Evidence map›Paper›PMID 40348603›Full record

ArticleEquine veterinary journal2026

Analysis of different techniques for injection of the interspinal space in horses.

Dorothea Tress, Simon Hennessy, Roswitha Merle, Katharina Charlotte Jensen, Christoph Lischer, Anna Ehrle

Abstract read
In one paragraph

Article in Equine veterinary journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Impinging and Overriding Spinous Processes in Horses: A Narrative Review.Animals : an open access journal from MDPI · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dorothea TressEquine Clinic, Veterinary Hospital, School of Veterinary Medicine, Freie Universität Berlin, Berlin, Germany.ORCID https://orcid.org/0009-0002-1761-4407
Simon HennessyAnglesey Lodge Equine Hospital, Kildare, Ireland.
Roswitha MerleInstitute of Veterinary Epidemiology and Biostatistics, School for Veterinary Medicine, Freie Universität Berlin, Berlin, Germany.
Katharina Charlotte JensenInstitute of Veterinary Epidemiology and Biostatistics, School for Veterinary Medicine, Freie Universität Berlin, Berlin, Germany.
Christoph LischerEquine Clinic, Veterinary Hospital, School of Veterinary Medicine, Freie Universität Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0001-7070-1978
Anna EhrleEquine Clinic, Veterinary Hospital, School of Veterinary Medicine, Freie Universität Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImpingement of spinous processes (SPs) is commonly diagnosed in the equine athlete. For diagnostic and therapeutic purposes, local injections are performed at the level of the space between adjacent spinous processes in affected horses.

objectivesTo assess the accuracy of different techniques for the local injection of the interspinal space in the equine thoracolumbar spine. STUDY

designEx vivo experimental study.

methodsEquine thoracolumbar spine specimens were used to compare three techniques for needle insertion (midline; bilateral abaxial; unilateral oblique), two needles (20G-1½″; 20G-3½″) and two volumes (5 mL; 20 mL) for local injection of the interspinal space. Additionally, needle insertion based on radiographic, ultrasonographic guidance, or palpation was assessed. Computed tomographic analysis and anatomical dissection were performed to evaluate the distribution of the injected volume.

resultsThe most accurate injection of the interspinous ligament was achieved when the midline injection method using a 20G-1½″ short needle and a volume of 5 mL was used. Wide distribution of the injected volume was observed when the bilateral abaxial injection technique was utilised. The unilateral oblique injection technique led to significantly asymmetrical unilateral distribution of the injectate. Radiographic guidance did not increase the accuracy of the injection.

conclusionThe midline injection method is the most reliable technique for the targeted injection of the thoracolumbar interspinal space.

Indexed as

Horse DiseasesInjections, SpinalLumbar VertebraeThoracic VertebraeAnimalsHorsesbackcomputed tomographyhorseinjectioninterspinous ligamentspinous processes

Identifiers

PMID40348603
PMCPMC12699103

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.