{"title":"3只犬外伤性腰骶关节脱位:临床表现、诊断、治疗及短期随访","authors":"Della Valle G","doi":"10.29261/PAKVETJ/2021.002","DOIUrl":null,"url":null,"abstract":"Traumatic lumbosacral joint dislocation (TLSJD) without L7 vertebral body fracture is a rare injury in dogs. This report describes clinical presentation, therapy and outcome in 3 dogs. Three crossbreed dogs with non-ambulatory paraparesis and lumbar pain were referred. Radiographs confirmed TLSJD and dorso-ventral displacement (DVD) was measured pre and postoperatively. Case 1 was treated by percutaneous transilial pinning. Cases 2 and 3 were treated by internal fixation with pins and PMMA. Within 72h after surgery all dogs were able to stand and walk, and faecal incontinence resolved. To the author’s knowledge this is the first description of a case series of TLSJD in the dog. The biomechanics of TLSJD in animals have not been investigated. It is likely that a single trauma severely hyper-extends L7-S1 causing disruption of the supra and inter-spinous ligaments with simultaneous shear and compression forces that cause ventral slipping of the sacrum. Pins and PMMA compared to percutaneous transilial pinning, provided more strength and stability. In conclusion, TLSJD requires appropriate surgical reduction and stabilization to allow fibrous healing of the L7-S1 junction, resulting in satisfactory neurological recovery","PeriodicalId":19845,"journal":{"name":"Pakistan Veterinary Journal","volume":"41 1","pages":"97-101"},"PeriodicalIF":3.8000,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Traumatic Lumbosacral Joint Dislocation in 3 Dogs: Clinical Presentation, Diagnosis, Treatment and Short-term Follow-up\",\"authors\":\"Della Valle G\",\"doi\":\"10.29261/PAKVETJ/2021.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Traumatic lumbosacral joint dislocation (TLSJD) without L7 vertebral body fracture is a rare injury in dogs. This report describes clinical presentation, therapy and outcome in 3 dogs. Three crossbreed dogs with non-ambulatory paraparesis and lumbar pain were referred. Radiographs confirmed TLSJD and dorso-ventral displacement (DVD) was measured pre and postoperatively. Case 1 was treated by percutaneous transilial pinning. Cases 2 and 3 were treated by internal fixation with pins and PMMA. Within 72h after surgery all dogs were able to stand and walk, and faecal incontinence resolved. To the author’s knowledge this is the first description of a case series of TLSJD in the dog. The biomechanics of TLSJD in animals have not been investigated. It is likely that a single trauma severely hyper-extends L7-S1 causing disruption of the supra and inter-spinous ligaments with simultaneous shear and compression forces that cause ventral slipping of the sacrum. Pins and PMMA compared to percutaneous transilial pinning, provided more strength and stability. In conclusion, TLSJD requires appropriate surgical reduction and stabilization to allow fibrous healing of the L7-S1 junction, resulting in satisfactory neurological recovery\",\"PeriodicalId\":19845,\"journal\":{\"name\":\"Pakistan Veterinary Journal\",\"volume\":\"41 1\",\"pages\":\"97-101\"},\"PeriodicalIF\":3.8000,\"publicationDate\":\"2021-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pakistan Veterinary Journal\",\"FirstCategoryId\":\"97\",\"ListUrlMain\":\"https://doi.org/10.29261/PAKVETJ/2021.002\",\"RegionNum\":3,\"RegionCategory\":\"农林科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"VETERINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pakistan Veterinary Journal","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.29261/PAKVETJ/2021.002","RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
Traumatic Lumbosacral Joint Dislocation in 3 Dogs: Clinical Presentation, Diagnosis, Treatment and Short-term Follow-up
Traumatic lumbosacral joint dislocation (TLSJD) without L7 vertebral body fracture is a rare injury in dogs. This report describes clinical presentation, therapy and outcome in 3 dogs. Three crossbreed dogs with non-ambulatory paraparesis and lumbar pain were referred. Radiographs confirmed TLSJD and dorso-ventral displacement (DVD) was measured pre and postoperatively. Case 1 was treated by percutaneous transilial pinning. Cases 2 and 3 were treated by internal fixation with pins and PMMA. Within 72h after surgery all dogs were able to stand and walk, and faecal incontinence resolved. To the author’s knowledge this is the first description of a case series of TLSJD in the dog. The biomechanics of TLSJD in animals have not been investigated. It is likely that a single trauma severely hyper-extends L7-S1 causing disruption of the supra and inter-spinous ligaments with simultaneous shear and compression forces that cause ventral slipping of the sacrum. Pins and PMMA compared to percutaneous transilial pinning, provided more strength and stability. In conclusion, TLSJD requires appropriate surgical reduction and stabilization to allow fibrous healing of the L7-S1 junction, resulting in satisfactory neurological recovery
期刊介绍:
The Pakistan Veterinary Journal (Pak Vet J), a quarterly publication, is being published regularly since 1981 by the Faculty of Veterinary Science, University of Agriculture, Faisalabad, Pakistan. It publishes original research manuscripts and review articles on health and diseases of animals including its various aspects like pathology, microbiology, pharmacology, parasitology and its treatment. The “Pak Vet J” (www.pvj.com.pk) is included in Science Citation Index Expended and has got 1.217 impact factor in JCR 2017. Among Veterinary Science Journals of the world (136), “Pak Vet J” has been i) ranked at 75th position and ii) placed Q2 in Quartile in Category. The journal is read, abstracted and indexed internationally.