Tucker, R., Schmidt, S.M. & Hahn, C. (2025) Disorders of the cervical vertebral column part 1: Identification and diagnosis. Equine Veterinary Education, 37, 662–672. https://doi.org/10.1111/eve.14216.
In the published article, the article title “Disorders of the cervical certebral column part 1: Identification and diagnosis” was incorrect. It should read: “Disorders of the cervical vertebral column part 1: Identification and diagnosis”.
We apologise for this error.
The aim of this observational retrospective case series was to document and describe the use of an overlapping suture technique used to close ventral midline incisional hernias, known as the ‘vest-over-pants’ method. The records of fourteen horses at a single institution from March 2004 to October 2024 were reviewed. Cases underwent ventral midline incisional hernia repair using an interrupted overlapping technique (‘vest-over-pants’ pattern). A total of 14 repairs were performed with a total of 14 cases where the hernia was surgically corrected and did not reoccur within the study period (100%). On average, the incisional hernia repair occurred 208 days after the last celiotomy (± 11 days), with the mean patient age being 3.4 years (5 months to 9 years). The average post-operative hospitalisation period was 3 days (2–7 days). The duration of stall confinement varied, with three horses being confined to a stall for 30–45 days, nine horses for 21 days and two for 14 days. Post-operative pain was observed in one of the 14 cases (7%). In all cases, incisional seroma formation was noted in the first week after surgery. Mild focal incisional drainage was noted in 4 of the 14 cases (29%). The results of this case series display support for the clinical use of a ‘vest-over-pants’ pattern to repair ventral midline incisional hernias.
This case report describes the successful treatment of a three-month-old lame foal. Radiographs confirmed a septic physitis of the right distal tibia, which was unresponsive to initial antibiotic therapy. Culture of the lesion grew Rhodococcus equi. Systemic antimicrobial therapy was changed to rifampin and clarithromycin, and intravenous regional limb perfusions with erythromycin were performed daily for 4 days. Within 24 h, the lameness was improved. Swelling around the lesion was reduced, and previously abnormal clinical parameters returned to within normal limits. The filly continued to recover and was turned out without complications one month post discharge. This case discusses the use of erythromycin IVRP as a treatment for septic physitis caused by Rhodococcus equi.
Our awareness and understanding of neck conditions in the horse is increasing, along with options for treatment. The ability to perform a thorough and considered orthopaedic and neurological clinical examination is a vital clinical tool that is accessible to all. Clinical presentations of cervical dysfunction may vary widely in severity and can include one or more components of three functional diagnoses: neck pain; neurological signs of spinal cord compression; and/or signs of radiculopathy. Radiography and ultrasonography are valuable imaging modalities and can be performed in the field; however, achieving quality diagnostic radiographs can be challenging in this setting and both have their limitations. Computed tomography (CT) has emerged as the current gold standard imaging modality, which offers excellent multiplanar anatomical detail of bony structures and reasonable soft tissue detail, with the risks of anaesthesia being low. Myelography is a key adjunct in the ataxic patient, but objective measures for interpretation are not clear. Development of new diagnostic techniques is an active area of research, and clinically useful functional testing methods are eagerly awaited to help interpret the clinical relevance of imaging findings.
The current report documents the antemortem diagnosis of a pre-partum uterine rupture in a late gestation mare. Diagnosis was made on the basis of transrectal palpation and transabdominal ultrasound, with evaluation of fetal heart rate confirming a live fetus. This prompted emergency laparotomy and a live foal was delivered from the amnion, which was free-floating in the abdominal cavity. The low economic value of the mare and the advice not to use her again as an embryo recipient prompted humane euthanasia under general anaesthesia at the request of the owners. The foal was clinically normal at birth, with the exception of minor orthopaedic abnormalities (primarily flexor laxity) and, at the time of writing, is a normal 2-year-old. This is the first known report of a live fetus being delivered from an extra-uterine location in a large domestic animal species.
This case report outlines the long-term successful treatment of a non-healing orosinus fistula with placement of a 16-mm diameter titanium screw within the compromised alveolus. A 7-year-old mare presented for investigation of a 2-month long chronic right-sided sinusitis, which had been unresponsive to several courses of broad-spectrum antimicrobials. The mare was reported to head toss under ridden exercise. Malodorous purulent right-sided nasal discharge was noted with ipsilateral submandibular lymphadenomegaly. There was diffuse right-sided frontonasal facial bone swelling and epiphora present. The horse underwent computed tomography where it revealed marked periapical changes of cheek tooth 110 with discontinuity of the alveolar bone suggestive of an orosinus fistula. 109 had endodontic changes consistent with gas contained within the pulp horns. Cheek tooth 110 was extracted orally and oral endoscopy revealed a buccal alveolar wall defect. The fistula measured 2 × 1cm and communicated with the maxillary sinus which was seen on sinoscopy. On repeat CT 2 months later, the orosinus fistula was persistent, 109 had deteriorated and was extracted orally. A 16-mm diameter, 24-mm long self-tapping titanium screw was placed into the fistula subocclusally using a Torx screwdriver handle and shaft. Sinus lavage was performed with no leakage at the plugged 110 site and the screw was still in place 7 days later. The mare represented 3 months later for a follow-up appointment. On CT and oral endoscopy, the titanium screw was now absent; however, the orosinus fistula was completely healed with no communication present and resolution of clinical signs.
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