Radiology and, more recently, scintigraphy are important ancillary diagnost
ic aids in the diagnosis of a horse with suspected back pain. Although the
image quality is restricted by the size of the patient, radiographs have be
en used for several decades. With the introduction of modern fast-screen fi
lm systems, the quality of the images has greatly improved. These imaging t
echniques allow assessment of the anatomy and physiology of structures in t
he spine that are difficult or impossible to palpate. This article reviews
the techniques and limitations of imaging the equine back, in addition to c
orrelating imaging results and clinical findings.