Long‐term prognosis for return to athletic function after interspinous ligament desmotomy for treatment of impinging and overriding dorsal spinous processes in horses: 71 cases (2012–2017)

• Published in: Veterinary surgery 2019-10, Vol.48 (7), p.1278-1286
• Main Authors: Prisk, Amanda J., García‐López, José M.
• Format: Article
• Language: English
• Subjects: Animals; Back pain; Back Pain - etiology; Back Pain - surgery; Back Pain - veterinary; Equivalence; Evaluation; Gait; Horse Diseases - surgery; Horses; Ligaments; Ligaments, Articular - pathology; Ligaments, Articular - surgery; Medical imaging; Medical records; Prognosis; Radionuclide Imaging; Retrospective Studies; Sports; Thoracic Vertebrae - surgery
• ISSN: 0161-3499; 1532-950X
• DOI: 10.1111/vsu.13298

Objective To determine the long‐term return to performance of horses with impinging and/or overriding dorsal spinous processes (ORDSP) treated with interspinous ligament desmotomy (ISLD) and to determine the prognostic value of radiographic and scintigraphic grades. Study design Retrospective study. Animals Seventy‐one horses with ORDSP treated with ISLD. Methods Medical records were reviewed for signalment, physical examination, gait evaluation, and number of interspinous spaces treated. Preoperative radiographic and scintigraphic images were evaluated with grading scales. Follow‐up was obtained with a telephone questionnaire. Prognostic value of the number of affected interspinous spaces, radiographic grading, and scintigraphic grading was tested by using a χ2 test. Results A median follow‐up of 35 months (range, 8–64) was available for 56 horses. Fifty‐one of 56 (91.1%) horses returned to some level of performance, with 27 of 51 (52.9%) horses achieving equivalent or higher level of performance. Achieving a lower level of performance was attributed to recurrent back pain in nine of 24 (37.5%) horses and to unassociated lameness in nine of 24 (37.5%) horses. Owners of 44 of 56 (78.6%) horses were satisfied with the postoperative performance level, and owners of 46 of 56 (82.1%) horses would recommend the procedure. None of the variables tested influenced the return to performance. Conclusion Interspinous ligament desmotomy allowed horses with ORDSP to return to some level of performance, although fewer returned to an equivalent or higher level of performance than had previously been reported. Clinical significance Interspinous ligament desmotomy allows affected horses to return to some level of performance, regardless of the severity of radiographic and scintigraphic findings.