Signs Of Back Pain Research Articles

Percutaneous transilial pinning for treatment of seventh lumbar vertebral body fracture. A retrospective analysis of 17 cases.

To evaluate outcomes after percutaneous application of transilial pinning in dogs with seventh lumbar vertebral body fracture with concurrent lumbosacral luxation. We reviewed the medical records of dogs with seventh lumbar vertebral body fracture stabilized with percutaneous transilial pinning that were treated at our hospital between January 2000 and March 2014. Radiographic measurements were used for comparing craniocaudal and ventrodorsal displacement pre- and postoperatively. Seventeen dogs met the inclusion criteria. The neurological status of the majority of treated dogs improved quickly, with immediate pain reduction after surgery. Implants were well tolerated throughout the application period and were removed at a mean time of 54.4 ± 9.2 days. One dog experienced a major complication (implant failure) and required surgical revision a week after the initial procedure. Minor complications included pin-tract inflammation, signs of back pain lasting five weeks and acute lameness after implant removal. Postoperative radiographic measurements showed shortening of the vertebral body and residual dorsoventral dislocation. Otherwise, functional recovery was good (5 of 17 dogs) to excellent (10 of 17 dogs) in the majority of the patients. The use of two percutaneous transilial pins can be considered as treatment for the management of seventh lumbar fracture-luxation in dogs. Our modified stabilization technique is relatively easy to perform; less invasive on the soft tissues; and uses implants that are versatile, modifiable, and easily removable.

Location of radiological lesions of the thoracolumbar column in French trotters with and without signs of back pain

The radiographs of 102 French trotters presented with signs of back pain were reviewed retrospectively, and a control group of 16 French trotters without back pain was analysed. The age,...

Treadmill study of the range of back movement at the walk in horses without back pain.

To evaluate back movement during walking in horses. 22 adult horses with no history or signs of back pain. 3-dimensional movements of markers on the hooves, head, and back were measured with a motion analysis system while the horses were walking on a treadmill. The positions of markers on the hooves, head, and the skin above the spinous processes of T5, T10, T16, L3, and 2 sacral vertebrae were recorded. From a minimum of 6 walking motion cycles/horse, marker movement and the time of occurrence of minimum and maximum marker positions within the motion cycle were determined. Angles were calculated between the markers on the head, T16, and S4 or S5 and between the markers on T5, T16, and S4 or S5. Lateral back movement was maximal at L3, where it reached (mean +/- SD) 3.5 +/- 0.8% of the horses' height at the withers. Maximum dorsoventral back movement was found at the sacrum, where it reached 4.7 +/- 1.3% of the height at the withers. In the horizontal plane, the angle between T5, T16, and S4 or S5 was altered by 11 +/- 2.5 degrees during the motion cycle. In the sagittal plane, the angle between the head, T16, and S4 or S5 was altered by 7 +/- 3 degrees. Results of this study may be used as basic kinematic reference data for evaluation of back movement in horses.

Range of back movement at trot in horses without back pain

The aim of this study was to establish basic reference data for evaluating 3-dimensional movement of the equine back at the trot. In 22 mature horses without any clinical signs of back pain, the movement of the back was measured during trotting on a treadmill with a system for motion analysis. The position of the markers placed on the head, hooves, skin above the spinous processes of T5, T10, T16, L3 and on 2 of the sacral spines was recorded. The results of all movements were expressed in percent of the horse's height at its withers. At the trot, the maximum lateral movement at the head was 1.72% (s.d. 0.75). At T5 it was 3.15% (s.d. 0.84), at T10 1.99% (s.d. 0.64), at T16 1.85% (s.d. 0.65), at L3 1.89% (s.d. 0.62), at OS1 1.89% (s.d. 0.66) and at OS2 2.21% (s.d. 0.71). The maximum dorsoventral back movement was 4.06% (s.d. 1.14) at the head, 3.93% (s.d. 0.67) at T5, 4.46% (s.d. 0.85) at T10, 4.94% (s.d. 0.77) at T16, 4.91% (s.d. 0.74) at L3, 4.55% (s.d. 0.69) at OS1 and 4.33% (s.d. 0.69) at OS2. The lateral movement of the back at trot is relatively small compared to the movement of the horse's back at stance or at walk, with the marker on T5 showing the widest lateral movement. The dorsoventral movement of the back is larger than the lateral movement, but the differences between single markers are small. The results of this study can be used as a comparison when investigating equine back pain.

Physical Examination of Horses with Back Pain

The diagnosis of back pain is often a diagnosis of exclusion of other problems in the face of poor performance. It requires careful observation, thought, an open mind, and experience. The signs of back pain can be extremely variable and range from subtle to obvious. Obvious forelimb or hind limb lameness is not usually a sign of back pain. The most common differential diagnosis may be back pain secondary to degenerative joint disease of the hocks, fetlocks, or stifle. These diseases can mimic signs of back pain including lack of impulsion, shortening of the stride length, and change in the stride character similar to those seen with back pair.

An objective method for evaluating the flexibility of the back of standing horses.

The spinal movements in maximum arching, dipping and left and right lateral flexion were measured in 10 horses without signs of back pain. A system for motion analysis (Expert Vision System) was used to identify the position of the markers placed on the head, the spinous processes of T5, T10, T16, L3, and on 2 of the sacral spines. By definition, the maximum of the spinal movement was set when the T16 marker reached its maximum deviation from the start position. The difference between start position and maximum position was presented as per cent of the horse's height at the withers. At T16 the mean results for flexion (arching) of the back were 5.9% (s.d.0.9), for extension (dipping) -2.4% (s.d.0.7), for flexion to the left 4.2% (s.d.1.1), and for flexion to the right 5.3% (s.d.1.3).