Objective: To describe the effect abaxial retraction after pelvic symphysiotomy has on the geometry of the sacroiliac joints (SIs) in dogs.

Study Design: Experimental study.

Sample Population: Canine cadavers (n = 9).

Methods: Canine cadavers free of sacroiliac disease had pelvic symphysiotomy and retraction to 25%, 50%, 75%, and 100% of transverse sacral width, followed by axial reduction of the symphysis. Before symphysiotomy, after each abaxial retraction value, and after reduction of the symphysis each SI joint had a computed tomographic scan to evaluate the effect on the SI joints.

Results: There was no luxation at 25% abaxial retraction, unilateral SI luxation in three cadavers after 50% abaxial retraction and in all cadavers after 75% abaxial retraction. Axial reduction of the symphysis resolved all luxations.

Conclusions: Pelvic symphysiotomy and abaxial retraction between 50% and 75% of transverse sacral width leads to unilateral SI luxation, which is resolved by axial reduction. While not likely requiring ancillary stabilization, SI joint luxation may be a cause for additional postoperative pain, reluctance to ambulate, and prolonged hospitalization/recovery.

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http://dx.doi.org/10.1111/j.1532-950X.2013.12060.xDOI Listing

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