The Role of Tomography in the Evaluation of the Postoperative Spinal Fusion

Clader, Timothy J.; Dawson, Edgar G.; Bassett, Lawrence W.

doi:10.1097/00007632-198410000-00006

Cited by 5 publications

(2 citation statements)

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“…19 The tomography method used for long time for the evaluation of the postoperative spine after posterior spinal arthrodesis. 20 Although thin section tomography had correlation with surgery in the diagnosis of pseudarthrosis. 21 In dentistry radiology, orthopantomgraphy is still widely used.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of MDCT and Digital Radiography for the Characterization of Bone Healing

Adurti¹,

Jonnalagadda²,

Adurthy³

et al. 2019

IJCMSR

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Assessment of bone healing in orthopaedic patients is usually monitored by radiographs in two views. The purpose of our study was to compare multiplanar reconstructions from MDCT data sets with radiological findings for the assessment of the condition of bone healing process. Material and methods: A total of 46 patients were included in this study for 1 and half year between the periods of January 2018 to July 2019. Patients with fractures, arthrodesis spinal fusion were included in this study. MX 8000 IDT with MDCT was performed as gold standard. The anatomical region was adapted for the technical parameters and for the bone reconstruction bone algorithm was used. 2 musculoskeletal radiologists were involved in analysis of radiographs and multiplanar reconstructions, also for the interpretation to determine bone healing. Result: 65.12% of patients MDCT and digital radiological findings were showed similarity and 34.78% reported difference in two methods. Conclusion: MDCT can be recommended as the primary diagnostic method for the estimation of bone healing.

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Section: Discussionmentioning

confidence: 99%

“…Multix FD system (Siemens Medical Solutions) was used for digital radiography as per the standard clinical procedures. Statistical analysis software 20.0 used to analyze the data.…”

Section: Methodsmentioning

confidence: 99%

Comparison of MDCT and Digital Radiography for the Characterization of Bone Healing

Adurti¹,

Jonnalagadda²,

Adurthy³

et al. 2019

IJCMSR

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Back Pain

Mulholland¹

1989

Imaging Techniques in Orthopaedics

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Painful pseudarthrosis following lumbar spinal fusion: detection by combined SPECT and planar bone scintigraphy

et al. 1987

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Twenty-six adult patients more than 6-months post-lumbar spinal fusion were studied. Flexion and extension radiographs showing motion or bone scintigrams showing focal areas of increased activity within the fusion mass were considered positive for pseudarthrosis. Patients were classified as either symptomatic or asymptomatic. Among the 15 symptomatic patients, scintigraphy had a sensitivity of 0.78 and a specificity of 0.83 which was superior to the 0.43 sensitivity and 0.50 specificity of radiography. Six of the 11 asymptomatic patients had focal areas of increased activity in the bony fusion mass, possibly reflecting painless pseudarthrosis. Planar imaging was substantially enhanced by SPECT in 14 of the 26 cases. It is concluded that for the patient who remains symptomatic after lumbar spinal fusion, bone scintigraphy with SPECT is of significant value in detecting painful pseudarthrosis.

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The Role of Tomography in the Evaluation of the Postoperative Spinal Fusion

Cited by 5 publications

References 0 publications

Comparison of MDCT and Digital Radiography for the Characterization of Bone Healing

Comparison of MDCT and Digital Radiography for the Characterization of Bone Healing

Back Pain

Painful pseudarthrosis following lumbar spinal fusion: detection by combined SPECT and planar bone scintigraphy

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