1. Postoperative low dose CT assessment of interbody fusion two years after thoracoscopic scoliosis surgery
- Author
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Carstens, Alan, Adam, Clayton J., Izatt, Maree T., Labrom, Robert D., Askin, Geoffrey N., Lenke, Lawrence G., Richards, B. Stephens, and Sucato, Daniel J.
- Subjects
fusion ,endoscopic scoliosis surgery ,graft ,low dose CT ,thoracoscopic scoliosis surgery ,interbody fusion ,computed tomography ,090300 BIOMEDICAL ENGINEERING ,110300 CLINICAL SCIENCES - Abstract
The relationship between radiologic union and clinical outcomes in thoracoscopic scoliosis surgery is not clear, as apparent non-union of a spinal fusion does not always correspond to a poor clinical result. The aim of this study was to evaluate for the first time the interbody fusion rates using low dose CT scans at minimum 24 months after thoracoscopic scoliosis surgery, and to explore the relationship between fusion scores and; (i) rod diameter, (ii) graft type, (iii) fusion level, (iv) implant failure, and (v) lateral position in the disc space. The study found that moderate fusion scores on the Sucato scale secure successful clinical outcomes in thoracoscopic scoliosis surgery.
- Published
- 2011