Conservative management of sacroiliac luxation fracture in cats: medium- to long-term functional outcome

Abstract

Objectives The aim of this study was to determine the functional medium- to long-term outcome for cats with a conservatively managed sacroiliac luxation fracture (SILF). Methods Inclusion criteria were conservative management of SILF in cats with no other concurrent fractures of the pelvic weightbearing axis and availability of radiographs for review. Radiographic measurements of percentage displacement of the sacroiliac joint and the sacral index were obtained and fracture configuration was assessed. A specific owner questionnaire was completed a minimum of 6 months after the injury. The questionnaire assessed the ability of the cat to perform normal activities, the time to recovery, any behavioural changes and any requirement for long-term analgesia. Results Seventeen cats met the inclusion criteria, and 13 owners completed the questionnaire. Twelve cats had an excellent outcome, with no difficulty performing normal activities. One cat had a good outcome, with slight or occasional difficulty performing normal activities. Conclusions and relevance Our study provides evidence to support the current guidelines of conservative management of SILF. The inherent bias of case selection in our population implies that this treatment cannot be recommended for all cases of SILF.

Beckenfrakturen bei Hund und Katze: Wann ist eine Operation notwendig und sinnvoll?

“…Weiterhin sollte die Ausrichtung des Hüftgelenks berücksichtigt werden. Ist diese deutlich verändert, ist ebenfalls eine OP indiziert 9 .…”

Computed Tomographic Evaluation of the Accuracy of Minimally Invasive Sacroiliac Screw Fixation in Cats

“…1,4,6 Bilateral sacroiliac luxation may occur without other concurrent pelvic injuries, resulting in cranial displacement of the otherwise intact pelvis. 1,6 Treatment options for sacroiliac luxation include conservative management 7 or surgical repair. Surgical repair of sacroiliac luxation restores anatomical alignment and force transmission through the joint, leading to early ambulation.…”

“…Treatment options for sacroiliac luxation include conservative management 7 or surgical repair. Surgical repair of sacroiliac luxation restores anatomical alignment and force transmission through the joint, leading to early ambulation.…”

Repeatability and accuracy of a novel, quantitative radiographic method for differentiating normal canine sacroiliac joints from joints with subluxation or luxation: Pilot study

“…This study measured the total length of the articular surface of the sacrum and compared it to the length that was incongruent with the SI joint. 7 While current protocols for the diagnosis of SI subluxation/luxation may be adequate for veterinarians familiar with the normal appearance of the pelvis on radiographs, it still relies on a subjective evaluation. The attempt to develop a more objective diagnostic tool to help improve diagnostic accuracy is supported by advances in technology that allow most current commercial DICOM viewers to measure angles.…”

“…Only one published study in feline patients has quantified SI subluxation/luxation objectively by measurement of the percentage of joint displacement. This study measured the total length of the articular surface of the sacrum and compared it to the length that was incongruent with the SI joint 7 . While current protocols for the diagnosis of SI subluxation/luxation may be adequate for veterinarians familiar with the normal appearance of the pelvis on radiographs, it still relies on a subjective evaluation.…”