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Peer-reviewed veterinary case report

Neck pain and trouble walking in horses - what to know about odontoid

By Vos, N J et al.·Published in The Veterinary record·2008·University College Dublin·View original on PubMed

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Original publication title: Fractures of the cervical vertebral odontoid in four horses and one pony.

Species:
horse
Movement & jointsHorses

Plain-English summary

Five equines, including four horses and one pony, aged between one and 11 years, were found to have fractures in a specific part of their neck called the odontoid peg. They showed signs like being hesitant to move their neck and head, appearing dull, and having trouble walking. X-rays were crucial for diagnosing these fractures, and the treatment varied based on how severe the neurological symptoms were, how the horse was intended to be used, and the owner's budget. The best approach to treatment involves relieving pressure, properly aligning the fracture, and stabilizing it. All of the horses recovered completely, while the pony's outcome was not specified.

Abstract

Four horses and one pony, ranging in age from one to 11 years, were diagnosed with two different types of odontoid peg fractures. Their clinical signs included reluctance to move the neck and head, dullness, and abnormalities of gait. Radiography was essential for the diagnosis, and the method of treatment varied depending on the severity of the neurological signs, the intended use of the horse, and financial constraints. Optimal treatment requires a technique that allows decompression, anatomical alignment, and stabilisation of the odontoid fracture. If the clinical (neurological) signs are not too severe and the animal shows signs of feeling peripheral pain, conservative treatment can be applied, as is common practice in human surgery. All except the pony made a full recovery.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/18223268/