Endoscopic Resection of Dorsal Spinous Processes and Interspinous Ligament in Ten Horses

Abstract

Endoscopic resection of DSP is a safe and reliable surgical procedure in horses.

A new technique for subtotal (cranial wedge) ostectomy in the treatment of impinging/overriding spinous processes: Description of technique and outcome of 25 cases

“…In the largest case series, 7/215 cases experienced incisional infection (3.3%) comparable to rates of infection in human spinal surgery . In human spinal surgery, minimally invasive approaches are associated with reduced risk of infection, but 1/10 of an equine minimally invasive case series developed infection . The current group did not have any incidence of incisional infection, although with only 25 cases this is not statistically comparable with other series.…”

“…With the exception of Desbrosse et al . , previously described techniques fail to address the dorsoventral location of lesions on the SPs. In the authors' experience, the interspinous space between SPs is most commonly narrowed or lost in its most dorsal one third.…”

A Controlled Study Evaluating a Novel Surgical Treatment for Kissing Spines in Standing Sedated Horses

“…Using the technique we describe, no wound dehiscence occurred, most likely because of the rapid surgery time and minimal trauma. Endoscopic enlargement of the interspinous space offers comparable advantages of minimally invasive incisions and rapid rehabilitation, but still requires both general anesthesia and costly specialist equipment.…”

“…The original method of surgical resection of the DSPs involved a midline, or occasionally a paramedian, skin, and supraspinous ligament incision, followed by resection of the relevant DSPs using either an oscillating saw or osteotome and hammer . An open standing technique and an endoscopic technique under general anesthesia have been reported . The latter procedure has the advantage of being minimally invasive.…”

Pathology of the thoracic dorsal spinous processes

“…) as an open procedure or endoscopically (Desbrosse et al . ), although a minimally invasive surgical technique for management has also been described (Coomer et al . ).…”