Osteosynthesis of a type III sacral fracture using screws and polymethylmethacrylate in a cat
Case report
DOI:
https://doi.org/10.31533/pubvet.v20n6e1967Keywords:
Caudectomy, sacroiliac disruption, neurapraxia, sacrum, traumaAbstract
. Sacral fractures account for approximately 3% of axial skeletal fractures in small animals and are frequently associated with pelvic fractures, usually resulting from high-energy trauma. In veterinary medicine, the most widely used classification divides these fractures into five types according to their location and the anatomical structures involved. Clinical manifestations vary according to the degree of neurological impairment and may include pain, pelvic limb paresis, altered reflexes, tail flaccidity, and urinary and fecal dysfunction. Treatment depends on the degree of vertebral displacement and the presence of neurological deficits, with osteosynthesis techniques, particularly the use of screws associated with polymethylmethacrylate (PMMA), being the preferred surgical approach. Absence of tail sensation and urinary dysfunction are associated with a poorer prognosis. This report describes the case of a domestic cat diagnosed with a type III (transverse) sacral fracture following a vehicular accident, treated at the Veterinary Hospital of the State University of Londrina. The patient underwent sacral osteosynthesis using screws and polymethylmethacrylate (PMMA), with a satisfactory clinical outcome. At the time of writing (90 days after surgery), the patient remains free of neurological sequelae.
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