Radiographic Prevalence of Anatomical Variations of the Ventral Lamina of the Sixth Cervical Vertebra, C6/C7 Articular Process Joint Modelling and Competition Outcomes in Warmblood Sport Horses.
Abstract: Anatomical variations of the caudal ventral lamina of the sixth cervical vertebra (C6), referred to as equine caudal cervical morphologic variations (ECCMV), and radiographic modelling of the caudal cervical articular process joints (APJ) are commonly identified in sport horses, yet their interrelationship and relevance for athletic performance remain controversial. This retrospective observational study aimed to determine the prevalence of ECCMV and APJ modelling in a clinically sound warmblood sport horse population, to evaluate a potential association and to assess if ECCMV affects competition performances. Records of 200 warmbloods, presented for pre-purchase examination between 2020 and 2024 were reviewed: the predominant breed was Hanoverian ( = 131), followed by Oldenburg ( = 27) and Holsteiner ( = 22), including 127 geldings, 61 mares and 12 stallions with a median age of 5. ECCMV was diagnosed on latero-lateral radiographs if the caudal ventral lamina of C6 was uni- or bilaterally absent, and APJ modelling at C6/C7 was graded as either normal or mild or moderate to severe. Competition placings and lifetime earnings of each horse were collected from the German National Equestrian Federation database. ECCMV was found in 30% of horses and APJ modelling in 32.5% (mild 26.5%, moderate/severe 6%). There was no significant association between the presence of ECCMV, APJ alterations and competition results, but horses with ECCMV were less likely to exhibit radiographic changes in the adjacent APJ compared to those with a normal C6 morphology (23.3% vs. 36.4%). In conclusion, ECCMV is a common anatomical variation in clinically sound warmbloods, neither predisposing them to APJ modelling nor limiting athletic performance.
Publication Date: 2026-01-29 PubMed ID: 41681407PubMed Central: PMC12896636DOI: 10.3390/ani16030424Google Scholar: Lookup
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Cite This Article
APA
Strootmann T, Peter VG, Körner J.
(2026).
Radiographic Prevalence of Anatomical Variations of the Ventral Lamina of the Sixth Cervical Vertebra, C6/C7 Articular Process Joint Modelling and Competition Outcomes in Warmblood Sport Horses.
Animals (Basel), 16(3), 424.
https://doi.org/10.3390/ani16030424 Publication
Researcher Affiliations
- Hanse Equine Clinic, 27419 Sittensen, Germany.
- Rossdales Equine Diagnostic Centre, Newmarket CB8 7NN, UK.
- Hanse Equine Clinic, 27419 Sittensen, Germany.
Conflict of Interest Statement
The authors declare no conflicts of interest.
References
This article includes 26 references
- Veraa S., Bergmann W., van den Belt A.-J., Wijnberg I., Back W. Ex Vivo Computed Tomographic Evaluation of Morphology Variations in Equine Cervical Vertebrae. Vet. Radiol. Ultrasound. 2016;57:482–488. doi: 10.1111/vru.12393.
- Dyson S., Phillips K., Zheng S., Aleman M. Congenital Variants of the Ventral Laminae of the Sixth and Seventh Cervical Vertebrae Are Not Associated with Clinical Signs or Other Radiological Abnormalities of the Cervicothoracic Region in Warmblood Horses. Equine Vet. J. 2025;57:419–430. doi: 10.1111/evj.14127.
- Henderson C.S., Story M.R., Nout-Lomas Y.S. Neck Pain but Not Neurologic Disease Occurs More Frequently in Horses with Transposition of the Ventral Lamina from C6 to C7. J. Am. Vet. Med. Assoc. 2024;262:1215–1221. doi: 10.2460/javma.24.04.0230.
- Dyson S., Quiney L., Phillips K., Zheng S., Aleman M. Radiological Abnormalities of the Cervicothoracic Vertebrae in Warmblood Horses with Primary Neck-Related Clinical Signs Versus Controls. Vet. Radiol. Ultrasound. 2024;65:755–768. doi: 10.1111/vru.13420.
- May-Davis S., Dzingle D., Saber E., Blades Eckelbarger P. Characterization of the Caudal Ventral Tubercle in the Sixth Cervical Vertebra in Modern Equus Ferus Caballus. Animals. 2023;13:2384. doi: 10.3390/ani13142384.
- Ros K.B., Doveren A., Dreessen C., Pellmann R., Beccati F., Zimmermann E., Distl O. Radiological Methods for the Imaging of Congenital Malformations of C6-T1, the First and Second Sternal Ribs and Development of a Classification System, Demonstrated in Warmblood Horses. Animals. 2023;13:3732. doi: 10.3390/ani13233732.
- Gee C., Small A., Shorter K., Brown W.Y. A Radiographic Technique for Assessment of Morphologic Variations of the Equine Caudal Cervical Spine. Animals. 2020;10:667. doi: 10.3390/ani10040667.
- Santinelli I., Beccati F., Arcelli R., Pepe M. Anatomical Variation of the Spinous and Transverse Processes in the Caudal Cervical Vertebrae and the First Thoracic Vertebra in Horses. Equine Vet. J. 2016;48:45–49. doi: 10.1111/evj.12397.
- May-Davis S. The Occurrence of a Congenital Malformation in the Sixth and Seventh Cervical Vertebrae Predominantly Observed in Thoroughbred Horses. J. Equine Vet. Sci. 2014;34:1313–1317. doi: 10.1016/j.jevs.2014.09.012.
- May-Davis S., Walker C. Variations and Implications of the Gross Morphology in the Longus Colli Muscle in Thoroughbred and Thoroughbred Derivative Horses Presenting with a Congenital Malformation of the Sixth and Seventh Cervical Vertebrae. J. Equine Vet. Sci. 2015;35:560–568. doi: 10.1016/j.jevs.2015.03.002.
- DeRouen A., Spriet M., Aleman M. Prevalence of Anatomical Variation of the Sixth Cervical Vertebra and Association with Vertebral Canal Stenosis and Articular Process Osteoarthritis in the Horse. Vet. Radiol. Ultrasound. 2016;57:253–258. doi: 10.1111/vru.12350.
- Beccati F., Pepe M., Santinelli I., Gialletti R., Di Meo A., Romero J.M. Radiographic Findings and Anatomical Variations of the Caudal Cervical Area in Horses with Neck Pain and Ataxia: Case-Control Study on 116 Horses. Vet. Rec. 2020;187:e79. doi: 10.1136/vr.105756.
- Withers J.M., Voûte L.C., Hammond G., Lischer C.J. Radiographic Anatomy of the Articular Process Joints of the Caudal Cervical Vertebrae in the Horse on Lateral and Oblique Projections. Equine Vet. J. 2009;41:895–902. doi: 10.2746/042516409X434107.
- Rovel T., Zimmerman M., Duchateau L., Delesalle C., Adriaensen E., Mariën T., Saunders J.H., Vanderperren K. Computed Tomographic Examination of the Articular Process Joints of the Cervical Spine in Warmblood Horses: 86 Cases (2015–2017) J. Am. Vet. Med. Assoc. 2021;259:1178–1187. doi: 10.2460/javma.20.03.0105.
- Janes J.G., Garrett K.S., McQuerry K.J., Waddell S., Voor M.J., Reed S.M., Williams N.M., MacLeod J.N. Cervical Vertebral Lesions in Equine Stenotic Myelopathy. Vet. Pathol. 2015;52:919–927. doi: 10.1177/0300985815593127.
- Down S.S., Henson F.M.D. Radiographic Retrospective Study of the Caudal Cervical Articular Process Joints in the Horse. Equine Vet. J. 2009;41:518–524. doi: 10.2746/042516409x391015.
- Brown K.A., Davidson E.J., Johnson A.L., Stefanovski D., Wulster K.B., Ortved K. Interobserver Agreement of Lateral and Oblique Radiography and Standing Cone Beam CT of the Caudal Cervical Articular Process Joints of Horses. Vet. Radiol. Ultrasound. 2023;64:585–592. doi: 10.1111/vru.13229.
- Espinosa-Mur P., Phillips K.L., Galuppo L.D., DeRouen A., Benoit P., Anderson E., Shaw K., Puchalski S., Peters D., Kass P.H., et al. Radiological Prevalence of Osteoarthritis of the Cervical Region in 104 Performing Warmblood Jumpers. Equine Vet. J. 2021;53:972–978. doi: 10.1111/evj.13383.
- Koenig J.B., Westlund A., Nykamp S., Kenney D.G., Melville L., Cribb N., Oberbichler D. Case-Control Comparison of Cervical Spine Radiographs from Horses with a Clinical Diagnosis of Cervical Facet Disease with Normal Horses. J. Equine Vet. Sci. 2020;92:103176. doi: 10.1016/j.jevs.2020.103176.
- Veraa S., de Graaf K., Wijnberg I.D., Back W., Vernooij H., Nielen M., Belt A.J.M. Caudal Cervical Vertebral Morphological Variation Is Not Associated with Clinical Signs in Warmblood Horses. Equine Vet. J. 2020;52:219–224. doi: 10.1111/evj.13140.
- Whitwell K.E., Dyson S. Interpreting Radiographs. 8: Equine Cervical Vertebrae. Equine Vet. J. 1987;19:8–14. doi: 10.1111/j.2042-3306.1987.tb02568.x.
- Dyson S., Zheng S., Aleman M. Primary Phenotypic Features Associated with Caudal Neck Pathology in Warmblood Horses. J. Vet. Intern. Med. 2024;38:2380–2390. doi: 10.1111/jvim.17125.
- Spoormakers T., Veraa S., Brommer H. A Comparative Study of Breed Differences in the Anatomical Configuration of the Equine Vertebral Column. J. Anat. 2021;239:829–838.
- Veraa S., Scheffer C.J.W., Smeets D.H.M., de Bruin R.B., Hoogendoorn A.C., Vernooij J.C.M., Nielen M., Back W. Cervical Disc Width Index Is a Reliable Parameter and Consistent in Young Growing Dutch Warmblood Horses. Vet. Radiol. Ultrasound. 2020;62:11–19. doi: 10.1111/vru.12913.
- Crijns C.P., Broeckx B.J.G. Evaluation of cervical radiographs in Dutch Warmblood horses, using a novel radiographic grading system for the cervical articular process joints. Equine Vet. Educ. 2021;33:593–601.
- Story M.R., Haussler K.K., Nout-Lomas Y.S., Aboellail T.A., Kawcak C.E., Barrett M.F., Frisbie D.D., McIlwraith C.W. Equine Cervical Pain and Dysfunction: Pathology, Diagnosis and Treatment. Animals. 2021;11:422. doi: 10.3390/ani11020422.
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