Back Bone Academy - Hamburg, Germany Written on 01 June 2015. What a great course and knowledgeable students to work with on diagnosing the pathology in the clinical setting and trimming to relieve the consequences of incorrect orthopaedic balance. Learning through the Back Bone Academy for veterinarians in Germany. Students (veterinarians) formulating their assessments of the structures involved. The assessments are ongoing before the vets have to formulate a treatment strategy. As the vets learn more of the orthopaedic principles they can formulate a trimming strategy for the individual animal. Diagnosing tendon alignment before treatment. How would this shoeing strategy influence the animal’s orthopaedic balance? Lena instructing in the principles of orthopaedic diagnosis.