Sakroiliak kırık-luksasyonların 28 kedi ve 25 köpekte değerlendirilmesi ve cerrahi sağaltımı

Abstract

Bu çalışmada, kedi ve köpeklerde sakroiliak kırık-luksasyonların klinik ve radyografik olarak değerlendirilerek, tek veya çift taraflı vida fiksasyon tekniği ile sağaltımı ve sonuçlarının ortaya konulması amaçlandı. Çalışma materyalini, ağrı, arka bacaklarının bir veya ikisini hareket ettirmede isteksizlik ve/veya arka bacaklarını sürükleme şikayetiyle kliniğe getirilen kedi (n=28) ve köpekler (n=25) oluşturdu. Tüm hayvanlardan pelvik bölge radyografisi alındı. Sakroiliak kırık-luksasyonlar ve pelvik çatı kırıkları değerlendirilerek operasyona karar verildi. Cerrahi sağaltım olarak tek veya çift taraflı vida fiksasyonu uygulandı. Diğer pelvik kemik kırıklarının pin ve/veya Kirshner telleri ile stabilizasyonu sağlandı. Postoperatif klinik ve radyografik bulgular değerlendirildiğinde, vida ile stabilizasyon uygulamasının tatmin edici olduğu sonucuna varıldı. Hayvanlar kullanılan implanta iyi uyum sağladı ve herhangi bir komplikasyon görülmedi

Keywords

• Kedi
• köpek
• sakroiliak kırık-luksasyon
• vida fiksasyon

Evaluation and surgical treatment of sacroiliac fracture-luxations in 28 cats and 25 dogs

Abstract

The aim of this study was to evaluate sacroiliac fracture-luxations clinically and radiographically, to treat with uni- or bilateral screw fixation and to describe surgical outcomes in cats and dogs. Cats (n=28) and dogs (n=25) which were brought to the clinic with complaints of pain, reluctance to move one or two hind limbs and/or dragging the hind limbs constituted the material of this study. Pelvic region radiographs were taken from all animals. Sacroiliac fracture-luxations and pelvic floor fractures were examined and surgery was decided. For surgical treatment, uni- or bilateral sacroiliac screw fixation was performed. Pelvic floor fractures were stabilized with pin and/or Kirschner wire fixation. According to postoperative clinical and radiographical findings, screw stabilization was found satisfactory. The animals compensated their implants very good and no complications were seen

Keywords

• Cat
• dog
• sacroiliac fracture-luxation
• screw fixation

References

1. 1. Averill SM, Johnson AL, Schaeffer DJ (1997): Risk factors associated with the development of pelvic canal stenosis secondary to sacroiliac separation: 84 cases. J Am Vet Med Assoc, 211, 75-78.
2. 2. Bilgili H, Çaptuğ Ö (2006): Treatment of bilateral sacroiliac luxation in a cat with double-sided screw application. Veteriner Cerrahi Dergisi, 12, 45-47.
3. 3. Bookbinder PF, Flanders JA (1992): Characteristics of pelvic fracture in the cat: A 10 year retrospective review. Vet Comp Orthop Traumatol, 5, 122-127.
4. 4. Bowlt KL, Shales CJ (2011): Canine sacroiliac luxation: Anatomic study of the craniocaudal articular surface angulation of the sacrum to define a safe corridor in the dorsal plane for placement of screw used for fixation in lag fashion. Vet Surg, 40, 22-26.
5. 5. Burger M, Forterre F, Brunnberg L (2004): Surgical anatomy of the feline sacroiliac joint for lag screw fixation of sacroiliac fracture-luxation. Vet Comp Orthop Traumatol, 17, 146-151.
6. 6. Decamp CE, Braden TD (1985): The surgical anatomy of the canine sacrum for lag screw fixation of the sacroiliac joint. Vet Surg, 14, 131-134.
7. 7. Fischer A, Binder E, Reif U, Biel M, Bokemeyer J, Kramer M (2012): Closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm cannulated screws-a cadaveric study. Vet Comp Orthop Traumatol, 25, 22-27.
8. 8. Jacobson A, Schrader SC (1987): Peripheral nerve injury associated with fracture or fracture-dislocation of the pelvis in dogs and cats: 34 cases (1978-1982). J Am Vet Med Assoc, 190, 569-572.

9. 9. Kaderly R (1991): Stabilization of sacroiliac fractureluxations in small animals with a single transsacral screw. Vet Surg, 20, 91-96.
10. 10. Montavon PM, Boudrieau RJ, Hohn RB (1985): Ventrolateral approach for repair of sacroiliac fracturedislocation in the dog and cat. J Am Vet Med Assoc, 186, 1198-2001.
11. 11. Piermattei DL, Flo GL (1997): Sacroiliac fractureluxation. In: Piermattei DL, Flo GL (Eds), Brinker, Piermattei, and Flo’s Handbook of Small Animal Orthopaedics and Fracture Treatment. W.B. Saunders Company, Philadelphia.
12. 12. Piermattei DL, Jhonson K (2004): Atlas of surgical approaches to the bones of the dog and cat. 277-289, WB Saunders, Philadelphia.
13. 13. Raffan PJ, Joly CL, Timm PG, Miles JE (2002): A tension band technique for stabilisation of sacroiliac separations in cats. J Small Anim Pract, 43, 255-260.
14. 14. Schrader SC (1992): Pelvic osteotomy as a treatment for obstipation in cats with acquired stenosis of the pelvic canal: six cases (1978-1989). J Am Vet Med Assoc, 200, 208-213.
15. 15. Shales CJ, Langley-Hobbs SJ (2005): Canine sacroiliac luxation: anatomic study of dorsoventral articular surface angulation and safe corridor for placement of screws used for lag fixation. Vet Surg, 34, 324-331.
16. 16. Shales CJ, White L, Langley-Hobbs SJ (2009): Sacroiliac luxation in the cat: Defining a safe corridor in the dorsoventral plane for screw insertion in lag fashion. Vet Surg, 38, 343-348.
17. 17. Shales C, Moores A, Kulendra E, White C, Toscano M, Langley-Hobbs S (2010): Stabilization of sacroiliac luxation in 40 cats using screws inserted in lag fashion. Vet Surg, 39, 696-700.
18. 18. Tonks CA, Tomlinson JL, Cook JL (2008): Evaluation of closed reduction and screw fixation in lag fashion of sacroiliac fracture-luxations. Vet Surg, 37, 603-607.
19. 19. Voss K, Langley-Hobbs SJ, Borer L, Montavon PM (2009): Pelvis. In: Montavon PM, Voss K, Langley-Hobbs SJ (Eds), Feline orthopedic surgery and musculoskeletal disease. 423-441, Saunders-Elsevier, Philadelphia.
20. 20. Yap FW, Dunn AL, Farrell M, Calvo I (2014): Trans-iliac pin/bolt/screw internal fixation for sacroiliac luxation or separation in cats: six cases. J Feline Med Surg, 16, 354-362.