MD, Salem AZM.Gastrointestinal endoparasitic diseases, particularly those caused by some strongyles, represent one of the main health challenges in equine production. The prolonged use of synthetic anthelmintics has led to the development of resistance, which has prompted the search for more sustainable therapeutic alternatives. However, plant extracts rich in secondary metabolites are emerging as a promising option. Objective: The objective of this study was to evaluate the in vitro anthelmintic activity of aqueous extracts and bioactive compounds (total phenols and saponins) from Azadirachta indica and Cn...
Radiographic findings of candidate stallions presented for licensing at all German Warmblood horse-breeding associations in 2018-2020.
Journal of equine veterinary science    February 16, 2026   Volume 159 105809 doi: 10.1016/j.jevs.2026.105809
Folgmann MS, Stock KF, Feige K, Delling U.Current studies on the health status of young German Warmblood stallions are lacking. Objective: To evaluate the prevalence of radiographic findings at licensing examinations of Warmblood candidate stallions and quantify the environmental influences on the distribution of recorded findings. Methods: In this retrospective observational study, records of 1693 radiographic examinations performed on 1678 German Warmblood stallions presented for licensing in 2018-2020 were reviewed. Data were provided by all German Warmblood horse-breeding associations and their official veterinarians. The collecti...
Ertapenem Pharmacokinetics in Equine Plasma and Synovial Fluid Following a Single Intravenous Dose.
Journal of veterinary pharmacology and therapeutics    February 16, 2026   doi: 10.1111/jvp.70053
Bish-Jones AR, Papich MG, Orsini JA.This study describes the pharmacokinetics of ertapenem, a carbapenem antimicrobial that has not been previously studied in equids. Administered as a 30 mg/kg intravenous bolus to six healthy horses, serial blood and synovial samples were obtained over 8 h after administration. Pharmacokinetic analysis of plasma and synovial fluid was performed. In plasma, the AUC was 353.10 h × μg/mL (CV = 49.02%), Vss 79.34 mL/kg (CV = 22.85%), CL 84.96 mL/h/kg (CV = 31.31%) and t1/2 2.03 h (CV = 15.32%). In synovial fluid, the AUC was 524.10 h × μg/mL (CV = 16.03...
Hemithyroidectomy due to a large, solid follicular thyroid adenoma in a 19-year-old thoroughbred mare.
Journal of equine veterinary science    February 16, 2026   Volume 159 105810 doi: 10.1016/j.jevs.2026.105810
Bramall LM, Hinnigan GJ, Wattam AD, Owen KR.This case report describes the successful hemithyroidectomy of the largest equine solid follicular adenoma described in the veterinary literature to date. A 19-year-old thoroughbred mare was referred to Oakhill Veterinary Centre for the surgical removal of a large, left-sided thyroid gland measuring 26cm in diameter. Pre-operative considerations, the hemithyroidectomy surgical technique as well as the intra- and post-operative complications encountered, are discussed. Following surgery the horse had no long-term complications and continues to thrive four and a half years post-operatively.
Markers of bone turnover, parathyroid hormone, calcium, and magnesium concentrations in horses with acute colitis.
Veterinary journal (London, England : 1997)    February 16, 2026   Volume 316 106595 doi: 10.1016/j.tvjl.2026.106595
Kamr A, Fortin-Trahan R, Arroyo LG, Hostnik LD, Gomez DE, Toribio RE.Hypocalcemia is frequent in horses with colitis. Information on serum parathyroid hormone (PTH) concentrations and its association with bone turnover biomarkers in horses with colitis is lacking. We aimed to determine the association between serum bone resorption biomarkers (C-terminal telopeptide of type I collagen [CTX-I]) and bone formation (osteocalcin [OCN]) with blood PTH, total calcium (tCa), ionized calcium (iCa), phosphorus (Pi), and total magnesium (tMg) concentrations, and mortality in horses with acute colitis. A total of 163 horses were divided into colitis (n = 127) and healt...
The Effect of Lipemia on Insulin and Adiponectin Measurement in Equine Blood Samples.
Veterinary clinical pathology    February 16, 2026   doi: 10.1111/vcp.70100
Hallowell KL, van Eps AW, Kulp JC, Schnabel LV.Lipemia is a common comorbidity in horses with obesity or equine metabolic syndrome, but the impact of lipemia on the measurement of insulin and adiponectin has not been evaluated. Objective: To evaluate endogenous and exogenous lipemic interference with equine insulin and adiponectin measurements via several commercial assays. Methods: Endogenous lipemia was evaluated using plasma and serum samples with triglyceride concentrations of  1000 mg/dL (n = 6 each). Sample insulin concentrations were determined via fluorescence enzyme immunoassay (FEIA), ELISA, and lateral flow assay (LFA). ...
Characterization of the Endometrial Microbiota of Healthy Mares Across the Estrous Cycle.
Animals : an open access journal from MDPI    February 15, 2026   Volume 16, Issue 4 618 doi: 10.3390/ani16040618
Donato GG, Necchi D, Gionechetti F, Ala U, Nebbia P, Robino P, Stella MC, Vandaele H, Pallavicini A, Nervo T.In the past, bacteria detected in the mare's uterus were generally interpreted as a sign of endometritis, since the uterus was considered a sterile environment. This assumption has been challenged by the introduction of culture-independent molecular techniques, particularly 16S rRNA amplicon sequencing, which have demonstrated that healthy mares harbor an endometrial microbiota. The aim of this study was to characterize the endometrial microbiota of healthy mares and to determine whether microbial composition differs between estrus and diestrus. Endometrial samples were collected from eleven h...
[Pigmentation disorders in the nasal vestibule of horses with nasal discharge].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    February 13, 2026   Volume 54, Issue 1 38-46 doi: 10.1055/a-2710-4022
Kremer H, Bartling B.The nasal vestibule of numerous horses is pigmented. In the ventral part of the nasal vestibule, this pigmentation is often disturbed resulting in a clearly depigmented area. As nasal discharge passes this area, our study aimed at the practical quantification of the depigmented area in the nasal vestibule of horses and the analysis of its relation to nasal discharge and other parameters.This study included 74 horses (59 warmblood horses, 15 ponies) with pigmented nasal vestibule. When a depigmentation was found to be present in the ventral part, this area was photographed and quantified by use...
Standing superficial keratectomy provides long-term control of epithelial and stromal equine immune-mediated keratitis.
Journal of the American Veterinary Medical Association    February 13, 2026   1-7 doi: 10.2460/javma.25.11.0754
Toddy T, Ledbetter EC, Knickelbein KE.To describe the demographics and treatment outcomes of horses definitively diagnosed with epithelial or stromal immune-mediated keratitis (IMMK) by use of in vivo confocal microscopy (IVCM) and/or histopathology. Unassigned: Medical records of horses presented to the Cornell University Equine Hospital definitively diagnosed with epithelial or stromal IMMK with IVCM and/or histopathology between 2020 and 2024 were reviewed. Patient signalment, affected eye(s), diagnostics, treatments, and outcomes were assessed. Unassigned: 22 horses met the inclusion criteria. The mean age was 16.9 years (SD, ...
Evaluation of Pulse Pressure as a Hemodynamic Marker of Cardiac Disease in Dogs and Horses Undergoing Pre-Anesthetic Assessment.
Animals : an open access journal from MDPI    February 12, 2026   Volume 16, Issue 4 569 doi: 10.3390/ani16040569
Lutvikadic I, Preldzic D, Floriano D, Hopster K.Pulse pressure (PP) reflects ventricular stroke volume and arterial compliance, but its utility as a marker of cardiac disease in animals is not well established. This study evaluated the association between PP and echocardiographically confirmed cardiac abnormalities in dogs and horses and assessed its potential in pre-anesthetic evaluation. Clinical and echocardiography examination of 20 dogs and 20 horses was sufficient for inter-group comparisons and assignments to a Cardiac group (echocardiographically confirmed cardiac disease) or a Control group (healthy animals). Non-invasive oscillome...
Diet composition influences equine large intestinal motility as measured by transcutaneous ultrasound.
American journal of veterinary research    February 12, 2026   1-6 doi: 10.2460/ajvr.25.11.0400
Starrett A, Arnold CE, Burr A, Sarturi JO, Leatherwood JL, Pilla R, Awosile BB, Chaffin MK.To quantify gastrointestinal motility at 3 anatomic locations of the large colon in healthy horses fed 2 diets. Unassigned: 12 American Quarter Horses were enrolled in a prospective crossover study. Horses received either a complete pelleted diet fed at 1.35% body weight (BW) per day or Coastal Bermudagrass hay fed at 2% BW with 0.5% to 0.7% BW of complete pelleted feed. Each diet was fed for 13 days prior to motility assessment. Two ultrasonographers recorded the frequency of contractions at the sternal flexure of the large colon, left ventral colon, and cecum for 4 consecutive, 1-minute peri...
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 ...
Comparison of two doses of lidocaine constant rate infusion on cardiopulmonary function and recovery in isoflurane-anesthetized horses.
Veterinary anaesthesia and analgesia    February 11, 2026   Volume 53, Issue 3 101202 doi: 10.1016/j.vaa.2026.101202
Henderson AR, Valverde A, Côté N, Sanchez A, Arroyo LG, Gu Y, Johnson R.To compare cardiopulmonary variables and recovery scores in isoflurane-anesthetized horses undergoing arthroscopy using two different intravenous (IV) lidocaine constant rate infusions (CRIs; 50 or 100 μg kg minute) under intermittent positive pressure ventilation (IPPV) or spontaneous ventilation (SV). Methods: Prospective, randomized, clinical study. Methods: A group of 30 client-owned horses, 8-156 months old (range), with body masses of 280-550 kg. Methods: Anesthesia protocol consisted of xylazine, ketamine and diazepam, and maintenance with isoflurane and a CRI of dexmedetomidine. All g...
Evaluation of computed tomographic anatomy of the foot in Jeju horses.
Journal of veterinary science    February 10, 2026   Volume 27, Issue 1 e7 doi: 10.4142/jvs.25250
Kim T, Lee S, Seo JP.Foot diseases are common causes of lameness in horses. Computed tomography (CT) is a valuable tool for diagnosing musculoskeletal lesions in horses and providing a detailed evaluation of foot diseases. Objective: The objective of this study was to establish reference ranges related to the feet of normal Jeju horses by measuring the angles and length of the hoof, and the Hounsfield Unit (HU) value of soft tissues in the foot. Methods: Sixteen normal Jeju horses (mean age: 4.25 years; mean body weight: 282.06 kg) without lameness were examined using CT. After CT scanning, the angles and lengths ...
Engineered biopolymeric hydrogels for in vitro modeling of equine sarcoid tumors in comparative oncology.
International journal of biological macromolecules    February 9, 2026   Volume 348 150840 doi: 10.1016/j.ijbiomac.2026.150840
Zanacchi A, Fruscione F, Grasselli S, Razzuoli E, Pastorino L, Di Lisa D.Developing advanced preclinical in vitro cancer models is essential for understanding tumor biology, improving drug discovery, and enhancing the clinical translation of new therapies. Papillomaviruses (PVs) cause diverse lesions in humans and animals; notably, bovine papillomavirus (BPV) is the main cause of equine sarcoid, the most common skin tumor in horses. Its pathogenesis involves viral infection, fibroblast transformation, and extracellular matrix (ECM) remodeling. These processes highlight the limitations of conventional two-dimensional (2D) culture systems, which fail to replicate the...
Molecular Identification and Benzimidazole Resistance Analysis of Cyathostomins in Chinese Grazing Horses.
Veterinary sciences    February 9, 2026   Volume 13, Issue 2 169 doi: 10.3390/vetsci13020169
Zhang C, Cai E, Ma Y, Zhong G, Gao Y, Wu Y, Liu B, Li J.This study investigated the cyathostomin species composition, anthelmintic efficacy, and potential resistance-associated mutations in Chinese grazing horses. Fecal samples were collected from 90 adult horses. Fecal egg counts (FECs) were determined using a modified McMaster method. Third stage larvae (L3) cultured from the eggs were identified to species level by PCR amplification and sequencing of the internal transcribed spacer-2 (ITS-2). The main species included and spp. However, differences in the relative abundance of less common species, including and , suggests regional variation. A...
Enhancing African horse sickness virus detection: comparing and adapting PCR assays. Penzhorn L, Crafford JE, Guthrie AJ.African horse sickness (AHS) is the only equine disease for which the World Organisation for Animal Health (WOAH) gives official disease-free status, given that it poses a major threat to the equine industry. The disease is caused by AHS virus (AHSV; family , taxon species ), which is endemic in sub-Saharan Africa. Reverse-transcription quantitative real-time PCR (RT-qPCR) is a rapid, sensitive detection method used in the diagnosis of AHS and the certification of animals as negative for AHSV for the purpose of movement. Genetic variability of AHSV may influence the accuracy of RT-qPCR detecti...
Pharmacokinetics and Anti-Inflammatory Effects of Intramuscular Betamethasone in Exercised Thoroughbred Horses.
Journal of veterinary pharmacology and therapeutics    February 7, 2026   doi: 10.1111/jvp.70052
Sullivan J, Blea J, McKemie DS, Kass PH, Knych HK.The pharmacokinetics and pharmacodynamics of betamethasone following intra-articular administration to horses have been described; however, studies characterizing intramuscular administration are lacking. Twenty-four horses received an intramuscular dose of 12 mg betamethasone sodium phosphate/betamethasone acetate. Blood and urine were collected at post administration for up to 408 h. Concentrations of betamethasone were determined using LC-MS/MS and pharmacokinetic parameters determined using a Population PK three-compartment model. The duration of pharmacodynamic effects was assessed by...
Differential profiles of GH, IGF-1, and fructosamine in follicular fluid and plasma of cyclic mares.
Domestic animal endocrinology    February 6, 2026   Volume 95 107000 doi: 10.1016/j.domaniend.2026.107000
Satué K, Fazio E, Velasco-Martínez MG, Barbiera G, La Fauci D.Growth hormone (GH) influences follicular development mainly by stimulating insulin-like growth factor 1 (IGF-1), which acts systemically and locally within the ovary. However, the metabolic profile of follicular fluid (FF) in mares, particularly markers such as fructosamine (FRUCT), an indicator of glucose metabolism, remains poorly characterized. This study aimed to evaluate GH, IGF-1, and FRUCT concentrations in plasma and FF and their variation across follicle sizes. Sixty ovaries were collected during the breeding season from 30 clinically normal mares raised for meat production. Blood sa...
Current and Future Central Nervous System Surgery-Part 2: Radiculopathy, Vertebral Fractures, and Intracranial Surgery.
The Veterinary clinics of North America. Equine practice    February 6, 2026   S0749-0739(25)00075-6 doi: 10.1016/j.cveq.2025.12.007
Nelson BB, Easley JT.Equine neurosurgery is a challenge for many surgeons, particularly when central nervous system (CNS) disease is not addressed through ventral cervical stabilization, the most performed neurosurgical procedure. Advances in diagnostic imaging, minimally invasive instrumentation, and computer-assisted surgery are expanding therapeutic possibilities beyond cervical vertebral compressive myelopathy, including radiculopathy, vertebral fractures, and intracranial or intraspinal masses. Emerging techniques-such as percutaneous foraminotomy, facet fixation, targeted decompression, novel implant systems...
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...