## Overview Fractures of the dorsal spinous processes in the withers region are uncommon and usually result from direct trauma (falling over backward or impact). They produce acute pain, swelling, and reluctance to move the neck or accept a saddle. ## Causes Direct trauma. ## Diagnosis Radiographs of the withers. Clinical signs of focal pain after trauma. ## Treatment Most are managed conservatively with rest and anti-inflammatories. Severely displaced or unstable fragments may be removed surgically. ## Recovery and Prognosis Generally good. Residual prominence or sensitivity can affect saddle fit. ## Prevention Trauma avoidance.
acute pain and swelling over the withers after trauma; reluctance to lower the head or be saddled; radiographic fracture
## Overview Fractures of the dorsal spinous processes in the withers region are uncommon and usually result from direct trauma (falling over backward or impact). They produce acute pain, swelling, and reluctance to move the neck or accept a saddle. ## Causes Direct trauma. ## Diagnosis Radiographs of the withers. Clinical signs of focal pain after trauma. ## Treatment Most are managed conservatively with rest and anti-inflammatories. Severely displaced or unstable fragments may be removed surgically. ## Recovery and Prognosis Generally good. Residual prominence or sensitivity can affect saddle fit. ## Prevention Trauma avoidance.
acute pain and swelling over the withers after trauma; reluctance to lower the head or be saddled; radiographic fracture