What part of OOCSS do you think SASS already solves? Perhaps there's some disagreement about this that can help me answer your question.
Quick example, OOCSS way of making the notion of 'fancifying a thing', is to make a separate class to represent 'fanciness'.
.fancy { color: hotpink; font-style: italic }
.thing { width: 100px; height: 40px }
Then in your HTML apply both classes to make a fancy thing: <div class="thing fancy">ta-da</div>Whereas in SASS you could do that with a mixin instead:
@mixin fancy { color: hotpink; font-style: italic }
.fancy-thing { width: 100px; height: 40px; @include fancy }
And in your HTML, you then apply a single class: <div class="fancy-thing">bam</div>There are advantages of both, and there are clearly variations you could make on the SASS version (i.e. you could make a separate thing mixin too, then mix both into a single fancy-thing class - making the thing concept as reusable as in the CSS version).
Personally I like the level of understanding that doing it the CSS way brings (note this is also an example of the separating 'skin' from 'structure' idea, which I think is very valuable). You could argue that it could lead to class-itis though. Swings and roundabouts.