Felis ISSN 2398-2950

Sacroiliac luxation: repair

Contributor(s): James Cook, Andrew Gardiner, J Yovich

Introduction

  • Surgical reduction and fixation of sacroiliac luxation.

Uses

  • Repair of the sacroiliac joint after traumatic disruption Sacroiliac luxation, usually a hit by car (HBC), when there is significant narrowing of the pelvic canal or severe pain unresponsive to analgesia.
  • Unstable weight bearing segment resulting from displacement.
  • Deficits attributable to lumbosacral trunk present.

Advantages

  • Early return to function as well as reduction in the pain caused by luxation.

Disadvantages

  • Requires general anesthesia in a cat which may have concomitant traumatic complications.
  • Surgical correction can be relatively time consuming and therefore expensive.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Generally excellent.
  • An early return to function can be expected.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Tomlinson J, Cook J L, Payne J T et al (1999) Closed reduction and lag screw fixation for sacroiliac luxations and fractures. Vet Surg 28 (3), 188-193 PubMed.
  • DeCamp C E (1992) Principles of pelvic fracture management. Seminars in Veterinary Medicine and Surgery (Small Animals) (1), 63-70 PubMed.
  • Schrader S C (1992) Pelvic osteotomy as a treatment for obstipation in cats with acquired stenosis of the pelvic canal - six cases (1978-1989). JAVMA 200 (2), 208-213 PubMed.
  • Radasch R M, Merkley D F, Hoefle W D et al (1990) Static strength evaluation of sacroiliac fracture-separation repairs. Vet Surg 19 (2), 155-61 PubMed.


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