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Vet Comp Orthop Traumatol 2004; 17(04): 210-215
DOI: 10.1055/s-0038-1633410
Clinical Communication
Schattauer GmbH

Trans-ilial and transsacral brace fixation of sacral fractures and sacro-iliac luxations (seven cases)

S. T. Kudnig
1   Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado, U.S.A
,
R. B. Fitch
1   Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado, U.S.A
› Author Affiliations
Further Information

Publication History

Received 23 March 2004

Accepted 27 September 2004

Publication Date:
07 February 2018 (online)

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Summary

Trans-ilial brace fixation was used as the primary repair of two sacral fractures and in conjunction with a trans-sacral pin for the repair of a bilateral sacro-iliac luxation and a sacral fracture with contralateral sacroiliac luxation. Trans-ilial brace fixation was also used as a secondary fixation for two unilateral sacro-iliac luxations and a bilateral sacro-iliac luxation. Follow-up radiographic parameters were compared to post-operative radiographic parameters to assess the stability of the fixation and the progression of healing. There was not any morbidity associated with the trans-ilial brace technique and all of the cases healed uneventfully. Indications for the use of the trans-ilial brace include sacro-iliac injuries where an additional means of stability may be indicated, comminuted sacral fractures in which the landmarks for lag screw fixation are obscured and bilateral sacro-iliac injuries with the concurrent use of a trans-sacral pin.

Keywords

Trans-ilial brace - sacral fracture - sacro-iliac luxation

* Presented at the 30th Annual Conference, Veterinary Orthopaedic Society, February 23 to 28, 2003, Steamboat Springs, Colorado.


 

  • References

  • 1 Averill SM, Johnson AL, Schaeffer DJ. Risk factors associated with development of pelvic canal stenosis secondary to sacro-iliac separation: 84 cases (1985-1995). J Am Vet Med Assoc 1997; 211: 75-8.
    CrossrefPubMedSearch in Google Scholar
  • 2 Betts CW. Pelvic fractures. In: Textbook of small animal surgery. Slatter D. ed. Philadelphia: WB Saunders; 1993: 1769-86.
    Search in Google Scholar
  • 3 DeCamp CE, Braden TD. Sacro-iliac fractureseparation in the dog. A study of 92 cases. Vet Surg 1985; 14: 127-30.
    CrossrefPubMedSearch in Google Scholar
  • 4 DeCamp CE, Braden TD. The surgical anatomy of the canine sacrum for lag screw fixation of the sacro-iliac joint. Vet Surg 1985; 14: 131-4.
    CrossrefPubMedSearch in Google Scholar
  • 5 Hulse DA, Shires P, Waldron D, Hedlund C. Sacro-iliac luxations. Comp Contin Ed Pract Vet 1985; 07: 493-500.
    PubMedSearch in Google Scholar
  • 6 Jacobson A, Schrader SC. Peripheral nerve injury associated with fracture or fracturedislocation of the pelvis in dogs and cats: 34 cases (1978-1982). J Am Vet Med Assoc 1987; 190: 569-72.
    PubMedSearch in Google Scholar
  • 7 Kolata RJ, Johnston DE. Motor vehicle accidents in urban dogs: a study of 600 cases. J Am Vet Med Assoc 1975; 167: 938-41.
    PubMedSearch in Google Scholar
  • 8 Kuntz CA, Waldron D, Martin RA, Shires PK, Moon M, Shell L. Sacral fractures in dogs: a review of 32 cases. J Am Anim Hosp Assoc 1995; 31: 142-50.
    CrossrefPubMedSearch in Google Scholar
  • 9 Lewis DD, Stampley A, Bellah JR, Donner GS, Ellison GW. Repair of sixth lumbar vertebral fracture-luxations, using trans-ilial pins and plastic spinous-process plates in six dogs. J Am Vet Med Assoc 1989; 194: 538-42.
    PubMedSearch in Google Scholar
  • 10 Pare B, Gendreau CL, Robbins MA. Open reduction of sacral fractures using transarticular implants at the articular facets of L7-S1: 8 consecutive canine patients (1995-1999). Vet Surg 2001; 30: 476-81.
    CrossrefPubMedSearch in Google Scholar
  • 11 Philips L, Blackmore J. Kirschner-Ehmer device alone to stabilize caudal lumbar fractures in small dogs. Vet Comp Orthop Traumatol 1991; 04: 112-5.
    Thieme ConnectPubMedSearch in Google Scholar
  • 12 Shores A, Nichols C, Koelling HA, Fox WR. Combined Kirschner-Ehmer apparatus and dorsal spinal plate fixation of caudal lumbar fractures in dogs: biomechanical properties. Am J Vet Res 1988; 49: 1979-82.
    PubMedSearch in Google Scholar
  • 13 Shores A, Nichols C, Rochat M, Fox SM, Burt GJ, Fox WR. Combined Kirschner-Ehmer device and dorsal spinal plate fixation technique for caudal lumbar vertebral fractures in dogs. J Am Vet Med Assoc 1989; 195: 335-9.
    PubMedSearch in Google Scholar
  • 14 Slocum B, Rudy RL. Fractures of the seventh lumbar vertebrae in the dog. J Am Anim Hosp Assoc 1975; 11: 167-74.
    PubMedSearch in Google Scholar
  • 15 Tomlinson JL, Cook JL, Payne JT, Anderson CC, Johnson JC. Closed reduction and lag screw fixation of sacro-iliac luxations and fractures. Vet Surg 1999; 28: 188-93.
    CrossrefPubMedSearch in Google Scholar
  • 16 Ullman SL, Boudrieau RJ. Internal skeletal fixation using a Kirschner apparatus for stabilization of fracture/luxations of the lumbosacral joint in six dogs. A modification of the transilial pin technique. Vet Surg 1993; 22: 11-7.
    CrossrefPubMedSearch in Google Scholar