ArticleJournal of feline medicine and surgery2026
Fluoroscopy-assisted single cannulated screw placement for stabilisation of bilateral sacroiliac joint luxation in six cats: technique and outcome.
Article in Journal of feline medicine and surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
ObjectivesThe aim of the present study was to describe the step-by-step fluoroscopy-assisted percutaneous placement of a cannulated screw (FAPPCS) for the fixation of bilateral sacroiliac luxation (SIL).MethodsA retrospective study was conducted of the medical records of six client-owned cats diagnosed with bilateral SIL treated using the FAPPCS technique. Signalment, concurrent orthopaedic lesions, size of implant, pre- and postoperative imaging including measurements of screw placement, percentage of reduction and pelvic canal width ratio, hospitalisation time and recovery time were documented. Short- and long-term outcomes were assessed through standard postoperative clinical examination, radiographs and owner questionnaire.ResultsSix cats were treated for bilateral SIL. One minor functional complication (lameness) resolved spontaneously. No major complications were reported. Mean joint reduction was good (right side 96.2% ± 6.6%, left side 98.8% ± 2.9%). The mean absolute angle of deviation was 1.3°. Pelvic canal diameter showed no significant modification. Intraoperative fluoroscopy did not reveal any cranial, ventral or foraminal impingement. Long-term follow-up examinations revealed excellent and moderate functional recuperation in 5/6 and 1/6 cases, respectively. Recovery times were satisfactory: 16.6% fully recovered within 1 month, 50% between 1 and 2 months, and 33.4% took more than 2 months.Conclusions and clinical relevanceThe FAPPCS technique without the use of a guide is a viable salvage procedure for bilateral SIL in cats. Postoperative management and quality of life were considered good by most owners. When performing fluoroscopy-assisted bilateral SIL treatment, we recommend targeting the centre of the body of the sacrum before any attempt to reduce the ilium.
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