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Anatomical variations of the caudal ventral lamina of the sixth cervical vertebra (C6), referred to as equine caudal cervical morphologic variations (ECCMV), and radiographic modelling of the caudal cervical articular process joints (APJ) are commonly identified in sport horses, yet their interrelationship and relevance for athletic performance remain controversial. This retrospective observational study aimed to determine the prevalence of ECCMV and APJ modelling in a clinically sound warmblood sport horse population, to evaluate a potential association and to assess if ECCMV affects competition performances. Records of 200 warmbloods, presented for pre-purchase examination between 2020 and 2024 were reviewed: the predominant breed was Hanoverian (n = 131), followed by Oldenburg (n = 27) and Holsteiner (n = 22), including 127 geldings, 61 mares and 12 stallions with a median age of 5. ECCMV was diagnosed on latero-lateral radiographs if the caudal ventral lamina of C6 was uni- or bilaterally absent, and APJ modelling at C6/C7 was graded as either normal or mild or moderate to severe. Competition placings and lifetime earnings of each horse were collected from the German National Equestrian Federation database. ECCMV was found in 30% of horses and APJ modelling in 32.5% (mild 26.5%, moderate/severe 6%). There was no significant association between the presence of ECCMV, APJ alterations and competition results, but horses with ECCMV were less likely to exhibit radiographic changes in the adjacent APJ compared to those with a normal C6 morphology (23.3% vs. 36.4%). In conclusion, ECCMV is a common anatomical variation in clinically sound warmbloods, neither predisposing them to APJ modelling nor limiting athletic performance. Full article

Equine Caudal Cervical Morphologic Variation (ECCMV) is a congenital malformation of the caudal cervical spine distinct from the more commonly recognized Cervical Vertebral Stenotic Myelopathy (CVSM). The most common presentation of ECCMV is recognized on the sixth cervical vertebra (C6). In “normal” presentations, the transverse processes on the left and right sides have a caudal lamina projecting ventrally below the caudal vertebral body in a heel shape. With ECCMV, variations occur to the structure of the caudal ventral lamina on one or both sides of C6 and may include the seventh cervical (C7) and first thoracic (T1) vertebrae and ribs, in varying configurations. Whereas the prevalence of ECCMV is not known, it has been recognized for many years and has been reported to occur with relatively high frequency within multiple populations of domesticated horses. To date, there is no documented link between the occurrence of ECCMV and clinical signs. However, based on retrospective studies, multiple authors have recognized the potential impact on performance that this condition may have. Establishing a reliable radiographic protocol for the consistent diagnosis of ECCMV would allow quantitative, scientific evaluation of the problem and support clinicians working in this field. We present a radiographic technique, which has been illustrated by diagnosis of ECCMV in three horses and confirmation of the diagnoses in two cases via postmortem examination. Full article