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American journal of veterinary research2007; 68(3); 329-337; doi: 10.2460/ajvr.68.3.329

Efficacy of tiludronate in the treatment of horses with signs of pain associated with osteoarthritic lesions of the thoracolumbar vertebral column.

Abstract: To evaluate the efficacy of tiludronate for the treatment of horses with signs of pain associated with lesions of the thoracolumbar vertebral column. Methods: 29 horses with clinical manifestations of pain associated with lesions of the thoracolumbar vertebral column and abnormal radiographic findings indicative of osteoarthritis of the articular processes-synovial intervertebral joints. Methods: Horses were initially examined in accordance with a standardized protocol, which included radiographic, ultrasonographic, and scintigraphic examinations. Fifteen horses were randomly assigned to receive tiludronate (1 mg/kg, IV, as a slow-rate infusion), and 14 horses received a control substance (day 0). Horses were monitored for the subsequent 120 days. Clinical evaluations were performed on days 60 and 120. Horses that had no evidence of clinical improvement on day 60 were administered tiludronate. Statistical analyses were performed to compare efficacy at day 60, improvement of dorsal flexibility at day 120, and dorsal flexibility before and 60 days after administration of tiludronate. Results: Horses treated with tiludronate had significant improvement in dorsal flexibility between days 0 and 60, compared with control horses. Clinical improvement in dorsal flexibility was still evident at day 120. The percentage of positive responses was higher in the tiludronate group at 60 days. Conclusions: Tiludronate had efficacy in the treatment of horses with signs of pain induced by osteoarticular lesions of the thoracolumbar vertebral column, causing a significant improvement in dorsal flexibility. Tiludronate may offer a treatment option for the management of horses with intervertebral lesions and the associated pain.
Publication Date: 2007-03-03 PubMed ID: 17331024DOI: 10.2460/ajvr.68.3.329Google Scholar: Lookup
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  • Journal Article
  • Randomized Controlled Trial

Summary

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The research examines the use of tiludronate in treating horses suffering from pain associated with osteoarthritic conditions affecting the thoracolumbar vertebral column. The findings suggest it can significantly improve back flexibility and reduce pain in affected horses, therefore, it could be a potential treatment for managing pain associated with intervertebral lesions.

Research Methodology

  • The researchers selected a total of 29 horses exhibiting clinical signs of pain linked to lesions of the thoracolumbar vertebral column and showing radiographic evidence of osteoarthritis of the articular processes-synovial intervertebral joints.
  • A standard protocol, including radiographic, ultrasonographic and scintigraphic examinations, was followed for the initial examination of the horses.
  • Out of the total, 15 horses were randomly chosen to receive tiludronate (delivered intravenously at 1 mg/kg, at a slow-rate infusion) while the remainder were given a control substance.
  • The horses were observed for the ensuing 120 days with clinical evaluations conducted on the 60th and 120th days.
  • Horses showing no signs of clinical improvement on the 60th day were then given tiludronate.
  • Statistical analyses were carried out to compare the effectiveness of the treatment at the end of 60 days, the improvement in dorsal flexibility at the end of 120 days, and the difference in dorsal flexibility before and after 60 days of tiludronate administration.

Research Findings

  • There was a noteworthy improvement in dorsal flexibility between days 0 and 60 in horses that received tiludronate. This was in comparison to those horses that received the control substance.
  • This improvement in dorsal flexibility was still noticeable at the mark of 120 days.
  • The number of positive responses in the group that received tiludronate was higher at 60 days as compared to the control group.
  • These results revealed that tiludronate was effective in treating pain in horses arising from osteoarticular lesions of the thoracolumbar vertebral column.

Conclusions

  • Based on the research, tiludronate was proven to bring about significant improvements to dorsal flexibility.
  • The study suggests that tiludronate could provide a potential treatment option for the management of intervertebral lesions and the associated pain in horses.

Cite This Article

APA
Coudry V, Thibaud D, Riccio B, Audigié F, Didierlaurent D, Denoix JM. (2007). Efficacy of tiludronate in the treatment of horses with signs of pain associated with osteoarthritic lesions of the thoracolumbar vertebral column. Am J Vet Res, 68(3), 329-337. https://doi.org/10.2460/ajvr.68.3.329

Publication

ISSN: 0002-9645
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 68
Issue: 3
Pages: 329-337

Researcher Affiliations

Coudry, Virginie
  • Centre d'Imagerie et de Recherche sur les Affections Locomotrices Equines, Ecole Nationale Vétérinaire d'Alfort, Unité Mixte de Recherche, Institut National de Recherche Agronomique 957, RN 175, 14430 Goustranville, France.
Thibaud, Dominique
    Riccio, Barbara
      Audigié, Fabrice
        Didierlaurent, David
          Denoix, Jean-Marie

            MeSH Terms

            • Animals
            • Bone Density Conservation Agents / therapeutic use
            • Diphosphonates / therapeutic use
            • Horse Diseases / drug therapy
            • Horses
            • Lumbar Vertebrae / pathology
            • Osteoarthritis / complications
            • Osteoarthritis / drug therapy
            • Osteoarthritis / veterinary
            • Pain / drug therapy
            • Pain / etiology
            • Pain / veterinary
            • Thoracic Vertebrae / pathology

            Citations

            This article has been cited 12 times.
            1. Pécresse B, Moiroud C, Hanne-Poujade S, Hatrisse C, De Azevedo E, Coudry V, Jacquet S, Audigié F, Chateau H. Group and Individual Changes in Spinal Mobility During a 12-Week Rehabilitation Program Including Swimming in Horses with Axial Musculoskeletal Lesions. Animals (Basel) 2025 Dec 30;16(1).
              doi: 10.3390/ani16010103pubmed: 41514790google scholar: lookup
            2. Tippen SP, Metzger CE, Sacks SA, Allen MR, Mitchell CF, McNulty MA. Clinically relevant doses of tiludronate do not affect bone remodelling in pasture-exercised horses. Equine Vet J 2025 Mar;57(2):513-521.
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            5. Vergara-Hernandez FB, Nielsen BD, Colbath AC. Is the Use of Bisphosphonates Putting Horses at Risk? An Osteoclast Perspective. Animals (Basel) 2022 Jul 3;12(13).
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            10. Richbourg HA, Mitchell CF, Gillett AN, McNulty MA. Tiludronate and clodronate do not affect bone structure or remodeling kinetics over a 60 day randomized trial. BMC Vet Res 2018 Mar 20;14(1):105.
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            11. Hunter BG, Duesterdieck-Zellmer KF, Larson MK. Tiludronate concentrations and cytologic findings in synovial fluid after intravenous regional limb perfusion with tiludronate in horses. PeerJ 2015;3:e889.
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            12. Duesterdieck-Zellmer KF, Moneta L, Ott JF, Larson MK, Gorman EM, Hunter B, Löhr CV, Payton ME, Morré JT, Maier CS. Effects of low and high dose intraarticular tiludronate on synovial fluid and clinical variables in healthy horses-a preliminary investigation. PeerJ 2014;2:e534.
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