The alcohol oxygen attacks sulfur of methanesulfonyl chloride, chloride leaves, and triethylamine removes the O–H proton. This gives an O-mesylate with retention of the carbon configuration: the original carbon–oxygen bond has not been displaced.
An accessible chair places the mesylate axial. triethylamine then removes the anti axial hydrogen on the carbon between the ketone and mesylate. Its C–H bond forms the new C=C bond while the C–O bond expels mesylate. The result is the conjugated cyclohexenone.
The neighboring carbon on the acetonide side has its relevant axial position occupied by its oxygen substituent, rather than an anti axial hydrogen. The elimination toward the ketone is therefore favored both by the trans-diaxial geometry and by conjugation of the resulting alkene with C=O. The acetonide remains intact. No inversion of the original alcohol carbon is required during mesylation, and it becomes planar during elimination.

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