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Over riding or impinging dorsal spinous processes, (colloquially known as “Kissing Spines”), can be a cause of back pain in the horse. In this condition the normal spaces between the spinous processes of the horse’s vertebral column are reduced and in some horses pain can arise from the bone-to-bone contact and disruption to the ligament between the processes. Historically the surgical procedure was performed under general anaesthesia through a large incision. At B&W the majority of these surgeries are now performed standing through several small incisions. The horse is sedated and after injecting local anesthetic small incisions are made through the skin over the affected processes under X-ray guidance. The front of each affected process is then removed. Following this the incisions are closed with absorbable sutures under the skin and skin staples. The surgical site is then covered with a sticky dressing. At B&W Equine Hospital the surgery is performed by one of two specialist surgeons assisted by a team of nurses. Songs by TELL YOUR STORY music by ikson™ Link: https://ikson.com/tell-your-story