Stabilization of 82 sacroiliac luxations in 67 cats using two sacroiliac screws (2014-2023).

IF 1.3 2区农林科学 Q2 VETERINARY SCIENCES

Veterinary Surgery Pub Date : 2024-11-01 Epub Date: 2024-10-07 DOI:10.1111/vsu.14167

Kevin R L Schreiber, Alexandre Thibault, Martin Hamon, Philippe Haudiquet

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引用次数: 0

Abstract

Objective: To describe sacroiliac luxation stabilization in cats using two screws and to report clinical and radiographic short-term outcomes.

Study design: Retrospective clinical cohort study.

Sample population: Cats (n = 67) with sacroiliac luxation.

Methods: Case records of cats presented for sacroiliac luxation stabilized using two screws per side affected, one lag and one positional, between 2014 and 2023 were reviewed. The percentage of sacral purchase (PoSP) for each screw, percentage of reduction (PoR), and pelvic canal width ratio (PCWR) were measured and calculated.

Results: Eighty-two sacroiliac luxations were stabilized. Two 2.0 mm screws were used in 69 cases; two 2.4-mm screws in nine cases, and one 2.4 mm with one 2.0 mm screw in four cases. The mean PoSPs for lag and positional screws were 46% ± 12 and 31% ± 11, respectively. The median PoR was 89% (41 to 100). The mean PCWR was 1.23 ± 0.11. Clinical follow up was available for 42 cats with 53 sacroiliac luxations at a median of 87 days (36 to 2503). The full function was noted in 34 patients (81%). Screw failure occurred in five sacroiliac joints (4.7%), including loosening (n = 3), and breakage (n = 2) of the positional screws (n = 1). Pelvic canal diameter was maintained in all cases.

Conclusion: Excellent functional and radiographic outcomes were obtained for cats with sacroiliac luxation stabilized with two sacroiliac screws.

Clinical significance: Feline sacroiliac luxation can be stabilized using two sacroiliac screws.

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使用两枚骶髂螺钉稳定 67 只猫的 82 处骶髂关节松弛（2014-2023 年）。

目的：描述使用双螺钉稳定猫骶髂关节松弛的方法，并报告临床和影像学短期疗效：描述使用两枚螺钉稳定猫骶髂关节松弛的情况，并报告临床和影像学短期疗效：研究设计：回顾性临床队列研究：样本人群：患有骶髂关节松弛症的猫咪（n = 67）：回顾2014年至2023年期间因骶髂关节松弛而就诊的猫的病例记录，每侧患侧使用两枚螺钉（一枚滞后螺钉和一枚定位螺钉）进行稳定。测量并计算了每颗螺钉的骶骨购买百分比（PoSP）、缩小百分比（PoR）和骨盆管宽度比（PCWR）：结果：共稳定了82个骶髂关节松弛。69例使用了两枚2.0毫米螺钉，9例使用了两枚2.4毫米螺钉，4例使用了一枚2.4毫米螺钉和一枚2.0毫米螺钉。滞后螺钉和定位螺钉的平均 PoSP 分别为 46% ± 12 和 31% ± 11。中位PoR为89%（41-100）。平均 PCWR 为 1.23 ± 0.11。对42只患有53处骶髂关节松弛的猫进行了临床随访，中位随访时间为87天（36至2503天）。34名患者（81%）恢复了全部功能。有5个骶髂关节（4.7%）发生了螺钉失效，包括定位螺钉松动（3个）和断裂（2个）（1个）。所有病例的骨盆管直径均保持不变：结论：使用两枚骶髂螺钉稳定骶髂关节松弛的猫获得了极佳的功能和影像学效果：临床意义：猫科动物的骶髂关节松弛可以用两根骶髂螺钉固定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary Surgery 农林科学-兽医学

CiteScore

3.40

自引率

22.20%

发文量

162

审稿时长

8-16 weeks

期刊介绍： Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.