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Clinic and Radiologic Considerations of Fusion and Non-Fusion After Spine Surgery

Year 2012, Volume: 37 Issue: 3, 125 - 132, 01.09.2012

Abstract

Spinal fusion, which joins two vertebra, prevents abnormal movement of vertebras. Fusion is one of the most commonly used surgical interventions.Pseudarthrosis, however, is used to define the situation in which there is a no progression of solid fusion one year after solid fusion and the continuity of movement segments leading symptoms and clinical findings. If there is an insufficiency of obtaining fusion this may give rise to benign radiological symptoms to ongoing pain or severe neurologic deficiency. Although advancement in medicine is so fast, it is still difficult to diagnose, non-fusion with 100% accuracy (specificity and sensitivity). In this study it is mentioned how to evaluate the spinal fusion in combination of clinics and radiology.

References

  • Zileli M. Lomber Dejeneratif Disk Hastalığında Füzyonun Önemi. In: Dejeneratif Disk Hastalığı, TND Spinal Cerrahi Grubu Yayınları, Özer F, Naderi S, eds. Meta Basım, İzmir.135-154.
  • Rager O, Schaller K, Payer M, Tchernin D, Ratib O, Tessitore E. SPECT-CT in differentiation of pseudarthrosis from other causes of back pain in lumbar spinal fusion. Report on 10 consecutive cases. Clinical Nuclear Medicine. 2012; 37:339-43.
  • Siewe J, Otto C, Knoell P, Koriller M, Stein G, Kaulhausen T, et al. Comparison of standart fusion with a ‘topping off’ system in lumbar spine surgery: a protocol for a randomized controlled trial. BMC Musculoskeletal Disorders. 2011; 12:239,246.
  • Poh SY, Yue WM, Chen LJ, Guo CM, Yeo W, Tan SB. Two-year outcomes of transforaminal lumbar interbody fusion. J of Orthopaedic Surgery. 2011; 19:135-40.
  • Wang X, Zhou J, Zhang C, Liu Z. Single-stage anterior debridement and fusion with autografting and internal fixation for pyogenic lumbar spondylodiscitis. Arch Orthop Trauma Surg. 2012; 132:487-493.
  • Lee CK, Vessa P, Lee JK. Chronic disabling low back pain syndrome caused by internal disc derangements. The results of disc excision and posterior lumbar interbody fusion. Spine (Phila Pa 1976). 1995; 20:356-61.
  • Li M, Du J, Meng H, Wang Z, Luo Z. One-stage surgical management for thoracic tuberculosis by anterior debridement, decompression and autogenous rib grafts, and instrumentation. The Spine Journal. 2011; 11:726-33.
  • Lee KH, Yue WM, Yeo W, Soeharno H, Tan SB. Clinical and radiological outcomes of open versus minimally invasive transforaminal lumbar interbody fusion. Eur Spine J. 2012; 12:2281-4.
  • Kasliwal MK, Baskin DS, Traynelis VC. Failure of porous tantalum cervical interbody fusion devices. Two-year results from a prospective, randomized, multicenter clinical study. J Spinal Disord Tech. 2011; 1-7.
  • Löfgren H, Engquist M, Hoffmann P, Sigstedt B, Vavruch L. Clinical and radiological evaluation of trabecular metal and the smith-robinson technique in anterior cervical fusion for degenerative disease: a prospective, randomized, controlled study with 2-year follow-up. Eur Spine J. 2010; 19:464-473.

Omurga Cerrahisinden Sonra Füzyon-Nonfüzyon"un Radyolojik ve Klinik Değerlendirilmesi

Year 2012, Volume: 37 Issue: 3, 125 - 132, 01.09.2012

Abstract

Spinal füzyon, kemiksel birleşmeyle iki omur arasındaki anormal hareketin önlenmesi, yani iki omurun kaynaştırılmasıdır. Füzyon omurga cerrahisinin en sık yapılan girişimlerinden birisidir. Pseudoartroz ise opere edilen hareketli segmentte, solid füzyonun 1 yıl sonra gelişmediğinin dökümente edilmesi ve spinal hareket segmentinde hareketin füzyondan sonra devam etmesi ile bunun semptom ve bulgulara neden olması olarak isimlendirilir. Spinal cerrahi sonrası füzyon elde edilmesinde yetersizlik olur ise bu sadece beningn bir radyolojik bulgudan, devam eden ağrı veya ağır nörolojik defisite kadar değişebilen klinik sonuçlar doğurabilir. Tıptaki tüm gelişmelere rağmen %100 doğruluk ile (sipesifite ve sensitivite) non-füzyon teşhisi koymak zordur. Bu çalışmada spinal füzyonun klinik ve radyoloji ile birlikte nasıl değerlendirilmesi gerektiği anlatılmıştır.

References

  • Zileli M. Lomber Dejeneratif Disk Hastalığında Füzyonun Önemi. In: Dejeneratif Disk Hastalığı, TND Spinal Cerrahi Grubu Yayınları, Özer F, Naderi S, eds. Meta Basım, İzmir.135-154.
  • Rager O, Schaller K, Payer M, Tchernin D, Ratib O, Tessitore E. SPECT-CT in differentiation of pseudarthrosis from other causes of back pain in lumbar spinal fusion. Report on 10 consecutive cases. Clinical Nuclear Medicine. 2012; 37:339-43.
  • Siewe J, Otto C, Knoell P, Koriller M, Stein G, Kaulhausen T, et al. Comparison of standart fusion with a ‘topping off’ system in lumbar spine surgery: a protocol for a randomized controlled trial. BMC Musculoskeletal Disorders. 2011; 12:239,246.
  • Poh SY, Yue WM, Chen LJ, Guo CM, Yeo W, Tan SB. Two-year outcomes of transforaminal lumbar interbody fusion. J of Orthopaedic Surgery. 2011; 19:135-40.
  • Wang X, Zhou J, Zhang C, Liu Z. Single-stage anterior debridement and fusion with autografting and internal fixation for pyogenic lumbar spondylodiscitis. Arch Orthop Trauma Surg. 2012; 132:487-493.
  • Lee CK, Vessa P, Lee JK. Chronic disabling low back pain syndrome caused by internal disc derangements. The results of disc excision and posterior lumbar interbody fusion. Spine (Phila Pa 1976). 1995; 20:356-61.
  • Li M, Du J, Meng H, Wang Z, Luo Z. One-stage surgical management for thoracic tuberculosis by anterior debridement, decompression and autogenous rib grafts, and instrumentation. The Spine Journal. 2011; 11:726-33.
  • Lee KH, Yue WM, Yeo W, Soeharno H, Tan SB. Clinical and radiological outcomes of open versus minimally invasive transforaminal lumbar interbody fusion. Eur Spine J. 2012; 12:2281-4.
  • Kasliwal MK, Baskin DS, Traynelis VC. Failure of porous tantalum cervical interbody fusion devices. Two-year results from a prospective, randomized, multicenter clinical study. J Spinal Disord Tech. 2011; 1-7.
  • Löfgren H, Engquist M, Hoffmann P, Sigstedt B, Vavruch L. Clinical and radiological evaluation of trabecular metal and the smith-robinson technique in anterior cervical fusion for degenerative disease: a prospective, randomized, controlled study with 2-year follow-up. Eur Spine J. 2010; 19:464-473.
There are 10 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Tahsin Erman This is me

Yurdal Gezercan This is me

Publication Date September 1, 2012
Published in Issue Year 2012 Volume: 37 Issue: 3

Cite

MLA Erman, Tahsin and Yurdal Gezercan. “Omurga Cerrahisinden Sonra Füzyon-Nonfüzyon"un Radyolojik Ve Klinik Değerlendirilmesi”. Cukurova Medical Journal, vol. 37, no. 3, 2012, pp. 125-32.