Subtotal ostectomy of impinging dorsal spinous processes in 23 standing horses

Brink, Palle

doi:10.1111/j.1532-950x.2013.12078.x

Cited by 19 publications

(23 citation statements)

References 7 publications

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“…This study provides additional support for ISLD as an effective surgical option for management of pain associated with ORDSP. The success rate of ISLD in horses that underwent and improved with diagnostic analgesia in the study population (9/10 [90%]) is similar to the success rate achieved in other studies and with other surgical methods, for which diagnostic analgesia was also a criteria for case inclusion (81%–86%) . Horses that did not undergo diagnostic analgesia prior to ISLD achieved a lower success rate (4/8 [50%]) than previously reported (91%–95%) in studies for which diagnostic analgesia was not a criteria for case inclusion.…”

Section: Discussionsupporting

confidence: 77%

“…The success rate of ISLD in horses that underwent and improved with diagnostic analgesia in the study population (9/10 [90%]) is similar to the success rate achieved in other studies and with other surgical methods, for which diagnostic analgesia was also a criteria for case inclusion (81%-86%). 11,20 Horses that did not undergo diagnostic analgesia prior to ISLD achieved a lower success rate (4/8 [50%]) than previously reported (91%-95%) 21,22 in studies for which diagnostic analgesia was not a criteria for case inclusion. The small case number in the current population or differences in case selection between the two studies may account for the discrepancy between success rates.…”

Section: Discussionmentioning

confidence: 76%

“…7,[11][12][13][14][15][16][17][18] Surgical management is undertaken when the severity of disease is considered marked or the horse is unresponsive to medical management. 5,11,[19][20][21][22][23] Minimally invasive, standing surgical approaches such as interspinous ligament desmotomy (ISLD) have recently come into favor, with a reported success rate of 91%-95% in two studies. 21,22 However, diagnostic analgesia preoperatively to confirm a radiographic diagnosis of ORDSP as the source of clinical signs was not used as a criteria for case inclusion in either study.…”

Section: Introductionmentioning

confidence: 99%

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Long‐term outcome and effect of diagnostic analgesia in horses undergoing interspinous ligament desmotomy for overriding dorsal spinous processes

et al. 2020

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Objective To report the long‐term outcome of horses treated with interspinous ligament desmotomy (ISLD) for pain associated with overriding dorsal spinous processes (ORDSP) and determine the influence of preoperative diagnostic analgesia on long‐term outcome. Study design Retrospective study. Animals Eighteen horses. Methods Data were collected from horses presenting for ISLD to the University of Pennsylvania New Bolton Center between January 2013 and May 2018. Follow‐up of ≥3 months postsurgically was obtained from the owner, trainer, or referring veterinarian. Long‐term improvement was compared between horses that improved with diagnostic analgesia presurgically and horses that did not undergo diagnostic analgesia presurgically by using a χ2 test. Univariate logistic regression was used to test associations between long‐term improvement and independent variables. Results Clinical signs had improved in 13 of 18 horses at long‐term follow‐up (median, 14.5 months; range, 3‐57). Clinical signs improved in nine of 10 horses responding to diagnostic analgesia but only in four of eight horses that did not undergo diagnostic analgesia (χ2[1], N = 18) = 3.55; P = .06). Although the likelihood of long‐term improvement increased with prior diagnostic analgesia (odds ratio = 6.3; 95% confidence interval = 0.73, 55.0; P = .09), it did not reach statistical significance. Conclusion A higher proportion of horses experienced long‐term improvement in clinical signs after ISLD when horses responding to preoperative diagnostic analgesia were compared with horses that were not tested. Clinical significance This study provides some evidence to support the use of diagnostic analgesia in conjunction with clinical examination for identification of clinically relevant ORDSP.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

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Long‐term outcome and effect of diagnostic analgesia in horses undergoing interspinous ligament desmotomy for overriding dorsal spinous processes

et al. 2020

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“…An array of surgical techniques to remove impinging DSPs in the horse have been previously described (Walmsley et al 2002;Perkins et al 2005;Desbrosse et al 2007;Brink 2014;Jacklin et al 2014). Treatment of osteomas in man is aimed at ensuring complete excision of the mass to eliminate ongoing symptoms of pain (Etemadifar and Hadi 2015).…”

Section: Discussionmentioning

confidence: 99%

Surgical resection of an osteoma of two thoracic spinous processes in a horse

Owen¹,

Foote

Hinnigan³

2017

Equine Veterinary Education

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“…DOI : 10.4267/2042/58194 de résection partielle des processus épineux ont été décrites, l'une chez le cheval sous anesthésie générale (n = 25) (Jacklin et al 2014) et l'autre chez le cheval debout (n = 23) (Brink, 2014). Toutes ces études rapportent que 72 à 86 % des chevaux retravaillent normalement dans l'année.…”

Section: Figure 5 : Résection Chirurgicale Classique (A) : Les Sommetunclassified

Gestion des thoraco-lombalgies chez le cheval

Vandeweerd¹

2015

bavf

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Les thoraco-lombalgies sont décrites depuis longtemps chez le cheval. Elles peuvent avoir un impact sur la locomotion et les performances sportives. Thoraco-lombalgie et boiterie peuvent coexister. Il est important de déterminer si c'est une boiterie qui induit la douleur du dos, si c'est cette dernière qui provoque la boiterie, ou encore si deux conditions pathologiques sont présentes. Les thoraco-lombalgies sont primaires lorsque les vertèbres ou leurs structures anatomiques annexes (ligaments, disques, articulations) sont la cause. Elles sont secondaires lorsqu'elles sont consécutives à une boiterie trouvant son origine au niveau d'un membre. La stratégie thérapeutique des thoraco-lombalgies vise à restaurer une fonction biomécanique normale et repose sur une réhabilitation raisonnée faisant intervenir gestion de la douleur et exercice. Les principales étiologies des thoraco-lombalgies primaires sont les conflits de processus épineux et l'ostéoarthrite des articulations diarthrodiales intervertébrales; un traitement chirurgical ou médical de la lésion peut être envisagé. En absence de lésion significative expliquant la thoraco-lombalgies, le traitement de la douleur repose sur l'injection des points-détentes, la mésothé-rapie et l'exercice. Des thérapies alternatives sont décrites. La gestion de la douleur du dos reste encore empirique et nécessite davantage de preuves scientifiques. Les publications ne sont pas nombreuses et peu d'études contrôlées sont disponibles. Une codification de l'approche des thoraco-lombalgies et sa démonstration scientifique sont nécessaires. Mots

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Subtotal ostectomy of impinging dorsal spinous processes in 23 standing horses

Abstract: Subtotal ostectomy of impinging DSPs can be performed with good results with the horse standing.

Cited by 19 publications

References 7 publications

Long‐term outcome and effect of diagnostic analgesia in horses undergoing interspinous ligament desmotomy for overriding dorsal spinous processes

Long‐term outcome and effect of diagnostic analgesia in horses undergoing interspinous ligament desmotomy for overriding dorsal spinous processes

Surgical resection of an osteoma of two thoracic spinous processes in a horse

Gestion des thoraco-lombalgies chez le cheval

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