Open AccessPOTENTIALITIES OF HIGH INFORMATIVE STUDIES TO ESTIMATE OBJECTIVELY LUMBAR VERTEBRAL FUSION WITH TITANIUM IMPLANTS
Author(s) -
В. В. Доценко,
N. V. Remizov,
V. B. Vovkogon,
Ivan A. Kruglov,
А. Н. Ремизов,
P. V. Dotsenko
Publication year - 2005
Publication title -
hirurgiâ pozvonočnika
Language(s) - English
Resource type - Journals
eISSN - 2313-1497
pISSN - 1810-8997
DOI - 10.14531/ss2005.4.50-54
Subject(s) - medicine , radiography , osseointegration , decompression , spinal canal , surgery , lumbar , spinal fusion , implant , radiology , osteoporosis , spinal cord , psychiatry , endocrinology
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.