Sacroiliac luxations in cats: Surgery or conservative treatment?

  • Ziya Yurtal Hatay Mustafa Kemal University, Veterinary Faculty, Department of Veterinary Surgery. Hatay, Turkey
  • Muhammed Enes Altuğ Hatay Mustafa Kemal University, Veterinary Faculty, Department of Veterinary Surgery. Hatay, Turkey
  • Cafer Tayer İşler Hatay Mustafa Kemal University, Veterinary Faculty, Department of Veterinary Surgery. Hatay, Turkey
  • Mehmet Zeki Yılmaz Deveci Hatay Mustafa Kemal University, Veterinary Faculty, Department of Veterinary Surgery. Hatay, Turkey
  • İbrahim Alakuş Hatay Mustafa Kemal University, Veterinary Faculty, Department of Veterinary Surgery. Hatay, Turkey
  • Ömer Kırgız Hatay Mustafa Kemal University, Veterinary Faculty, Department of Veterinary Surgery. Hatay, Turkey
  • Halil Alakuş Hatay Mustafa Kemal University, Veterinary Faculty, Department of Veterinary Surgery. Hatay, Turkey
  • Ufuk Kaya Hatay Mustafa Kemal University, Veterinary Faculty, Department of Biostatistics. Hatay, Turkey
Keywords: Cat, sacroiliac luxation, surgical treatment, conservative treatment

Abstract

Sacroiliac luxations constitute an important part of hip fractures. In the treatment phase, a choice should be made between surgical and conservative treatment. Which treatment option will yield more effective results depends on many variable factors. In the present study, some of these factors were mentioned and their effects on treatment and outcomes were evaluated. A total of 61 cats, 26 female and 35 male, of various breeds and ages, were included in the study. The mean age of the cats included in the study was 16 months. The mean weight of the cats was 2.87 kg. Cases were categorized as ages, ≤6, 7-12, and ≥13 months of age. In addition, the success criteria of etiological causes, luxation type, and concomitant traumas on decision and outcomes were evaluated. Conservative treatment was preferred more in all age groups and success rates were higher than those of surgery. Conservative treatment was preferred in both genders, and the recovery rate was higher in males than that in females. Regardless of the cause of the trauma, more conservative treatment was preferred, and the rate of good recovery was higher in high-rise falls. Even if there was traumatic injury in addition to sacroiliac luxation, conservative treatment was preferred and the rate of good recovery was higher in cases without concomitant traumatic injury. As a result; age, gender, luxation type and concomitant traumatic injury were not statistically significant on treatment choice. However, good recovery was statistically significant in cases without concomitant traumatic injury.

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References

ALTUNATMAZ, K; AKSOY, Ö; ÖZSOY, S. Kedi Ve Köpeklerde Ossa Coxae Kırıkları Ve Bunlarla Eş Zamanlı Şekillenen Ortopedik Lezyonların Radyografik Olarak Değerlendirilmesi (1992-2002): 621 Olgu. İstanbul Üniv. Vet. Fak. Derg. 30: 1-9. 2004.

AVERILL, S.M; JOHNSON, A.L; SCHAEFFER, D.J. Risk factors associated with development of pelvic canal stenosis secondary to sacroiliac separation: 84 cases (1985-1995). J. Am. Vet. Med. Assoc. 211(01): 75–78. 1997.

BIRD, F.G; DE VICENTE, F. Conservative management of sacroiliac luxation fracture in cats: medium-to long-term functional outcome. J. Feline Med. Surg. 22(6): 575-581. 2020.

BOOKBINDER, P.F.; FLANDERS, J.A. Characteristics Of Pelvic Fracture İn The Cat: A 10 Year Retrospective Review. Vet. Comp. Orthop. Traumatol. 5: 122-127. 1992.

BORER, L.R; VOSS, K; MONTAVON, P.M. Ventral abdominal approach for screw fixation of sacroiliac luxation in cadavers of cats and dogs. Ame. J. Vet. Res. 69: 542–548. 2008.

BURGER, M; FORTERRE, F; BRUNNBERG, L. Surgical anatomy of the feline sacroiliac joint for lag screw fixation of sacroiliac fracture-luxation. Vet. Comp. Orthop. Traumatol. 17: 146–151. 2004.

DeCAMP, C.E. Fractures of the Pelvis. In: DeCamp, C.E.; Johnston, S.A.; Dejardin, L.M.; Schaefer, S.L. (Eds.). Brinker Piermattei, and Flo’s Handbook of Small Animal Orthopedics and Fracture Repair. 5th. Ed. Elsevier, St Louis, France. Pp 437-467. 2016.

ERGİN, İ.; ŞENEL, O.O.; ÖZDEMİR, Ö.; ULUSAN, S.; BİLGİLİ, H. Evaluation And Surgical Treatment Of Sacroiliac Fracture-Luxations İn 28 Cats And 25 Dogs. Ankara Üniv. Vet. Fak. Derg. 63: 127-136. 2016.

FAURON, AH; DÉJARDİN, LM. Sacroiliac luxation in small animals: treatment options. Companion Anim. 23(6): 322-332. 2018.

FİSCHER, A; BİNDER, E; REİF, U; BİEL, M; BOKEMEYER, J, KRAMER, M. 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. 2012.

JOHNSON, A.L; HULSE, D.A. Management of Specific Fracture. In: Fossum, T.W. (Ed.). Small Animal Surgery. 2nd. Ed. Elsevier, São Paulo, Brazil. Pp 971-983. 2005.

KADERLY, R.E. Stabilization of bilateral sacroiliac fracture-luxations in small animals with a single transsacral screw. Vet. Surg. 20: 91–96. 1991.

MEESON, R; CORR, S. Management of pelvic trauma: Neurological damage, urinary tract disruption and pelvic fractures. J. Feline Med. Surg. 13: 347–361. 2011.

MESQUITA, L.R; MUZZI, L.A.L; SILVA, W.G; MUZZI, R.A.L; GİANNİCO, A.T. Pelvic Fractures in Small Animals: Retrospective Study of the Cases Assisted in the Veterinary Hospital of the Federal University of Lavras From January 2001 to July 2008. World Small Animal Veterinary Association World Congress Proceedings. São Paulo State, 07/21-24. Brazil. Pp 31-33. 2009.

PARSLOW, A; SIMPSON, D.J. Bilateral sacroiliac luxation fixation using a single transiliosacral pin: surgical technique and clinical outcomes in eight cats. J. Small Anim. Pract. 58(6): 330-336. 2017.

PIERMATTEI, D.L; FLO, G.L.; DECAMP, C.E. Part I: Diagnosis and treatment of fractures, lameness, and joint disease. Brinker, Piermattei, and Flo’s Handbook of Small Animal Orthopedics and Fracture Repair. 4th. Ed. Philadelphia, PA: WB Saunders. Pp 433-459. 2006.

PIERMATTEI, D.L; JOHNSON, K.A. Section VI – The Pelvis and Hip Joint. An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. 4th. Ed. Philadelphia, Pennsylvania: Saunders. Pp 221-262. 2004.

PRATESI, A; GRIERSON, J.M; MOORES, A.P. Single transsacral screw and nut stabilization of bilateral sacroiliac luxation in 20 cats. Vet. Comp. Orthop. Traumat. 31(01): 44-52. 2018.

RAFFAN, P.J.; JOLY, C.L.; TIMM, P.G.; MILES, J.E. A tension band technique for stabilisation of sacroiliac separations in cats. J. Small Anim. Pract. 43: 255–260. 2002.

SHALES, C.J; MOORES, A; KULENDRA, E; WHITE, C; TOSCANO, M; LANGLEY-HOBBS, S.J. Stabilization of sacroiliac luxation in 40 cats using screws inserted in lag fashion. Vet. Surg. 9(6): 696-700. 2010.

SHALES, C.J; WHITE, L; LANGLEY-HOBBS, S.J. Sacroiliac luxation in the cat: defining a safe corridor in the dorsoventral plane for screw insertion in lag fashion. Vet. Surg. 38: 343–348. 2009.

SILVEIRA, F.; QUINN, R.J.; ADRIAN, A.M.; OWEN, M.R.; BUSH, M.A. Evaluation of the use of intra-operative radiology for open placement of lag screws for the stabilization of sacroiliac luxation in cats. Vet. Comp. Orthop. Traumatol. 30(01): 69-74. 2017.

TOMLINSON, J. Minimally invasive repair of sacroiliac luxation in small animals. Vet. Clin. North Ame. Small Anim. Pract. 42: 1069–1077. 2012.

ÜNSALDI, E. Kedilerde Pelvis Kırıklarının Osteosentez İle Sağaltımı. Ankara Üniversitesi Veteriner Fakültesi Dergisi. 42(2): 129-138. 1995.

WITTE, P; SCOTT, H. Conditions of the feline pelvic region. In Pract. 34: 498-511. 2012.

YURTAL, Z; DEVECİ, M.Z.Y; ALAKUŞ, İ; KIRGIZ, Ö; ALAKUŞ, H; İŞLER, C.T; ALTUG, M.E. Prevalence Of Pelvic Fractures In Cat And Dogs: A Retrospectıve Study In 183 Cases (2016-2020). J. Advan. Vetbio Sci. Tech. 7(1): 109-114. 2022.

Published
2022-08-01
How to Cite
1.
Yurtal Z, Altuğ ME, İşler CT, Deveci MZY, Alakuş İbrahim, Kırgız Ömer, Alakuş H, Kaya U. Sacroiliac luxations in cats: Surgery or conservative treatment?. Rev. Cient. FCV-LUZ [Internet]. 2022Aug.1 [cited 2024May20];32:1-. Available from: https://www.produccioncientificaluz.org/index.php/cientifica/article/view/38554
Section
Veterinary Medicine