POTENTIALITIES OF HIGH INFORMATIVE STUDIES TO ESTIMATE OBJECTIVELY LUMBAR VERTEBRAL FUSION WITH TITANIUM IMPLANTS
https://doi.org/10.14531/ss2005.4.50-54
Abstract
Objective. Using high informative studies to analyze osteointegration processes in the presence of titanium implants and postoperative changes in the spinal canal after its decompression.
Material and Methods. A total of 362 patients (221 female and 141 male at the age of 11 to 78 years)were operated on through extraperitoneal mini-approach to anterior spine at L2–S1 level. Postoperatively all patients underwent standard radiography. High informative diagnosis methods (CT, MRI, spiral CT) were applied to 38 patients. In 38 patients data of high informative diagnostic methods were compared with radiographic findings and clinical manifestations.
Results. Complete disappearance of the pain syndrome within one year after surgery was observed in 24 patients. The pain has remitted in 14 patients. Three patients with osteoporosis had a delayed bone fusion formation. They still had a pain more than one year after surgery.
Conclusion. Radiodiagnostics after the ALIF surgery is performed to evaluate bone fusion, decompression completeness, and implant position. CT and spiral CT are more useful for the evaluation of interbody fusion, while MRI – for the qualitative evaluation of the spinal canal reconstruction.
About the Authors
Vladimir Valentinovich Dotsenko
Peoples’ Friendship University of Russia, Moscow
Russian Federation
Russian Federation
N. V. Remizov
Peoples’ Friendship University of Russia, Moscow
Russian Federation
Russian Federation
V. B. Vovkogon
Peoples’ Friendship University of Russia, Moscow
Russian Federation
Russian Federation
I. A. Kruglov
Peoples’ Friendship University of Russia, Moscow
Russian Federation
Russian Federation
A. N. Remizov
Peoples’ Friendship University of Russia, Moscow
Russian Federation
Russian Federation
P. V. Dotsenko
Peoples’ Friendship University of Russia, Moscow
Russian Federation
Russian Federation
References
1. Ахадов Т.А., Панов В.О., Айххофф У. Магнитно-резонансная томография спинного мозга и позвоночника. М., 2000.
2. Тагер И.Л. Рентгенодиагностика заболеваний позвоночника. М., 1983.
3. Diedrich O., Perlick L., Schmitt O., et al. Radiographic characteristics on conventional radiographs after posterior lumbar interbody fusion: comparative study between radiotranslucent and radiopaque cages // J. Spinal Disord. 2001. Vol. 14. P. 522–532.
4. Hanley S.D., Gun M.T., Osti O., et al. Radiology of intervertebral cages in spinal surgery // Clin. Radiol. 1999. Vol. 54. P. 201–206.
5. Loguidice V.A., Johnson R.G., Guyer R.D., et al. Anterior lumbar interbody fusion // Spine. 1988. Vol. 13. P. 366–369.
6. McAfee P.C. Interbody fusion cages in reconstructive operations on the spine // J. Bone Joint Surg. Am. 1999. Vol. 81. P. 859–880.
7. Steib J.P., Bogorin I., Brax M., et al. [Results of lumbar and lumbosacral fusion: clinical and radiological correlations in 113 cases reviewed at 3.8 years] // Rev. Chir. Orthop. Reparatrice. Appar. Mot. 2000. Vol. 86. P. 127–135. French.
Review
For citations:
Dotsenko V.V., Remizov N.V., Vovkogon V.B., Kruglov I.A., Remizov A.N., Dotsenko P.V. POTENTIALITIES OF HIGH INFORMATIVE STUDIES TO ESTIMATE OBJECTIVELY LUMBAR VERTEBRAL FUSION WITH TITANIUM IMPLANTS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2005;(4):050-054. (In Russ.) https://doi.org/10.14531/ss2005.4.50-54
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