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The Veterinary clinics of North America. Equine practice2026; S0749-0739(25)00078-1; doi: 10.1016/j.cveq.2025.12.010

Acquired and Degenerative Conditions of the Cervical Vertebral Column in Horses.

Abstract: 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 may lead to spinal cord or nerve root compression.
Publication Date: 2026-02-12 PubMed ID: 41688311DOI: 10.1016/j.cveq.2025.12.010Google Scholar: Lookup
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Summary

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Acquired and degenerative conditions of the cervical vertebral column in horses affect their movement and neurological function, with causes ranging from trauma and infection to degenerative joint diseases. These disorders can result in symptoms such as pain, ataxia, and lameness.

Introduction to Cervical Vertebral Conditions in Horses

  • The cervical vertebral column is essential for horse movement, posture, and overall performance.
  • Disorders in this region can lead to clinical signs including pain, ataxia (loss of coordination), and lameness.

Acquired Conditions

  • Types of acquired conditions include:
    • Traumatic injuries, such as fractures or dislocations caused by accidents or impacts.
    • Infectious diseases, predominantly bacterial infections that can affect bone or soft tissues.
    • Neoplastic conditions, which involve abnormal growths or tumors within or around the cervical vertebral column.
  • Clinical manifestations of acquired lesions:
    • Neck pain due to tissue injury or inflammation.
    • Neurologic deficits, potentially caused by spinal cord or nerve root involvement.

Degenerative Conditions

  • Common degenerative disorders affecting the cervical spine include:
    • Osteoarthritis, particularly affecting the articular process joints.
    • Foraminal stenosis, which is the narrowing of the spaces where spinal nerves exit the vertebral column.
    • Intervertebral disc disease involving damage or degeneration of the discs between vertebrae.
  • Degenerative changes are most prevalent in the caudal (rear) cervical spine region.
  • These conditions may cause compression of the spinal cord or nerve roots, leading to neurological symptoms.

Clinical Significance and Diagnosis

  • Identifying these conditions is critical in managing the horse’s welfare and performance capacity.
  • Clinical examination should focus on neurologic status and identification of pain sources.
  • Diagnostic imaging (e.g., radiography, MRI, CT) can assist in detecting structural abnormalities.

Treatment and Management Considerations

  • Management depends on the specific diagnosis but may include:
    • Medical therapies like anti-inflammatory drugs or antibiotics for infections.
    • Surgical intervention in cases with severe compression or instability.
    • Rehabilitation to restore function and manage pain.
  • Early detection and appropriate intervention can improve prognosis and quality of life.

Cite This Article

APA
Schmidt S, Swagemakers JH, le Jeune SS. (2026). Acquired and Degenerative Conditions of the Cervical Vertebral Column in Horses. Vet Clin North Am Equine Pract, S0749-0739(25)00078-1. https://doi.org/10.1016/j.cveq.2025.12.010

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
PII: S0749-0739(25)00078-1

Researcher Affiliations

Schmidt, Svea
  • Tierklinik Luesche, Essener Straße 39a, Bakum 49456, Germany.
Swagemakers, Jan Hein
  • Tierklinik Luesche, Essener Straße 39a, Bakum 49456, Germany.
le Jeune, Sarah S
  • Department of Surgical and Radiological Sciences, University of California, Davis, 1 Shields Avenue, Davis, CA 95616, USA. Electronic address: sslejeune@ucdavis.edu.

Citations

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