RCVS Recognised Specialist in Equine Internal Medicine B&W Equine Hospital, CVS Veterinary LTD Berkeley, England, United Kingdom
Presentation Description / Summary: ON DEMAND The cervical and early thoracic spine is increasingly being recognised as a site of pathology causing neck pain and physical movement restriction, and compression of the spinal cord and intervertebral nerves. Circumferential imaging has increased our knowledge of the types of pathology present, but also the anatomic variation within the bony and soft tissue structures of this region. As more cases are seen so the spectrum of presenting signs widens. Assigning significance to diagnostic imaging can therefore be a challenge. Crucial to this is an understanding of the relevant anatomy, how it moves and how this movement can affect the function of specific structures. This lecture will cover the vertebral anatomy of the cervical and early thoracic spine (to T4), the associated musculature and gross description of relevant neuroanatomy (more detailed description is beyond the scope of this session). It will then cover these structures functionally - describing the range of motion relevant anatomy goes through, provide current knowledge on how this movement relates to different gaits and neck positions that horse’s use during exercise. At each stage a clinical focus will be maintained highlighting how a knowledge of functional anatomy can help with both clinical examination and decision making. It will also highlight gaps in our knowledge which are clinically important.
Learning Objectives:
Understand the process of acquisition of plain and myelographic CT images of the entire cervical spine and early thoracic spine, and how to minimise complication
Describe the process of interpretation of multi-planar CT images of the vertebral canal, vertebral bodies, articular process joints, inter-central (disc) joint and intervertebral foraminae, both subjectively and objectively
Appreciate how CT imaging has increased our knowledge of the causes of neck pain and movement restriction, and of compressive myelopathy
Understand and implement case selection for CT imaging, with enhanced appreciation of the anatomic causes of cervical and early thoracic disease and how they present