Diagnosis of pseudarthrosis after fusion remains difficult

March 10, 2014
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

Impact of osteoporosis tx on spinal fusion unclear

March 1, 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 Spine Journal.

Classification system would help spinal deformity care

May 14, 2013

(HealthDay)—The management of adult spinal deformity (ASD) and selection of optimal fusion levels is incompletely defined, according to a review article published in the April issue of The Spine Journal.

Unplanned readmission common after spine fusion

September 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 published in the ...

Evidence-based guidelines developed for disc herniation

December 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.

Pre-op pain patterns affect stenosis surgery outcomes

March 7, 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 published in the ...

Recommended for you

Experimental MERS vaccine shows promise in animal studies

July 28, 2015

A two-step regimen of experimental vaccines against Middle East respiratory syndrome (MERS) prompted immune responses in mice and rhesus macaques, report National Institutes of Health scientists who designed the vaccines. ...

Can social isolation fuel epidemics?

July 21, 2015

Conventional wisdom has it that the more people stay within their own social groups and avoid others, the less likely it is small disease outbreaks turn into full-blown epidemics. But the conventional wisdom is wrong, according ...

Lack of knowledge on animal disease leaves humans at risk

July 20, 2015

Researchers from the University of Sydney have painted the most detailed picture to date of major infectious diseases shared between wildlife and livestock, and found a huge gap in knowledge about diseases which could spread ...

IBD genetically similar in Europeans and non-Europeans

July 20, 2015

The first genetic study of inflammatory bowel disease (IBD) to include individuals from diverse populations has shown that the regions of the genome underlying the disease are consistent around the world. This study, conducted ...

0 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.