Analyze Diet

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

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 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

ISSN: 0940-6719
NlmUniqueID: 9301980
Country: Germany
Language: English
Volume: 15
Issue: 4
Pages: 465-471

Researcher Affiliations

Siebenga, Jan
  • Department of Traumatology, Vrije Universiteit medisch centrum, Amsterdam, The Netherlands.
Segers, Michiel J M
    Elzinga, Matthijs J
      Bakker, Fred C
        Haarman, Henk J T M
          Patka, Peter

            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
            1. 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.
            2. Chapman MA, Oni J. Motor racing accidents at Brands Hatch, 1988/9. Br J Sports Med 1991;25:121–123.
              pmc: PMC1478841pubmed: 1777774
            3. Buckley SM, Chalmers DJ, Langley JD. Injuries due to falls from horses. Aust J Public Health 1993;17:269–271.
              pubmed: 8286503
            4. Danielsson LG, Westlin NE. Riding accidents. Acta Orthop Scand 1973;44:597–603.
              pubmed: 4770128
            5. Zachariae L. [Dog bites and other lesions caused by animals]. Ugeskr Laeger 1973;135:2817–2819.
              pubmed: 4782161
            6. Holland AJA, Roy GT, Goh V. Horse-related injuries in children. Med J Aust 2001;175:609–612.
              pubmed: 11837860
            7. Magerl F, Aebi M, Gertzbein SD. A comprehensive classification of thoracic and lumbar injuries. Eur Spine J 1994;3:184–201.
              doi: 10.1007/BF02221591pubmed: 7866834google scholar: lookup
            8. McCormack T, Karaikovic E, Gaines RW. The load sharing classification of spine fractures. Spine 1994;19:1741–1744.
              pubmed: 7973969
            9. Kraemer WJ, Schemitsch EH, Lever J. Functional outcome of thoracolumbar burst fractures without neurological deficit. J Orthop Trauma 1996;10:541–544.
            10. 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.
              pmc: PMC3615499pubmed: 12800001
            11. 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.
              doi: 10.1302/0301-620X.85B3.13849pubmed: 12728024google scholar: lookup
            12. 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.
              pubmed: 6222486
            13. Schmidt B, Hollwarth ME. Sportunfalle im Kindes- und Jugendalter. Z Kinderchir 1989;44:357–362.
              pubmed: 2623951
            14. Silver JR. Spinal injuries resulting from horse riding accidents. Spinal Cord 2002;40:264–271.
              doi: 10.1038/sj.sc.3101280pubmed: 12037707google scholar: lookup
            15. Sorli JM. Equestrian injuries: a five year review of hospital admissions in British Columbia, Canada. Inj Prev 2000;6:59–61.
              doi: 10.1136/ip.6.1.59pmc: PMC1730586pubmed: 10728545google scholar: lookup
            16. Giebel G, Braun K, Mittelmeier W. Unfälle beim Pferdesport—Unfallhergang, Verletzungen und Prävention. 1994.
            17. Ingemarson H, Grevsten S, Thoren L. Lethal horse-riding injuries. J Trauma 1989;29:25–30.
              pubmed: 2911099
            18. Kricke E. [The fatal riding accident (author’s transl)] Der todliche Reitunfall. Unfallheilkunde 1980;83:606–608.
              pubmed: 7193364
            19. 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.
              pubmed: 6467483
            20. Chitnavis JP, Gibbons CLMH, Hirigoyen M. Accidents with horses: what has changed in 20 years. Injury 1996;27:103–105.
              doi: 10.1016/0020-1383(95)00176-Xpubmed: 8730383google scholar: lookup
            21. Hipp E, Gumppenberg S, Hackenbruch W. [Fracture of the vertebrae due to riding accidents] Die Wirbelfraktur als Reitunfall. Fortschr Med 1977;95:1567–1571.
              pubmed: 881155
            22. Barone GW, Rodgers BM. Pediatric equestrian injuries: a 14-year review. J Trauma 1989;29:245–247.
              pubmed: 2918566
            23. Rathfelder FJ, Klever P, Nachtkamp J. [Injuries in horseback riding—incidence and causes]. Sportverletz Sportschaden 1995;9:77–83.
              pubmed: 7502217
            24. 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.
              doi: 10.1007/s001130050603pubmed: 10986913google scholar: lookup
            25. 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.
              pubmed: 9174457
            26. Royal Dutch Equestrian Federation. Preventie paardrij-ongevallen; een overzicht van het gebruik van het handboek “Veilig paardrijden” en de veiligheidseisen. 2003.
            27. 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.
              doi: 10.1007/s00586-001-0366-6pmc: PMC3610515pubmed: 12107793google scholar: lookup
            28. Dekker R, Groothof JW, Eisma WH. Klinisch behandelde paardrijletsels in Groningen, 1990–1998: ernstige langetermijngevolgen. Ned Tijdschr Geneeskd 2003;147:204–207.
              pubmed: 12645355
            29. Steinbruck K. [Spine injuries due to horse riding. Part 2 (author’s transl)]. Unfallheilkunde 1980;83:373–376.
              pubmed: 7222294