Mid-Thoracic Spinal Injuries during Horse Racing: Report of 3 Cases and Review of Causative Factors and Prevention Measurements

We report three cases of a rare pattern of mid-thoracic spine injuries after horse racing falls and discuss possible causative factors and prevention measurements to reduce injury rates in professional riding and racing. Three patients, 2 male and 1 female with a mean age of 28 years old, underwent...

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Main Authors: Ioannis Triantafyllopoulos, Andreas Panagopoulos, George Sapkas
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2013/715409
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author Ioannis Triantafyllopoulos
Andreas Panagopoulos
George Sapkas
author_facet Ioannis Triantafyllopoulos
Andreas Panagopoulos
George Sapkas
author_sort Ioannis Triantafyllopoulos
collection DOAJ
description We report three cases of a rare pattern of mid-thoracic spine injuries after horse racing falls and discuss possible causative factors and prevention measurements to reduce injury rates in professional riding and racing. Three patients, 2 male and 1 female with a mean age of 28 years old, underwent surgical treatment for mid-thoracic fractures after professional equestrian activities. The ASIA scale was E in one patient, B in the other one and A in the third. Multilevel posterior fusion was used in two patients and somatectomy plus fusion in the other. Follow up evaluation included changing of the ASIA scale, functional outcome and participation in equestrian activities. One patient fully recovered after surgery. Two patients remained paraplegic despite early surgical treatment and prolonged rehabilitation therapy. All patients had ended their professional equestrian career. This report analyzes possible mechanisms of injury and the pattern of mid-thoracic spine fractures after professional horse riding injuries. Despite skill improvements and continued safety education for horse riding, prophylactic measures for both the head and the spine should be refined. According to our study, additional mid-thoracic spinal protection should be added.
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spelling doaj-art-dc350c042e2f43ff8d4654f9e924dcce2025-02-03T06:13:23ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/715409715409Mid-Thoracic Spinal Injuries during Horse Racing: Report of 3 Cases and Review of Causative Factors and Prevention MeasurementsIoannis Triantafyllopoulos0Andreas Panagopoulos1George Sapkas2Orthopaedic Department, Metropolitan Hospital, Athens, GreeceOrthopaedic Department, University of Patras, Papanikolaou Street, Rio, 26504 Patras, GreeceOrthopaedic Department, Metropolitan Hospital, Athens, GreeceWe report three cases of a rare pattern of mid-thoracic spine injuries after horse racing falls and discuss possible causative factors and prevention measurements to reduce injury rates in professional riding and racing. Three patients, 2 male and 1 female with a mean age of 28 years old, underwent surgical treatment for mid-thoracic fractures after professional equestrian activities. The ASIA scale was E in one patient, B in the other one and A in the third. Multilevel posterior fusion was used in two patients and somatectomy plus fusion in the other. Follow up evaluation included changing of the ASIA scale, functional outcome and participation in equestrian activities. One patient fully recovered after surgery. Two patients remained paraplegic despite early surgical treatment and prolonged rehabilitation therapy. All patients had ended their professional equestrian career. This report analyzes possible mechanisms of injury and the pattern of mid-thoracic spine fractures after professional horse riding injuries. Despite skill improvements and continued safety education for horse riding, prophylactic measures for both the head and the spine should be refined. According to our study, additional mid-thoracic spinal protection should be added.http://dx.doi.org/10.1155/2013/715409
spellingShingle Ioannis Triantafyllopoulos
Andreas Panagopoulos
George Sapkas
Mid-Thoracic Spinal Injuries during Horse Racing: Report of 3 Cases and Review of Causative Factors and Prevention Measurements
Case Reports in Orthopedics
title Mid-Thoracic Spinal Injuries during Horse Racing: Report of 3 Cases and Review of Causative Factors and Prevention Measurements
title_full Mid-Thoracic Spinal Injuries during Horse Racing: Report of 3 Cases and Review of Causative Factors and Prevention Measurements
title_fullStr Mid-Thoracic Spinal Injuries during Horse Racing: Report of 3 Cases and Review of Causative Factors and Prevention Measurements
title_full_unstemmed Mid-Thoracic Spinal Injuries during Horse Racing: Report of 3 Cases and Review of Causative Factors and Prevention Measurements
title_short Mid-Thoracic Spinal Injuries during Horse Racing: Report of 3 Cases and Review of Causative Factors and Prevention Measurements
title_sort mid thoracic spinal injuries during horse racing report of 3 cases and review of causative factors and prevention measurements
url http://dx.doi.org/10.1155/2013/715409
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