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.

Explore further: Spine surgeons vary considerably in imaging practices

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

Related Stories

Spine surgeons vary considerably in imaging practices

June 22, 2013
(HealthDay)—Spinal surgeons show considerable variability in imaging practices for elective lumbar spine surgery, according to a study published in the June 15 issue of Spine.

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 ...

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.

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.

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.

Recommended for you

A large-scale 'germ trap' solution for hospitals

July 26, 2017
When an infectious airborne illness strikes, some hospitals use negative pressure rooms to isolate and treat patients. These rooms use ventilation controls to keep germ-filled air contained rather than letting it circulate ...

Male hepatitis B patients suffer worse liver ailments, regardless of lifestyle

July 25, 2017
Why men with hepatitis B remain more than twice as likely to develop severe liver disease than women remains a mystery, even after a study led by a recent Drexel University graduate took lifestyle choices and environments ...

Mind-body therapies immediately reduce unmanageable pain in hospital patients

July 25, 2017
Mindfulness training and hypnotic suggestion significantly reduced acute pain experienced by hospital patients, according to a new study published in the Journal of General Internal Medicine.

Researchers report new system to study chronic hepatitis B

July 25, 2017
Scientists from Princeton University's Department of Molecular Biology have successfully tested a cell-culture system that will allow researchers to perform laboratory-based studies of long-term hepatitis B virus (HBV) infections. ...

Research examines lung cell turnover as risk factor and target for treatment of influenza pneumonia

July 24, 2017
Influenza is a recurring global health threat that, according to the World Health Organization, is responsible for as many as 500,000 deaths every year, most due to influenza pneumonia, or viral pneumonia. Infection with ...

Scientists propose novel therapy to lessen risk of obesity-linked disease

July 24, 2017
With obesity related illnesses a global pandemic, researchers propose in the Journal of Clinical Investigation using a blood thinner to target molecular drivers of chronic metabolic inflammation in people eating high-fat ...

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.