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Locking compression plate osteosynthesis of sacral fractures in three heifers


Schmid, Tanja; Kummer, Martin R; Hagen, Regine; Auer, Jörg A; Nuss, Karl (2011). Locking compression plate osteosynthesis of sacral fractures in three heifers. Veterinary Surgery, 40(3):374-378.

Abstract

Objective: To describe a technique used for reduction and internal fixation of sacral fractures in cattle.
Study Design: Case series.
Animals: Three heifers aged 19–32 months with deformation of the tail head and tail paralysis attributable to a closed fracture of S5 or S4 and S5.
Methods: Fractures were reduced and repaired under general anesthesia. A narrow, 6–10-hole, locking compression plate (LCP) was placed on the spinous processes of S5 and the first coccygeal (Co1) using 5.0 mm locking head screws. Follow-up inquiries were made by telephone (3/3), and cows were examined clinically and radiographically 2 (1 cow) to 9 (1cow) months postoperatively.
Results: No complications were encountered. The range of movement of the tail improved so that soiling of the tail during defecation was no longer a problem. In all heifers, the normal top line was restored and there was no narrowing of the pelvic canal. Unassisted calving occurred in all heifers, and follow-up radiographs for 2 cows showed complete fracture healing.
Conclusion: LCP-osteosynthesis of the spinous processes provided sufficient stability for internal fixation of sacral fractures. Marked improvement in tail function occurred postoperatively without decompression by laminectomy.

Objective: To describe a technique used for reduction and internal fixation of sacral fractures in cattle.
Study Design: Case series.
Animals: Three heifers aged 19–32 months with deformation of the tail head and tail paralysis attributable to a closed fracture of S5 or S4 and S5.
Methods: Fractures were reduced and repaired under general anesthesia. A narrow, 6–10-hole, locking compression plate (LCP) was placed on the spinous processes of S5 and the first coccygeal (Co1) using 5.0 mm locking head screws. Follow-up inquiries were made by telephone (3/3), and cows were examined clinically and radiographically 2 (1 cow) to 9 (1cow) months postoperatively.
Results: No complications were encountered. The range of movement of the tail improved so that soiling of the tail during defecation was no longer a problem. In all heifers, the normal top line was restored and there was no narrowing of the pelvic canal. Unassisted calving occurred in all heifers, and follow-up radiographs for 2 cows showed complete fracture healing.
Conclusion: LCP-osteosynthesis of the spinous processes provided sufficient stability for internal fixation of sacral fractures. Marked improvement in tail function occurred postoperatively without decompression by laminectomy.

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1 citation in Web of Science®
3 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:05 Vetsuisse Faculty > Veterinary Clinic > Equine Department
05 Vetsuisse Faculty > Veterinary Clinic > Department of Small Animals
05 Vetsuisse Faculty > Veterinary Clinic > Department of Farm Animals
Dewey Decimal Classification:570 Life sciences; biology
630 Agriculture
Language:English
Date:2011
Deposited On:09 Dec 2011 16:12
Last Modified:13 May 2016 07:00
Publisher:Wiley-Blackwell
ISSN:0161-3499
Publisher DOI:https://doi.org/10.1111/j.1532-950X.2011.00808.x
PubMed ID:21361991
Permanent URL: https://doi.org/10.5167/uzh-52435

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