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Kissing Spines em Equinos: Aspetos Clínicos, Diagnósticos e Terapêuticos
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Advisor(s)
Abstract(s)
As "Kissing Spines" são uma causa comum de dor no dorso, particularmente em cavalos de desporto.
Esta doença corresponde a uma anomalia esquelética caracterizada pelo contacto entre os processos
espinhosos dorsais. A sua etiologia é multifatorial e ainda não está totalmente compreendida. Os
cavalos com dor de dorso manifestam uma variedade de sinais clínicos, incluindo claudicação,
alterações na biomecânica, alteração do comportamento, diminuição da flexibilidade e perda de
performance.
O diagnóstico é frequentemente realizado através de radiografia, procurando áreas de alteração de
contorno ósseo nos processos espinhosos dorsais. Adicionalmente, pode ser vantajoso recorrer a
métodos complementares, como a cintigrafia nuclear e a termografia.
A decisão entre tratamento médico ou cirúrgico depende do grau de alteração óssea, do grau de dor
e das possibilidades financeiras do proprietário. É imprescindível associar fisioterapia contínua e um
plano de treino direcionado para o fortalecimento muscular.
Importa salientar que esta doença nem sempre provoca dor, sendo necessária uma avaliação
criteriosa. A minimização dos sinais clínicos desta doença pode ser alcançada através de práticas de
equitação adequadas e do desenvolvimento muscular correto.
Embora seja uma das doenças músculo-esqueléticas mais comuns, a literatura científica sobre esta
patologia é relativamente escassa, dificultando a implementação de estratégias otimizadas de
diagnóstico e tratamento. Assim, o presente trabalho tem como objetivo realizar uma revisão
bibliográfica com vista a compilar e analisar as informações clínicas mais atuais e relevantes sobre o
tema.
“Kissing Spines” is a common cause of back pain, particularly in sport horses. This disease is a skeletal abnormality characterized by the contact between the dorsal spinous processes. The etiology is multifactorial and not yet fully understood. Horses with back pain exhibit a variety of clinical signs, including lameness, biomechanical changes, behavioural alterations, decreased flexibility, and reduced performance. Diagnosis is often made through radiography, looking for changes in the contour of the dorsal spinous processes. Additionally, complementary methods such as scintigraphy and thermography may be advantageous. The decision between medical or surgical treatment depends on the degree of bone changes, the severity of pain, and the financial possibilities of the owner. Continuous physiotherapy and a targeted training plan for muscle strengthening are essential. It is important to note that this condition does not always cause pain, so careful clinical evaluation is necessary. Minimizing the clinical signs of this disease can be achieved through appropriate riding practices and proper muscle development. Although it is one of the most common musculoskeletal diseases in horses, scientific literature on this pathology is relatively scarce, making it difficult to implement optimized diagnostic and treatment strategies. Therefore, this work aims to conduct a literature review to compile and analyse the most current and relevant clinical information on the topic.
“Kissing Spines” is a common cause of back pain, particularly in sport horses. This disease is a skeletal abnormality characterized by the contact between the dorsal spinous processes. The etiology is multifactorial and not yet fully understood. Horses with back pain exhibit a variety of clinical signs, including lameness, biomechanical changes, behavioural alterations, decreased flexibility, and reduced performance. Diagnosis is often made through radiography, looking for changes in the contour of the dorsal spinous processes. Additionally, complementary methods such as scintigraphy and thermography may be advantageous. The decision between medical or surgical treatment depends on the degree of bone changes, the severity of pain, and the financial possibilities of the owner. Continuous physiotherapy and a targeted training plan for muscle strengthening are essential. It is important to note that this condition does not always cause pain, so careful clinical evaluation is necessary. Minimizing the clinical signs of this disease can be achieved through appropriate riding practices and proper muscle development. Although it is one of the most common musculoskeletal diseases in horses, scientific literature on this pathology is relatively scarce, making it difficult to implement optimized diagnostic and treatment strategies. Therefore, this work aims to conduct a literature review to compile and analyse the most current and relevant clinical information on the topic.
Description
Keywords
Kissing Spines Processos espinhosos dorsais Dor toracolombar Cirurgia Tratamento conservativo Reabilitação Dorsal spinous process Thoracolumbar pain Surgery Conservative treatment Rehabilitation