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)

add to favorites email to friend print save as pdf

Related Stories

Pre-op pain patterns affect stenosis surgery outcomes

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

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

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

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

Restrictions lifted at British bird flu farm

7 hours ago

Britain on Sunday lifted all restrictions at a duck farm in northern England after last month's outbreak of H5N8 bird flu, the same strain seen in recent cases across Europe.

Recorded Ebola deaths top 7,000

Dec 20, 2014

The worst Ebola outbreak on record has now killed more than 7,000 people, with many of the latest deaths reported in Sierra Leone, the World Health Organization said as United Nations Secretary-General Ban ...

Liberia holds Senate vote amid Ebola fears (Update)

Dec 20, 2014

Health workers manned polling stations across Liberia on Saturday as voters cast their ballots in a twice-delayed Senate election that has been criticized for its potential to spread the deadly Ebola disease.

Evidence-based recs issued for systemic care in psoriasis

Dec 19, 2014

(HealthDay)—For appropriately selected patients with psoriasis, combining biologics with other systemic treatments, including phototherapy, oral medications, or other biologic, may result in greater efficacy ...

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.