## Overview Withers fracture is a break of the dorsal spinous processes, usually from the horse flipping over backward. Multiple processes are often involved, most commonly around the sixth. Severe pain and swelling prevent saddling. Secondary infection can lead to fistulous withers. Radiographs confirm the fractures. Most heal with rest, though the contour of the withers may change. ## Causes Falling or flipping over. Rarely from chronic saddle pressure. ## Diagnosis Radiographs. Separate centers of ossification should not be mistaken for fractures. ## Treatment Rest and pain management. Surgical removal of sequestra if infection develops. ## Recovery and Prognosis Good for uncomplicated fractures. Fistulous withers worsens the outlook. ## Prevention Safe handling to reduce rearing and falling.
severe pain and swelling over the withers; inability to be saddled; fistulous withers if infected; confirmed on radiographs
## Overview Withers fracture is a break of the dorsal spinous processes, usually from the horse flipping over backward. Multiple processes are often involved, most commonly around the sixth. Severe pain and swelling prevent saddling. Secondary infection can lead to fistulous withers. Radiographs confirm the fractures. Most heal with rest, though the contour of the withers may change. ## Causes Falling or flipping over. Rarely from chronic saddle pressure. ## Diagnosis Radiographs. Separate centers of ossification should not be mistaken for fractures. ## Treatment Rest and pain management. Surgical removal of sequestra if infection develops. ## Recovery and Prognosis Good for uncomplicated fractures. Fistulous withers worsens the outlook. ## Prevention Safe handling to reduce rearing and falling.
severe pain and swelling over the withers; inability to be saddled; fistulous withers if infected; confirmed on radiographs