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Guidance for Horse Owners: From Diagnosis to Rehabilitation Kissing spine, medically referred to as Overriding Dorsal Spinous Processes (ORDSP), is a condition in horses where the bony projections along the spine—known as dorsal spinous processes—become too close together or touch (“kiss”). This contact can cause pain, inflammation, and discomfort during movement, often leading to changes in behaviour, performance issues, and reluctance to work. Kissing spine most commonly af