Subtotal ostectomy of dorsal spinous processes performed in nine standing horses.
Abstract: To describe and evaluate subtotal ostectomy of dorsal spinous processes (DSP) performed in standing horses. Methods: Retrospective study. Methods: Nine adult horses. Methods: The diseased portions of the DSP were removed with the horses standing and sedated after infiltrating a local anesthetic agent around the affected DSP. Medical records of affected horses were reviewed to determine history, findings of physical and radiographic examination, surgical technique, postoperative complications, and outcome. Results: Five horses had subtotal ostectomy of DSP because of osteomyelitis, and 4 because of impingement and/or fracture of DSP. Affected portions of DSP were removed safely and effectively, with no apparent discomfort to the horses; hemorrhage was minimal. Conclusions: Subtotal ostectomy of DSP can be performed safely in standing, conscious horses and the risks associated with general anesthesia are eliminated. Hemorrhage is minimal compared to that which occurs when the procedure is performed with horses anesthetized and in lateral recumbency. Conclusions: Access and visibility are better when subtotal ostectomy of the DSP is performed with the horse standing rather than anesthetized and in lateral recumbency. Performing subtotal ostectomy of diseased DSP with the horse standing avoids the expense and risks of general anesthesia.
Publication Date: 2005-12-14 PubMed ID: 16343151DOI: 10.1111/j.1532-950X.2005.00097.xGoogle Scholar: Lookup
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- Journal Article
Summary
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The research article explores the method and effectiveness of performing subtotal ostectomy, the removal of some bone from the dorsal spinous processes of horses, while the animals are standing and sedated, rather than anesthetized and recumbent.
Methodology of the Research
- The study follows a retrospective approach where the medical records of nine adult horses were assessed.
- The research took into account the history of the horses, their physical and radiographic examination results, the surgical technique employed, any post-operative complications faced, and the overall outcome of the surgery.
- The procedure involved the removal of diseased parts of the Dorsal Spinous Processes (DSP) from horses that were in a standing position and sedated.
- This is a contrast to the typical procedure that involves general anesthesia and has the horses in lateral recumbency.
Reasons for Subtotal Ostectomy
- The research revealed that five out of nine horses had the surgery due to osteomyelitis, a type of bone infection.
- The other four horses underwent the surgery due to the impingement and/or fracture of the dorsal spinous processes.
Results of the Study
- The study demonstrated that performing the surgery with the horses standing and sedated did not cause any apparent discomfort to the animals.
- Moreover, the amount of bleeding during the procedure was minimal.
Conclusion of the Study
- The research concluded that subtotal ostectomy of dorsal spinous processes can be performed in standing and sedated horses, thus eliminating the risks associated with general anesthesia.
- The study also noted that visibility and access are better when the horse is standing rather than anesthetized and in lateral recumbency.
- This suggests that this method is safer and more cost-effective, as it avoids the expense and potential risks of general anesthesia.
Cite This Article
APA
Perkins JD, Schumacher J, Kelly G, Pollock P, Harty M.
(2005).
Subtotal ostectomy of dorsal spinous processes performed in nine standing horses.
Vet Surg, 34(6), 625-629.
https://doi.org/10.1111/j.1532-950X.2005.00097.x Publication
Researcher Affiliations
- Department of Surgery, Faculty of Veterinary Medicine, University College, Dublin, Ireland. jperkins@rvc.ac.uk
MeSH Terms
- Anesthetics, Local / therapeutic use
- Animals
- Back Pain / surgery
- Back Pain / veterinary
- Female
- Hemorrhage / epidemiology
- Hemorrhage / prevention & control
- Hemorrhage / veterinary
- Horse Diseases / surgery
- Horses
- Male
- Osteomyelitis / surgery
- Osteomyelitis / veterinary
- Osteotomy / methods
- Osteotomy / veterinary
- Postoperative Complications / veterinary
- Retrospective Studies
- Spinal Diseases / surgery
- Spinal Diseases / veterinary
- Treatment Outcome
Citations
This article has been cited 11 times.- Pilati N, Pressanto MC, Palumbo Piccionello A, De Angelis Corvi F, Beccati F. Impinging and Overriding Spinous Processes in Horses: A Narrative Review. Animals (Basel) 2025 Sep 13;15(18).
- Connaughton MT, MacDonald EJ, Ireland JL, Rocchigiani G, Stack JD. Experimental comparison of caudal wedge ostectomy to cranial wedge ostectomy for surgical treatment of overriding/impinging spinous processes in horses. Equine Vet J 2025 Sep;57(5):1395-1404.
- Wickstead FA, Milner PI, Bardell DA. Use of wound infusion catheters for delivery of local anesthetic following standing partial ostectomy of thoracolumbar vertebral spinous processes in horses is not associated with increased surgical site infections. Front Vet Sci 2024;11:1436308.
- Baudisch N, Singer E, Jensen KC, Eichler F, Meyer HJ, Lischer C, Ehrle A. Influence of surgical intervention at the level of the dorsal spinous processes on the biomechanics of the equine thoracolumbar spine. Equine Vet J 2025 Mar;57(2):492-501.
- Marshall-Gibson ME, Durham MG, Seabaugh KA, Moorman VJ, Ferris DJ. Survey of equine veterinarians regarding primary equine back pain in the United States. Front Vet Sci 2023;10:1224605.
- Biedrzycki AH, Elane GL. Three-Dimensional Modeling and In Silico Kinematic Evaluation of Interspinous Ligament Desmotomy in Horses. Front Bioeng Biotechnol 2022;10:817300.
- Pigé C, Masseau I, Bonilla AG. Influence of abdominal elevation on radiographic measurements of the thoracolumbar interspinous spaces in asymptomatic horses. Can Vet J 2020 Oct;61(10):1101-1105.
- Riccio B, Fraschetto C, Villanueva J, Cantatore F, Bertuglia A. Two Multicenter Surveys on Equine Back-Pain 10 Years a Part. Front Vet Sci 2018;5:195.
- Modesto RB, Rodgerson DH, Masciarelli AE, Spirito M. Standing placement of transphyseal screw in the distal radius in 8 Thoroughbred yearlings. Can Vet J 2015 Jun;56(6):605-9.
- Molnar R, Barber SM, Pharr JW, Panizzi L, Plaxton A. Healing of multiple fractured thoracic dorsal spinous processes in a Quarter horse. Can Vet J 2012 Mar;53(3):279-82.
- Gutierrez-Quintana R, Lindley S, Sullivan M, Penderis J, Wessmann A. Dorsal spinous process impingement syndrome ('kissing spine') in a cat: imaging appearance and surgical management. J Feline Med Surg 2011 Aug;13(8):618-21.
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