Interpreting cervical radiographs in horses

Background : Radiography is readily accessible and is the primary imaging technique for assessing the cervical region in standing horses. Ataxia, neck pain and/or stiffness, alongside reduced performance, are some potential clinical manifestations of cervical region pathology. The more common radiographic diagnoses include equine cervical articular process joint osteoarthropathy, wobbler syndrome (or cervical vertebral stenotic myelopathy), osteochondrosis (or osteochondral fragmentation) and less frequently traumatic fracture. The complex anatomy and inconsistencies in radiographic interpretation in this region have been acknowledged; however, careful radiographic study can reveal a variety of pathologies potentially ‘held hostage’ by a superficial assessment. Aim of the article : This article aims to help the reader develop a sound understanding of cervical radiographic technique, including patient positioning, projections, collimation and equipment considerations. The authors encourage a systematic evaluation of cervical radiographs to identify common pathologies and emphasise the importance of integrating radiographic findings with clinical examinations – especially in subtle or prepurchase cases.