Spine fractures caused by horse riding.
Abstract: Retrospective study and review of literature. Objective: Study of demographic data concerning spinal fractures caused by horse riding, classification of fractures according to the AO and Load Sharing classifications, evaluation of mid-term radiological results and long-term functional results. Methods: A review of medical reports and radiological examinations of patients presented to our hospital with horse riding-related spine fractures over a 13-year period; long-term functional follow-up is performed using the Roland Morris Disability Questionnaire (RMDQ-24). Results: Thirty-six spine fractures were found in 32 patients. Male to female ratio is 1:7. Average age is 33.7 years (8-58 years). The majority of the fractures (78%) are seen at the thoracolumbar junction Th11-L2. All but two patients have AO type A fractures. The average Load Sharing Classification score is 4.9 (range 3-9). Neurological examinations show ASIA/Frankel E status for all patients. Surgical treatment is performed on ten patients. Mean follow-up for radiological data is 15 months (range 3-63). Functional follow-up times range from 1 to 13 years with an average follow-up of 7.3 years. Mean RMDQ-24 score for all patients is 5.5 (range: 0-19), with significantly different scores for the non-operative and surgical group: 4.6 vs 8.1. Twenty-two percent of the patients have permanent occupational disabilities and there is a significant correlation between occupational disability and RMDQ-24 scores. Conclusions: Not only are short-term effects of spine fractures caused by horse riding substantial but these injuries can also lead to long-term disabilities.
Publication Date: 2006-01-12 PubMed ID: 16408237PubMed Central: PMC3489311DOI: 10.1007/s00586-005-1012-5Google 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
- Review
Summary
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The research paper presents a study on spinal fractures caused by horse riding, involving demographic data observation, fracture classification, and evaluation of short-term and long-term results. It revealed that spinal injuries from horse riding can cause significant short and long-term effects, including long-term disabilities.
Study Objectives and Methodology
- The study aimed to gather demographic data on spinal fractures incurred from horse riding and categorize these fractures based on the AO and Load Sharing classifications. It also sought to evaluate the short-term radiological outcomes and long-term functional results of these injuries.
- The researchers conducted a retrospective review of medical reports and radiological examinations of patients who had presented with horse riding-related spinal fractures to their hospital over a span of 13 years.
- Additionally, they performed a long-term functional follow-up using the Roland Morris Disability Questionnaire (RMDQ-24), a recognized tool in assessing disability associated with lower back pain.
Results of the Study
- The study found 36 spinal fractures in 32 patients. There was a pronounced gender disparity, with the ratio of male to female being 1:7. The average age of patients was found to be 33.7 years, ranging from 8-58 years.
- The majority (78%) of these fractures occurred at the thoracolumbar junction (Th11-L2). All but two of the patients had AO type A fractures, and the average Load Sharing Classification score was 4.9 (on a scale ranging from 3-9).
- The neurological assessments showed ASIA/Frankel E status for all patients. This ASIA grade indicates the patients’ sensory and motor functions are normal, highlighting that these horse riding-related fractures had not resulted in affecting the patients’ neurological status.
- Surgical treatment was conducted on ten patients. The average follow-up for radiological data was 15 months, while functional follow-up times ranged from 1 to 13 years, with an average follow-up of 7.3 years.
Conclusions of the Study
- The average RMDQ-24 score was 5.5 (on a scale of 0-19) for all patients. However, there was a significant difference between the non-operative and surgical group’s scores, being 4.6 and 8.1, respectively.
- The study found that 22% of the patients ended with permanent occupational disabilities, and there was a strong correlation between occupational disability and high RMDQ-24 scores.
- The findings of the study highlighted the fact that spinal fractures caused by horse riding can have not only severe short-term effects but can also lead to long-term disabilities, impacting the individuals’ quality of life and capacity to work.
Cite This Article
APA
Siebenga J, Segers MJ, Elzinga MJ, Bakker FC, Haarman HJ, Patka P.
(2006).
Spine fractures caused by horse riding.
Eur Spine J, 15(4), 465-471.
https://doi.org/10.1007/s00586-005-1012-5 Publication
Researcher Affiliations
- Department of Traumatology, Vrije Universiteit medisch centrum, Amsterdam, The Netherlands.
MeSH Terms
- Adolescent
- Adult
- Animals
- Athletic Injuries / epidemiology
- Athletic Injuries / etiology
- Athletic Injuries / pathology
- Child
- Female
- Horses
- Humans
- Male
- Middle Aged
- Retrospective Studies
- Spinal Fractures / epidemiology
- Spinal Fractures / etiology
- Spinal Fractures / pathology
References
This article includes 29 references
- Nijland N, Hertog PC den, Ommeren P van. How safe is riding? A study in horse riding injuries (Hoe veilig is ruitersport. Een studie naar omvang, ernst en aard van ongevallen met paarden.). 1997.
- Chapman MA, Oni J. Motor racing accidents at Brands Hatch, 1988/9. Br J Sports Med 1991;25:121–123.
- Buckley SM, Chalmers DJ, Langley JD. Injuries due to falls from horses. Aust J Public Health 1993;17:269–271.
- Danielsson LG, Westlin NE. Riding accidents. Acta Orthop Scand 1973;44:597–603.
- Zachariae L. [Dog bites and other lesions caused by animals]. Ugeskr Laeger 1973;135:2817–2819.
- Holland AJA, Roy GT, Goh V. Horse-related injuries in children. Med J Aust 2001;175:609–612.
- Magerl F, Aebi M, Gertzbein SD. A comprehensive classification of thoracic and lumbar injuries. Eur Spine J 1994;3:184–201.
- McCormack T, Karaikovic E, Gaines RW. The load sharing classification of spine fractures. Spine 1994;19:1741–1744.
- Kraemer WJ, Schemitsch EH, Lever J. Functional outcome of thoracolumbar burst fractures without neurological deficit. J Orthop Trauma 1996;10:541–544.
- Leferink VJ, Keizer HJ, Oosterhuis JK. Functional outcome in patients with thoracolumbar burst fractures treated with dorsal instrumentation and transpedicular cancellous bone grafting. Eur Spine J 2003;12:261–267.
- Wood K, Butterman G, Mehbod A. Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit. A prospective, randomized study. J Bone Joint Surg Am 2003;85:773–781.
- Roland M, Morris R. A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. Spine 1983;8:141–144.
- Schmidt B, Hollwarth ME. Sportunfalle im Kindes- und Jugendalter. Z Kinderchir 1989;44:357–362.
- Silver JR. Spinal injuries resulting from horse riding accidents. Spinal Cord 2002;40:264–271.
- Sorli JM. Equestrian injuries: a five year review of hospital admissions in British Columbia, Canada. Inj Prev 2000;6:59–61.
- Giebel G, Braun K, Mittelmeier W. Unfälle beim Pferdesport—Unfallhergang, Verletzungen und Prävention. 1994.
- Ingemarson H, Grevsten S, Thoren L. Lethal horse-riding injuries. J Trauma 1989;29:25–30.
- Kricke E. [The fatal riding accident (author’s transl)] Der todliche Reitunfall. Unfallheilkunde 1980;83:606–608.
- Du-Boullay CT, Bardier M, Cheneau J. [Sports injuries in children. Epidemiologic study] Les traumatismes sportifs de l‘enfant. Etude epidemiologique. Chir Pediatr 1984;25:125–135.
- Chitnavis JP, Gibbons CLMH, Hirigoyen M. Accidents with horses: what has changed in 20 years. Injury 1996;27:103–105.
- Hipp E, Gumppenberg S, Hackenbruch W. [Fracture of the vertebrae due to riding accidents] Die Wirbelfraktur als Reitunfall. Fortschr Med 1977;95:1567–1571.
- Barone GW, Rodgers BM. Pediatric equestrian injuries: a 14-year review. J Trauma 1989;29:245–247.
- Rathfelder FJ, Klever P, Nachtkamp J. [Injuries in horseback riding—incidence and causes]. Sportverletz Sportschaden 1995;9:77–83.
- Andermahr J, Schiffer G, Burger C. [Spinal injuries in jockeys. 2 case reports and review of the literature] Wirbelsaulenverletzung bei Jockeys. Zwei Fallberichte und Literaturubersicht. Unfallchirurg 2000;103:688–692.
- Kotilainen EM, Karki T, Satomaa OK. Traumatic cervical disc herniation—tetraparesis in a patient kicked by a horse. Acta Orthop Scand 1997;68:176–177.
- Royal Dutch Equestrian Federation. Preventie paardrij-ongevallen; een overzicht van het gebruik van het handboek “Veilig paardrijden” en de veiligheidseisen. 2003.
- Leferink VJ, Veldhuis EF, Zimmerman KW. Classificational problems in ligamentary distraction type vertebral fractures: 30% of all B-type fractures are initially unrecognised. Eur Spine J 2002;11:246–250.
- Dekker R, Groothof JW, Eisma WH. Klinisch behandelde paardrijletsels in Groningen, 1990–1998: ernstige langetermijngevolgen. Ned Tijdschr Geneeskd 2003;147:204–207.
- Steinbruck K. [Spine injuries due to horse riding. Part 2 (author’s transl)]. Unfallheilkunde 1980;83:373–376.
Citations
This article has been cited 15 times.- Loder RT, Walker AL, Blakemore LC. Spinal Injuries from Equestrian Activity: A US Nationwide Study. J Clin Med 2025 Jun 26;14(13).
- Loder RT, Walker AL, Blakemore LC. Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study. Children (Basel) 2024 Nov 27;11(12).
- Crawford AE, Picken LK, Gabriel FD, Quade J, Gould S. CNS and Thorax Injury and Associated Risks Factors in Equestrian Sports. Sports Health 2025 Jul;17(4):697-702.
- Duarte C, Santos R, Fernandes O, Raimundo A. Prevalence of Lower Back Pain in Portuguese Equestrian Riders. Sports (Basel) 2024 Jul 30;12(8).
- Hoffmann MF, Bernstorff M, Kreitz N, Roetman B, Schildhauer TA, Wenning KE. Horse-related injury patterns: a single center report. J Orthop Surg Res 2023 Feb 2;18(1):83.
- Meyer HL, Scheidgen P, Polan C, Beck P, Mester B, Kauther MD, Dudda M, Burggraf M. Injuries and Overuse Injuries in Show Jumping-A Retrospective Epidemiological Cross-Sectional Study of Show Jumpers in Germany. Int J Environ Res Public Health 2022 Feb 17;19(4).
- Ivancic PC. Mechanisms of mid-thoracic spine fracture/dislocation due to falls during horse racing: A report of two cases. Chin J Traumatol 2021 Nov;24(6):397-400.
- Malchrowicz-Mośko E, Wieliński D, Adamczewska K. Perceived Benefits for Mental and Physical Health and Barriers to Horseback Riding Participation. The Analysis among Professional and Amateur Athletes. Int J Environ Res Public Health 2020 May 25;17(10).
- Ansar MN, Hashmi SM, Colombo F. Minimally Invasive Spine (MIS) Surgery in Traumatic Thoracolumbar Fractures: A Single-Center Experience. Asian J Neurosurg 2020 Jan-Mar;15(1):76-82.
- Cutler HS, Guzman JZ, Connolly J, Al Maaieh M, Skovrlj B, Cho SK. Outcome Instruments in Spinal Trauma Surgery: A Bibliometric Analysis. Global Spine J 2016 Dec;6(8):804-811.
- Lim JH, Cho WS, Lee SJ, Park CB, Park JS. Effects of mechanical horseback riding velocity on spinal alignment in young adults. J Phys Ther Sci 2016 Jun;28(6):1836-9.
- Triantafyllopoulos I, Panagopoulos A, Sapkas G. Mid-Thoracic Spinal Injuries during Horse Racing: Report of 3 Cases and Review of Causative Factors and Prevention Measurements. Case Rep Orthop 2013;2013:715409.
- Han JY, Kim JM, Kim SK, Chung JS, Lee HC, Lim JK, Lee J, Park KY. Therapeutic effects of mechanical horseback riding on gait and balance ability in stroke patients. Ann Rehabil Med 2012 Dec;36(6):762-9.
- Hosaka Y, Nagasaki M, Bajotto G, Shinomiya Y, Ozawa T, Sato Y. Effects of daily mechanical horseback riding on insulin sensitivity and resting metabolism in middle-aged type 2 diabetes mellitus patients. Nagoya J Med Sci 2010 Aug;72(3-4):129-37.
- Post RB, van der Sluis CK, Leferink VJ, Dijkstra PU, ten Duis HJ. Nonoperatively treated type A spinal fractures: mid-term versus long-term functional outcome. Int Orthop 2009 Aug;33(4):1055-60.
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