Diagnosis of pseudarthrosis after fusion remains difficult

Diagnosis of pseudarthrosis after fusion remains difficult

(HealthDay)—There is no definitive method besides surgical exploration to make the diagnosis of pseudarthrosis following spinal fusion surgery, according to a review published in the March 1 issue of The Spine Journal.

Jordan A. Gruskay, from the Yale University School of Medicine in New Haven, Conn., and colleagues reviewed the literature to assess the current status of imaging and for assessing pseudarthrosis following .

The researchers found that diagnosing pseudarthrosis following cervical and lumbar fusion remains a challenge. A diagnosis is typically made based on clinical presentation in conjunction with various imaging studies, but no definitive method exists for assessing nonunion. Thin-cut computed tomography scan and computerized motion analysis of dynamic plain films are the best imaging modalities, although surgical exploration remains the gold standard.

"The delineation of fusion versus pseudarthrosis remains challenging," the authors write.

One author disclosed financial ties to the medical device industry.

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Related Stories

Pre-op pain patterns affect stenosis surgery outcomes

date Mar 07, 2014

(HealthDay)—For patients with spinal stenosis without degenerative spondylolisthesis, predominance of back pain (BP) versus leg pain (LP) is associated with worse surgical outcomes, according to a study ...

Impact of osteoporosis tx on spinal fusion unclear

date Mar 01, 2013

(HealthDay)—The effect of osteoporosis therapies (bisphosphonate drugs and intermittent parathyroid hormone [PTH]) on spinal fusion is unclear, according to a review published in the February issue of The Sp ...

Unplanned readmission common after spine fusion

date Sep 11, 2013

(HealthDay)—For patients undergoing spine fusion for adult spinal deformity, unplanned hospital readmissions are relatively common and are often related to surgical site infections, according to a study ...

Evidence-based guidelines developed for disc herniation

date Dec 26, 2013

(HealthDay)—Evidence-based clinical guidelines have been developed for management of lumbar disc herniation with radiculopathy; the guidelines have been published in the Jan. 1 issue of The Spine Journal.

Recommended for you

MSF fighting cholera outbreak in Tanzania refugee camps

date 11 hours ago

Medical charity Medecins sans Frontieres (MSF, Doctors Without Borders) said Sunday it had launched emergency treatment centres in Tanzania, where thousands of Burundians fleeing unrest have been hit by cholera.

Bacteria blamed in indigenous Mexican baby deaths

date May 23, 2015

Bacteria—and not a contaminated vaccine as initially suspected—were to blame for the recent deaths of two Mexican babies and for sickening 29 others, according to an official investigation.

Explainer: What is Chagas disease?

date May 22, 2015

According to an article in the Journal of the American Medical Association (JAMA), in a Los Angeles clinic treating patients with heart failure, about 20% of Latin American patients have Chagas disease. What is that?, y ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.