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1.
A mature female domestic shorthaired cat with obstipation as a result of pelvic canal narrowing due to a pelvic fracture malunion was treated by triple pelvic osteotomy to widen the canal. The right hemipelvis was moved laterally and a modified bone plate was applied to the right ilium. A mild lick dermatitis occurred over the dorsum of the hind paw seven days postoperatively but resolved without treatment. The cat made an uneventful recovery without recurrence of the obstipation.  相似文献   

2.
Pelvic osteotomy with removal or repositioning of bone was performed as treatment for obstipation in 6 domestic shorthair cats with stenosis of the pelvic canal. Narrowing of the pelvic canal was the result of pelvic fracture or sacroiliac luxation in all cats. Tenesmus and obstipation began shortly after pelvic injury in 3 cats and 5 to 12 months after injury in the remaining cats. The duration of clinical signs ranged from 36 hours to 36 months. The duration of large intestinal obstruction influenced the outcome of surgery. Surgical widening of the pelvic canal helped eliminate signs of obstruction when signs were of less than 6 months' duration (n = 2). When signs of obstipation had continued for a longer period, and megacolon had developed, such treatment was minimally effective (n = 4).  相似文献   

3.
Three domestic shorthair cats, one male and two females, 17.6+/-6.5 months old and 3.5+/-0.4 kg body weight, were admitted with a 6.6+/-1.1 (range 6-8) month history of recurrent bouts of obstipation. Defecatory difficulties had started within a month of conservatively managed pelvic fractures. Clinical and radiographic examination revealed severe colonic distension with faeces and a narrow pelvic canal caused by malunion of the pelvic fractures. A pelvic symphyseal distraction-osteotomy (SDO) technique was performed, using a novel metal spacer of spirally fashioned orthopaedic wire. Pelvic canal enlargement allowed the insertion of an index finger into the rectum. Following this, no further episodes of obstipation occurred during a follow-up period of 1-3 years. The SDO technique may be successful for the treatment of obstipation secondary to post-traumatic pelvic canal stenosis in the cat, if the colon motility is not already permanently affected.  相似文献   

4.
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5.
A case of retroflexion of the urinary bladder into a bilateral perineal hernia in a female domestic shorthaired cat, three weeks postpartum, is reported. The bladder was repositioned and a cystopexy performed. A pelvic ostectomy was also carried out in order to alleviate the narrowing of the pelvic canal caused by an untreated acetabular fracture. Bilateral perineal herniorrhaphy was performed.  相似文献   

6.
Objective— To evaluate outcome by radiographic assessment after closed reduction and percutaneous screw fixation in lag fashion of sacroiliac fracture‐luxations in dogs. Study Design— Retrospective study. Animals— Dogs (n=24) with sacroiliac fracture‐luxations. Methods— Medical records (1999–2006) and radiographs of 24 dogs (29 fracture‐luxations) that had stabilization of sacroiliac fracture‐luxation by fluoroscopic‐guided closed reduction and percutaneous screw fixation in lag fashion were reviewed. Signalment, body weight, number, and location of all concurrent injuries and implants used for repair were recorded. Radiographs were used to evaluate the accuracy of screw placement in the sacral body, screw depth/sacral width ratio, reduction of the sacroiliac joint, pelvic canal diameter, and hemipelvic canal width. Radiographic re‐examination (range, 4 to >8 weeks postoperatively) was available for evaluation. Results— Mean screw depth/sacral width ratio on immediate postoperative and re‐examination radiographs was 64% and 61%, respectively. Mean percentage reduction of the sacroiliac joint on immediate postoperative and re‐examination radiographs were 91% and 87%, respectively. Pelvic canal diameter ratio demonstrated successful restoration of the pelvic canal. Hemipelvic canal width ratio documented successful closed reduction repair independent of concurrent pelvic injuries. Conclusion— Successful repair of sacroiliac fracture‐luxations, determined by radiographic assessment, can be achieved by fluoroscopic‐guided closed reduction and percutaneous screw fixation in lag fashion. Clinical Relevance— Fluoroscopic‐guided closed reduction and percutaneous screw fixation in lag fashion of sacroiliac fracture‐luxations is a minimally invasive technique that restores and maintains pelvic canal dimensions and should be considered as an alternative to open reduction or nonsurgical management of sacroiliac fracture‐luxations.  相似文献   

7.
A seven-year-old, entire female boxer presented with a history of restless behaviour and inappetence. Physical examination revealed that the dog was listless and had a hunched gait. Neurological examination was normal. Abdominal ultrasonography revealed a 4 cm x 4 cm mass in the cranial pelvic canal. Neurological abnormalities were detected three days after presentation, and progressed from proprioceptive deficits to loss of deep pain sensation in the pelvic limbs over a two-day period. The dog was euthanased and postmortem examination revealed that the pelvic mass was a urethral haemangiosarcoma with metastasis to the second lumbar vertebra. This case is unusual as urethral tumours are usually transitional cell carcinomas and frequently present with signs of dysuria.  相似文献   

8.
A 12-year-old neutered male shih tzu developed progressive pelvic limb paraparesis. Computed tomography showed a radiolucent mass lesion in the spinal canal at the left side of the 11th thoracic vertebra. The mass was not enhanced by intravenous contrast medium injection. It was hyperintense on both T1- and T2-weighted magnetic resonance images. The signal intensity of the mass was decreased with a fat suppression technique, indicating a fatty origin. After removal of the mass via T11-T12 hemilaminectomy, chronic panniculitis was confirmed by histopathological examination. This case demonstrates the utility of computed tomography and magnetic resonance imaging for the diagnosis of spinal canal pyogranulomatous inflammation.  相似文献   

9.
Radiographic pelvimetry was used to assess the role of pelvic anatomy in obstructive dystocia in bitches. Based on the history of previous whelpings, 20 Boston terrier and 14 Scottish terrier bitches were divided into two equal groups: normally whelping bitches and bitches with obstructive dystocia. Additional whelpings during the period of study were closely observed and the pups were immediately weighed and measured. The bitches were clinically examined and the pelvis was radiographed in ventrodorsal and lateral projections. Measurements from the radiographs showed a significantly smaller pelvic size in the bitches with obstructive dystocia compared to the normally whelping bitches. Fetal-pelvic disproportion in the Scottish terrier was mainly due to a dorsoventrally flattened pelvic canal, whereas in the Boston terrier it arose from the combination of a dorsoventrally flattened pelvic canal and big fetuses with large heads. These results suggest that radiographic pelvimetry could be used to predict a disposition for dystocia in individual bitches, and as a basis for selection of breeding animals.  相似文献   

10.
A 9-month-old, chemically spayed female ferret (Mustela putorius furo) presented after a fall (5.5 m) from the first floor of an apartment building. The animal was nonambulatory, with pain localized in the pelvic region. Radiographic examination revealed a bilateral fracture of the iliac body with medial displacement of the left hemipelvis and narrowing of the pelvic canal. Rib fractures, pulmonary contusions, and pleural effusion were also present on thoracic radiographic images. After emergency stabilization of the patient, the fracture of the left iliac body was successfully repaired using a composite internal fixation system with K-wires and polymethylmethacrylate. The implants allowed fracture healing despite loosening of one of the K-wires. Bony healing was achieved within 25 days, including the restoration of pelvic rigidity and maintenance of the diameter of the pelvic canal. Orthopedic examination was unremarkable 4 months following the surgical procedure. To the authors’ knowledge, this is the first described open reduction of a pelvic fracture in a ferret.  相似文献   

11.
Objective— To (1) report a technique for repair of feline ilial fractures using a dorsally applied bone plate and (2) compare outcome with cats treated by a lateral plate.
Study Design— Prospective study.
Animals— Cats (n=10) with iliac fractures.
Methods— Cats with ilial fractures (January 2005–December 2006) were treated by application of a dorsally applied bone plate. Immediate postoperative radiographs were compared with those taken 4–6 weeks later to assess screw loosening, screw purchase, and pelvic canal narrowing. Owners were contacted for medium-term (>3 month) follow-up. Data were compared with a report of outcome after lateral plating (LP) in 21 cats.
Results— Mean (± SD) screw purchase (89 ± 11 mm) was significantly greater ( P <.01) with a dorsal plate compared with a lateral plate (33 ± 8 mm). Significantly more screws ( P <.01) were used with a dorsal plate (median, 7) compared with a lateral plate (median, 6). Significantly less postoperative pelvic canal narrowing developed in the dorsal plating group between postoperative and 4–6-week follow-up radiography compared with the LP group (2% versus 15%, P <.01).
Conclusion— Dorsal plating of feline ilial fractures results in significantly less screw loosening and pelvic canal narrowing at 4–6 weeks after surgery compared with LP.
Clinical Relevance— Dorsal plating of feline iliac fractures may reduce complications associated with pelvic canal narrowing such as constipation and megacolon.  相似文献   

12.
Herein, we describe a calf affected by cerebellar displacement and spina bifida, diagnosed by ultrasonography. A full‐term, newborn female calf with paralysis of the pelvic limbs was examined. The dorsal skin at the sacral level contained a circular defect; this was subsequently diagnosed as spina bifida. Cerebellar displacement into the cervical vertebral canal was suspected because of the frequent association of these anomalies. Spinal ultrasound examination carried out at the level of the craniocervical junction allowed identification of herniation of the cerebellum, the caudal part of brain stem, and part of an occipital lobe into the cervical vertebral canal. The ultrasonographic diagnosis was confirmed as post mortem examination. This type of brain defect, associated with spina bifida, resembles the Arnold–Chiari malformation in humans.  相似文献   

13.
The accuracy of the Rice pelvimeter for measuring pelvic area of double muscled Belgian Blue (BB) cattle was investigated by comparing measurements in the live animal with these obtained from the same animal after slaughter. Pelvic measurements from 466 BB-cows aged 2–10 years old and of an excellent carcass qualification (S and E in the SEUROP classification) were measured with the pelvimeter approximately 12 h prior to, and by graded ruler within 2 h after, slaughter. The mean difference of measurements between living and dead cattle were − 0.2 cm for pelvic width (95% limits of agreement − 2.5–2.1 cm), and 1.2 cm for pelvic height (95% limits of agreement − 1.8–4.1 cm). The correlation coefficient between all pelvic measurements was between 0.46 and 0.59 (p < 0.001). The age of the animals influenced only pelvic height whilst carcass weight influenced all the components of the pelvic area. There was a significant correlation between the pelvimetric measurements of the birth canal in living cattle obtained using a Rice pelvimeter compared to actual measurements obtained from the carcass. The Rice pelvimeter is a suitable tool for assessing accurate pelvic skeletal conformation and to select animals in this breed with a larger birth canal and hence less dystocia problems.  相似文献   

14.
Medical and surgical management of a foetopelvic dystocia in an African lioness (Panthera leo) and the post‐operative complications are reported. A caesarean section was performed to extract an oversize foetus blocked at the cervical canal; the lioness died 36 h after surgery. At necropsy, an abdominal effusion with sero‐haemorrhagic fluid was observed, along with a fibrinopurulent exudate adhered to the serosal surfaces of the pelvic and abdominal cavities. In addition, the pelvic symphysis was not cartilaginous, but formed a firm and rigid joint between the pubis and ischium of each hip. The macroscopic and microscopic findings confirmed the presence of metritis, vaginitis and peritonitis. Dystocia may be caused by the premature ossification of the pelvic symphysis, reducing the dimensions of the pelvic cavity.  相似文献   

15.
The surgical repair of acetabular physeal fractures in four kittens using a screw and tension band technique is reported. This was an appropriate method for restoring articular congruency and improving pelvic alignment. All cases had an excellent outcome and full limb use following fracture repair. In kittens younger than 12 weeks, there is a possibility of premature fusion of the acetabular bone resulting in development of a deformed, shallow acetabulum and hip subluxation. However, surgery is still justified when there is pelvic canal narrowing to decrease the risk of future defecatory problems. Early implant removal in such young kittens may decrease the severity of deformity caused by premature physeal closure. In kittens of 16 weeks or older, the prognosis is good for normal acetabular development and implant removal is not necessary.  相似文献   

16.
OBJECTIVE: To describe a technique for closed reduction and percutaneous insertion of a lag screw for fixation of sacroiliac fracture-luxations, and to report the success of this technique in stabilizing sacroiliac fracture-luxations. STUDY DESIGN: A retrospective clinical study. STUDY POPULATION: 13 consecutive client-owned dogs with sacroiliac fracture-luxations. METHODS: Sacroiliac fracture-luxations were stabilized by using a closed reduction and percutaneous lag screw fixation technique. Preoperative, postoperative, and last re-examination radiographs were used to assess the location and number of pelvic injuries, other orthopedic injuries, percent reduction of the sacroiliac joint, percent sacral width screw depth, position of the screw, pelvic canal diameter ratio, hemipelvic canal width ratio, and complications. Information on signalment, weight, weight-bearing status, neurologic status, and complications was obtained from the medical record. RESULTS: Mean percent reduction of the sacroiliac joint was 92.33%. All screws were placed within the sacral body with a mean screw depth/sacral width of 79.03%. No screw loosening occurred. Mean pelvic canal diameter ratios were 0.99, 1.20, and 1.14 preoperatively, immediately postoperatively, and at the last re-examination, respectively. Nine of 13 dogs were willing to walk on the ipsilateral rear leg the day after surgery. CONCLUSIONS: Closed reduction and percutaneous insertion of a lag screw for stabilization of fracture-luxation of the sacroiliac joint is an acceptable method of repair. CLINICAL RELEVANCE: Sacroiliac fracture-luxations can be successfully reduced and stabilized using a minimally invasive technique.  相似文献   

17.
CLINICAL SUMMARY: The surgical repair of comminuted ilial wing fractures (comprising a long oblique fracture with ventral multiple fragmentation) in three cats using composite internal fixation is reported. The technique comprised the use of pins, screws, wire and polymethylmethacrylate. All cases had an excellent outcome with uneventful bone healing. One case had a very mild reduction in pelvic canal diameter postoperatively. There was no evidence of implant loosening or migration in any cat on follow-up radiographs. PRACTICAL RELEVANCE: This technique provided a quick and highly adaptable means of stabilising this fracture configuration, as well as restoring pelvic symmetry, when limited buttressing support and bone stock were available cranial and ventral to the acetabulum. This method of fixation may have biomechanical advantages over lateral or dorsal plating techniques for this particular type of fracture configuration.  相似文献   

18.
Dysuria is a rare, but nevertheless severe postoperative complication associated with single-session bilateral triple pelvic osteotomy. Two cases are described in which contrast radiography of the lower urinary tract was used to diagnose urethral compression due to pelvic canal narrowing. Relief of the pressure on the urethra was achieved with an external fixation device, which distracted the acetabular fragments of the pelvis. In both cases the dysuria was resolved. The significance of this complication and its possible causes, especially regarding surgical technique, are discussed.  相似文献   

19.
Dystocia is more common in Holstein-Friesian (HF) breed cows than in other dairy breeds. This is often caused by a disproportion between the birth canal of a female animal and the fetus. It is thought that the main determiners of unsuitability are the birth mass of the calf and the shape of the female pelvis. From the perspective of calving the cranial and caudal pelvic apertures are of great significance. This study focuses on pluriparous pelves of the Estonian Native Breed (EN) and the Estonian Holstein Breed (EHF). The longest measurement of the cranial pelvic aperture of an EHF cow is the conjugate diameter. The cranial pelvic aperture narrows slightly ventrally, being shaped like a trapezium with rounded angles. The longest measurement of the caudal aperture is its caudal transverse measurement. The aperture is flattened dorsoventrally. The cranial pelvic aperture of an EN cow is dorsally angular, but more oval ventrally, and is on the whole narrower and higher. By comparison with the EHF cow, the pelvic cavity of the EN cow widens caudally, and the height of the pelvic apertures contributes to ease of calving. It appears that the configuration of the pelvis of an EN cow is similar to the pelvis of the elk (Alces alces). The pelvis of the EHF cow has become unsuitable for easy calving, especially with regard to the caudal aperture.  相似文献   

20.
A mass in the pelvic canal of a 4-year-old pregnant alpaca hembra diagnosed as leiomyosarcoma of the urogenital tract was confirmed by biopsy. Following a tube cystotomy, the alpaca was presented 33 d later, 2 d after the tube cystotomy had been dislodged. A dead cria was delivered by caesarean section.  相似文献   

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