Symphyseal distraction-osteotomy using a novel spacer of spirally fashioned orthopaedic wire for the management of obstipation

Author:

Prassinos Nikitas N.1,Adamama-Moraitou Katerina K.2,Gouletsou Pagona G.3,Rallis Timoleon S.2

Affiliation:

1. Clinic of Surgery, Veterinary School, University of Thessaly, Trikalon 224, P.O. Box 199, 43100 Karditsa, Greece

2. Companion Animal Clinic (Medicine), Department of Clinical Studies, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, St. Voutyra 11, 54627 Thessaloniki, Greece

3. Clinic of Obstetrics and Reproduction, Veterinary School, University of Thessaly, Trikalon 224, P.O. Box 199, 43100 Karditsa, Greece

Abstract

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.

Publisher

SAGE Publications

Subject

Small Animals

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