Internal Fixation of Cervical Fractures in Three Horses.

This research article describes the successful surgical treatment outcomes for three horses who suffered from cervical fractures.

Objective and Methodology

The objective of the study was to examine and report the results of surgical treatments for cervical fractures in three horses. These horses had all experienced neck stiffness, pain, and ataxia following a fall where they incurred a cervical trauma.

• The first horse was found, via radiographic examination, to have an oblique displaced fracture of the caudal aspect of the second cervical vertebra (C2).
• The second horse had an oblique displaced fracture of the caudal aspect of the C4 and the disc between C4 and C5
• The third horse had a displaced transverse fracture of the body of the axis (C2) extending to the lateral arches and involving the vertebral canal.

Treatment

The team applied different surgical techniques for fracture reduction and stabilization in these horses.

• The fracture in the first horse was reduced and stabilized using a ventrally applied 14-hole narrow DCP plate, fixed with cancellous screws. This horse also underwent a cervical fusion.
• For the second and third horses, fracture fixation was done using a 5-hole narrow LCP and locking screws of 5mm.

Results and Conclusion

All horses exhibited significant improvement after the surgeries and fully healed. They returned to full activity. The study concludes that the internal fixation of cervical fractures in horses is associated with minimal complications. It leads to healing and a highly functional outcome in all the horses. The LCP approach was deemed more preferable and is recommended for ventral stabilization in selected cases of vertebral fractures. This study provides valuable insights into potential treatment options for horses suffering from similar injuries.