Abstract. Nine horses with clinical and radiographic findings of cervical vertebral malformation that were necropsied and examined using frozen cervical spinal cord cross sections were reviewed. Only cases with actual distortion of the spinal cord due to compression were selected. The goal of the study was to determine the morphologic features responsible for narrowing of the spinal canal and compression of the spinal cord. In individual cases, bony changes are associated with osteochondrosis and osteomyelitis of the dorsal articular facets and osteosclerosis of the dorsal cervical lamina. Soft tissue pathology associated with spinal cord compression included ligamenturn flavum hypertrophy, joint capsule swelling and hypertrophy, and synovial cysts. In most cases, a combination of abnormalities was found in horses with spinal cord compression.Determination of the cause of ataxia secondary to neurologic impairment in horses based on physical and neurologic examinations is difficult.28 Impingement on the cervical spinal cord is the leading cause of ataxia in the horse. 26 Terms used to describe the syndrome that results in constant or intermittent impingement of the cervical spinal cord include wobblers, equine sensory ataxia, cervical vertebral instability, cervical stenotic myelopathy, and cervical vertebral malformation/malarticulation (CVM). 15,19,26,35,36 The signalment, history, and clinica1 15,19,26,35,36 and radiographic 17,21,22,25,37 signs of horses with CVM have been previously reported.The pathogenesis of CVM in horses remains unclear but appears to be multifactorial. Two general theories have evolved regarding the etiopathogenesis of CVM in horses. The first theory focuses on excessive and/or abnormal biomechanical forces, resulting in pathologic changes of the cervical vertebral canal that cause CVM. 24 The second theory describes a generalized dysmaturation of cartilage and bony development of the cervical vertebrae, leading to CVM.29 Lesions associated with equine CVM include osteosclerosis of the dorsal cervical lamina, 15,24 degenerative joint disease, l9,24 and osteochondrosis (OCD) 19,24,29 of the dorsal articular facets. Hypertrophy also occurs in the soft tissues surrounding the cervical vertebral canal, including the ligamenturn flavum, 24 joint capsule, 24 and synovial cyst formation. 8 The purpose of this report was to demonstrate by examination of frozen cross sections of cervical spinal intersegments the pathologic changes in horses with CVM that cause spinal cord compression. This technique allows the observer to record the extent of abnormality in both osseous and soft tissues that make up the spinal canal and to assess the relative importance of each component in the cause of spinal cord compression.
Materials and methodsCriteria for selection of cases. Cases were selected for inclusion in this study if they were examined at necropsy using frozen cross sections of the cervical spine and if the frozen sections actually demonstrated distortion of the spinal cord as proof of compression....