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用于治疗猫狭窄骨盆管的外固定器

External fixator for the treatment of narrowed pelvic canal in a cat.

作者信息

Pinna Stefania, Tassani Chiara, Rossini Melissa, Lanzi Francesco

机构信息

Department of Veterinary Medical Sciences, Alma Mater Studiorum, University of Bologna, Ozzano E. (Bologna), Italy.

出版信息

Vet Med (Praha). 2021 Aug 31;66(8):356-362. doi: 10.17221/173/2020-VETMED. eCollection 2021 Aug.

DOI:10.17221/173/2020-VETMED
PMID:40547849
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12178636/
Abstract

The aim of this study was to report the outcome of the use of an external fixator to treat a pelvic canal stenosis in a 5-month-old female cat. The cat was referred with a history of 3 weeks of intermittent signs of constipation refractory to the medical management, occurring after surgical treatment for a bilateral sacroiliac luxation and sacral fracture. The clinical examination revealed instability of the pelvis and a radiograph showed a pelvic canal stenosis and megacolon. External fixator was the method of choice to be used in this case. The manually applied tension on an external fixator resulted in a widening of the pelvic canal. At 45 days after surgery, there were no signs of constipation, and the radiological examination showed progressive bone healing. At 18 months post-op, the cat had no abnormalities both on the clinical examination and on the radiography. In conclusion, the use of an external fixator led to the widening of the pelvic canal using a minimally invasive procedure. To the authors' knowledge, this case report represents the first surgical description and clinical outcome of the widening of the pelvic canal in cats using an external skeletal fixator.

摘要

本研究的目的是报告使用外固定器治疗一只5个月大雌性猫盆腔管狭窄的结果。这只猫因双侧骶髂关节脱位和骶骨骨折接受手术治疗后,出现了3周间歇性便秘症状,对药物治疗无效,遂前来就诊。临床检查发现骨盆不稳定,X线片显示盆腔管狭窄和巨结肠。外固定器是该病例的首选治疗方法。手动施加于外固定器的张力使盆腔管增宽。术后45天,无便秘迹象,放射学检查显示骨愈合进展。术后18个月,该猫临床检查和X线检查均无异常。总之,使用外固定器通过微创手术使盆腔管增宽。据作者所知,本病例报告是首例关于使用外骨骼固定器使猫盆腔管增宽的手术描述及临床结果。

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本文引用的文献

1
Triple Pelvic Osteotomy Fixed with Lag Screw for the Treatment of Pelvic Canal Stenosis in Five Cats.三关节骨盆截骨术联合拉力螺钉固定治疗 5 例猫骨盆狭窄
Vet Comp Orthop Traumatol. 2020 Sep;33(5):363-369. doi: 10.1055/s-0040-1709462. Epub 2020 Apr 21.
2
Internal hemipelvectomy for treatment of obstipation secondary to pelvic malunion in 3 cats.3只猫因骨盆畸形愈合继发便秘行内半骨盆切除术
Can Vet J. 2016 Sep;57(9):955-60.
3
Management and long-term outcome of pelvic fractures: a retrospective study of 43 cats.猫骨盆骨折的管理与长期预后:43例猫的回顾性研究
J Feline Med Surg. 2017 Jan;19(1):36-41. doi: 10.1177/1098612X15606958. Epub 2016 Jul 10.
4
Screw Loosening and Pelvic Canal Narrowing After Lateral Plating of Feline Ilial Fractures With Locking and Nonlocking Plates.使用锁定和非锁定钢板对猫科动物髂骨骨折进行外侧钢板固定后螺钉松动和盆腔管狭窄
Vet Surg. 2015 Oct;44(7):900-4. doi: 10.1111/vsu.12367. Epub 2015 Aug 9.
5
Use of Y-shaped TPLO plates for the stabilization of supracotyloid ilial fractures in four dogs and one cat.使用Y形胫骨平台锁定钢板治疗4只犬和1只猫的髋臼上缘髂骨骨折。
Vet Comp Orthop Traumatol. 2013;26(3):226-32. doi: 10.3415/VCOT-12-05-0060. Epub 2013 Mar 22.
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Radiographic diameter of the colon in normal and constipated cats and in cats with megacolon.正常猫、便秘猫和巨结肠猫结肠的影像学直径。
Vet Radiol Ultrasound. 2011 Sep-Oct;52(5):516-20. doi: 10.1111/j.1740-8261.2011.01830.x. Epub 2011 May 20.
7
Stabilization of sacroiliac luxation in 40 cats using screws inserted in lag fashion.采用拉力螺钉固定法对40只猫的骶髂关节脱位进行固定。
Vet Surg. 2010 Aug;39(6):696-700. doi: 10.1111/j.1532-950X.2010.00699.x. Epub 2010 May 6.
8
Feline ilial fractures: assessment of screw loosening and pelvic canal narrowing after lateral plating.猫科动物的髂骨骨折:外侧钢板固定后螺钉松动和盆腔管狭窄的评估
Vet Surg. 2009 Apr;38(3):326-33. doi: 10.1111/j.1532-950X.2009.00500.x.
9
Hemipelvectomy in dogs and cats: technique overview, variations, and description.犬猫半骨盆切除术:技术概述、变异及描述
Vet Surg. 2008 Jul;37(5):413-9. doi: 10.1111/j.1532-950X.2008.00405.x.
10
A biomechanical comparison of external skeletal fixation and plating for the stabilization of ilial osteotomies in dogs.犬髂骨截骨术稳定的外骨骼固定与钢板固定的生物力学比较
Vet Comp Orthop Traumatol. 2008;21(4):349-57. doi: 10.3415/vcot-06-10-0072.