Minimally invasive cranial ostectomy for the treatment of impinging dorsal spinous processes in 102 standing horses.
Abstract: To describe a minimally invasive cranial ostectomy for the treatment of impingement of dorsal spinous processes (DSPs) in the standing horse. Methods: Retrospective study. Methods: One hundred two horses with impinging DSPs. Methods: The case records of all horses that had the described technique between 2011 and 2019 were reviewed. All sites of impinging DSPs were treated under standing sedation and local anesthesia. The minimally invasive cranial ostectomy of the caudal DSP was performed with bone rongeurs through multiple small incisions. Results: Of the 102 horses treated with this technique, no surgical complications were recorded. Median (range) long-term follow-up for all horses was 18 months (12-50 months) postoperatively. Of the 66 horses available for follow-up that were still alive, 53 horses (80%) had complete resolution of clinical signs and returned to the intended work. There were 36 horses with a concurrent orthopedic issue presurgery, and 25/36 (69%) returned to the same level of intended work; of the horses with no evidence of another orthopedic issue presurgery, 28/30 (93%) returned to the same level of intended work. Conclusions: Minimally invasive cranial ostectomy of the caudal DSP had a good success rate in horses with impingment of DSPs. Conclusions: The described minimally invasive ostectomy technique in standing horses is a low-risk procedure that provides success rates similar to other techniques.
© 2021 American College of Veterinary Surgeons.
Publication Date: 2021-10-04 PubMed ID: 34605555DOI: 10.1111/vsu.13736Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research investigates a minimally invasive procedure for treating impingement of the dorsal spinous processes in horses, providing a successful and low-risk solution for this common equine issue.
Objective and Methods
- The study aims to illustrate a minimally invasive cranial ostectomy as a treatment method for impingement of dorsal spinous processes (DSPs) in horses. This refers to a condition where the projections at the top of the vertebrae in the horse’s back are too close together, causing discomfort and potentially affecting the animal’s performance.
- The research is retrospective, which means that it analyses data from past cases to find patterns and conclusions.
- The study sample included 102 horses that underwent this procedure between the period of 2011 and 2019.
- The DSP impingements were treated under standing sedation and local anesthesia through multiple small incisions, employing a minimally invasive cranial ostectomy using bone rongeurs, which are a type of surgical instrument designed to remove tissue or bones.
Results
- Out of the 102 horses treated with this technique, none had recorded surgical complications.
- The median follow-up period for all horses was 18 months postoperatively (ranging between 12 to 50 months).
- Of the 66 horses available for follow-up and were still alive, 80% had complete resolution of clinical signs and were able to return to their intended work.
- About 69% of the 36 horses that had a concurrent orthopedic issue before the surgery were able to return to the same level of work
- On the other hand, for horses that did not display any orthopedic issue before the surgery, 93% were able to return to their previous level of work.
Conclusions
- The research concludes that minimally invasive cranial ostectomy of the caudal DSP is a highly successful method for treating horses with impingement of dorsal spinous processes.
- This technique, when performed on standing horses, poses a low risk and yields success rates similar to other techniques, making it a viable option for this condition.
Cite This Article
APA
de Souza TC, Crowe OM, Bowles D, Poore LA, Suthers JM.
(2021).
Minimally invasive cranial ostectomy for the treatment of impinging dorsal spinous processes in 102 standing horses.
Vet Surg, 51 Suppl 1, O60-O68.
https://doi.org/10.1111/vsu.13736 Publication
Researcher Affiliations
- B & W Equine Hospital, Breadstone, Berkeley, Gloucestershire, UK.
- B & W Equine Hospital, Breadstone, Berkeley, Gloucestershire, UK.
- B & W Equine Hospital, Breadstone, Berkeley, Gloucestershire, UK.
- Summerleaze Equine Vets, Kilmington, UK.
- B & W Equine Hospital, Breadstone, Berkeley, Gloucestershire, UK.
MeSH Terms
- Animals
- Back Pain / etiology
- Back Pain / veterinary
- Horse Diseases / surgery
- Horses
- Retrospective Studies
- Thoracic Vertebrae / surgery
- Vertebral Body
References
This article includes 19 references
- Henson FMD. Equine Neck and Back Pathology: Diagnosis and Treatment. 2nd ed. Wiley; 2018.
- Coomer RP, McKane SA, Smith N, Vandeweerd JM. A controlled study evaluating a novel surgical treatment for kissing spines in standing sedated horses. Vet Surg 2012;41(7):890-897.
- Walmsley JP, Pettersson H, Winberg F, McEvoy F. Impingement of the dorsal spinous processes in two hundred and fifteen horses: case selection, surgical technique and results. Equine Vet J 2002;34(1):23-28.
- Jeffcott L, Hickman J. The treatment of horses with chronic back pain by resecting the summits of the impinging dorsal spinous processes. Equine Vet J 1975;7:115-119.
- Brink P. Subtotal ostectomy of impinging dorsal spinous processes in 23 standing horses. Vet Surg 2014;43(1):95-98.
- Perkins JD, Schumacher J, Kelly G, Pollock P, Harty M. Subtotal ostectomy of dorsal spinous processes performed in nine standing horses. Vet Surg 2005;34(6):625-629.
- Prisk AJ, García-López JM. Long-term prognosis for return to athletic function after interspinous ligament desmotomy for treatment of impinging and overriding dorsal spinous processes in horses: 71 cases (2012-2017). Vet Surg 2019;48(7):1278-1286.
- Derham AM, O'Leary JM, Connolly SE, Schumacher J, Kelly G. Performance comparison of 159 thoroughbred racehorses and matched cohorts before and after desmotomy of the interspinous ligament. Vet J 2019;249:16-23.
- Desbrosse FG, Perrin R, Launois T, Vandeweerd JM, Clegg PD. Endoscopic resection of dorsal spinous processes and interspinous ligament in ten horses. Vet Surg 2007;36(2):149-155.
- Bleedorn JA, Dykema JL, Hardie RJ. Minimally invasive surgery in veterinary practice: a 2010 survey of diplomates and residents of the American College of Veterinary Surgeons. Vet Surg 2013;42(6):635-642.
- Davidson EB, David Moll H, Payton ME. Comparison of laparoscopic ovariohysterectomy and ovariohysterectomy in dogs. Vet Surg 2004;33(1):62-69.
- Walsh PJ, Remedios AM, Ferguson JF, Walker DD, Cantwell S, Duke T. Thoracoscopic versus open partial pericardectomy in dogs: comparison of postoperative pain and morbidity. Vet Surg 1999;28(6):472-479.
- Vatistas NJ, Wright IM, Dyson SJ. Comparison of arthroscopy and arthrotomy for the treatment of osteochondritic lesions in the femoropatellar joint of horses. Vet Rec 1995;137(25):629-632.
- Derham AM, Schumacher J, O'Leary JM, Kelly G, Hahn CN. Implications of the neuroanatomy of the equine thoracolumbar vertebral column with regional anaesthesia and complications following desmotomy of the interspinous ligament. Equine Vet J 2021;53(4):649-655.
- Jacklin BD, Minshall GJ, Wright IM. A new technique for subtotal (cranial wedge) ostectomy in the treatment of impinging/overriding spinous processes: description of technique and outcome of 25 cases. Equine Vet J 2014;46(3):339-344.
- Ioannidis A, Arvanitidis K, Filidou E. The length of surgical skin incision in postoperative inflammatory reaction. JSLS 2018;22(4):e2018.00045.
- Martens A, Pader K, Prange T, Ortved KF, Richardson DW. Chapter 13 - minimally invasive surgical techniques. Equine Surgery 5th ed. W.B. Saunders; 2019:214-233.
- Stewart S, Richardson DW. Chapter 7 - surgical site infection and the use of antimicrobials. Equine Surgery 5th ed. W.B. Saunders; 2019:77-103.
- Landman MAAM, de Blaauw JA, Hofland LJ, van Weeren PR. Field study of the prevalence of lameness in horses with back problems. Vet Rec 2004;155(6):165-168.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists