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Its dorsal section extends from the occipital protuberance of the skull (the poll) to the withers, then narrows to become the supraspinous ligament.
Above the seventh cervical vertebrae, the supraspinous ligament is continuous with the ligamentum nuchae.
The mechanism of injury is believed to be secondary to muscle pull and reflex with force transmission through the supraspinous ligaments.
In contrast to traditional laminectomy, the lamina, spinous process, inter- and supraspinous ligaments are preserved.