Pride Veterinary Centre, Derby, UK.
Puchol Veterinary Hospital, Madrid, Spain.
J Feline Med Surg. 2020 Jun;22(6):575-581. doi: 10.1177/1098612X19867516. Epub 2019 Aug 13.
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).
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.
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.
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.
本研究旨在确定保守治疗的荐髂关节脱位骨折（SILF）猫的中-长期功能结局。
纳入标准为无其他骨盆承重轴并发骨折且可获得影像学复查的 SILF 猫进行保守治疗。获得荐髂关节和骶骨指数的位移百分比的放射学测量值，并评估骨折形态。在受伤后至少 6 个月完成特定的主人调查问卷。该问卷评估了猫进行正常活动的能力、恢复时间、任何行为变化以及是否需要长期镇痛。
17 只猫符合纳入标准，13 位主人完成了调查问卷。12 只猫的结果为优，无正常活动的困难。一只猫的结果良好，只有轻微或偶尔的正常活动困难。
我们的研究为保守治疗 SILF 的现行指南提供了证据。我们人群中病例选择的固有偏见意味着这种治疗不能推荐用于所有 SILF 病例。
