Transitional vertebra has been reported along of the spine in many researches focused especially on carnivores. The current study had the objectives to identify the presence of transitional lumbosacral and sacrocaudal vertebra in domestic mammals, to realize a comparative analysis of the localization and conformation of this abnormal condition. For this purpose the researches included animals belonging to next species: cow – 29 specimens, sheep – 32 specimens, horse – 31 specimens, pig – 26 specimens, rabbit – 33 specimens, dog – 89 specimens and cat – 57 specimens. The most of the animals, respectively their spine were analysed post mortem, after the dissection performed in the anatomy laboratory, except the dogs and 48 cats that were examined radiologically. The investigations revealed the presence of transitional vertebra in all species as follow: in cows – 3 cases (8,7%), all being about the lumbarization of first sacral vertebra (S1); in sheep – 3 cases (9,37%), two lumbarization cases of S1 and one caudalisation of S4 (the last sacral vertebra); in horses – 4 cases (12,9%), all about the sacralisation of Cd1 (first caudal vertebra); in pigs – 3 cases (11,53%), two lumbarisation cases of S1 and one sacralisation of Cd1; in rabbits – 3 cases (9,09%), a lumbar supernumerary vertebra (L8) and two cases of caudalisation of S4; in dogs – 4 cases (4,49%), a lumbar supernumerary vertebra (L8) and 3 cases of sacralisation of last lumbar vertebra (L7 or L8); in cats – 3 cases (5,26%), two sacralisation cases of last lumbar vertebra and one caudalisation of last sacral vertebra (S3). A strong lumbarization process was observed in ruminants (especially in cows), then in pigs, the sacralisation being prevalent in carnivores. The sacrocaudal transitional vertebrae was predominant in horses, but occurred as an ossification process especially in old animals.

Background and objectives Osteoporotic vertebral compression fractures, particularly prevalent among the aging population, constitute a pressing global healthcare challenge. They often are unnoticed until severe pain and disability manifest, making them an underdiagnosed and undertreated condition. Patients who suffer from these fractures not only endure excruciating pain but also face diminished quality of life, impaired mobility, and the risk of respiratory compromise due to altered spinal alignment. The economic repercussions of vertebral compression fractures are substantial. Hospitalization costs, rehabilitation expenses, long-term care, and indirect costs related to lost productivity significantly burden healthcare systems and society at large , offering a promising avenue for enhancing patient outcomes and relieving the healthcare and societal financial strain posed by vertebral compression fractures. Kyphoplasty, a minimally invasive surgical technique, offers rapid pain relief, vertebral height restoration and improved function. Recognizing the importance of early intervention, this manuscript highlights the potential of kyphoplasty in mitigating both clinical and economic consequences. By addressing these fractures more effectively, kyphoplasty may potentially reduce long-term healthcare expenses and indirect costs. Material and Methods 66 randomized patients were divided into 2 treatment groups (kyphoplasty using single balloon and double balloon), analyzing radiographic and clinical parameters during 12 months of follow-up. Results Patients treated with double balloon obtained greater anterior and posterior vertebral height after reduction and a better local vertebral angle. Both groups of patients obtained clinical improvement after treatment (VAS and ODI), with no differences between the groups. Conclusion Patients treated with double balloon kyphoplasty had better radiographic results. This revision manuscript delves into the critical dimensions of these fractures, encompassing demographics, clinical consequences, challenges in diagnosis and management, and their profound economic impact. This manuscript serves to introduce an improved kyphoplasty technique to guide to the multifaceted nature of osteoporotic vertebral compression fractures and their management.

This study examined the ventral process of C6 in extinct and extant Equus (sister taxa to Equus ferus caballus only) with the purpose of describing normal morphology and identifying anomalous variations relevant to recent studies describing a congenital malformation in E. ferus caballus. Overall, 83 specimens from 9 museums and 3 research/educational facilities were examined – 71 extinct specimens from 12 species and 12 extant specimens from 5 species. The lateral view revealed a large convexity existed in the ventral process between the cranial ventral tubercle (CrVT) and the caudal ventral tubercle (CVT) in the earliest ancestor Hyracotherium grangeri 55mya that receded throughout the millennia to a smaller convexity in E. ferus caballus and sister taxa. The CrVT was visibly shorter and narrower than the CVT with a constricted section directly ventral to the transverse process essentially demarcating the CrVT and CVT. No congenital malformations were evident. As the ventral process of C6 is an integral component for muscle attachment in supporting the head/neck during posture and locomotion, this would indicate the caudal module in the cervical column might be compromised when a partial or complete absence of the CVT is detected via radiographs in modern E. ferus caballus.