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  • heatherj78
    Member
    Post count: 2

    i had a new ct monday after last months xrays from ortho and ct from april clearly showed no fusion at 1 maybe both levels.
    here is the new report and i dont know what to think…
    post op changes from anterior interbody fusion across l4-21.disc spaces and endplates remain relatively discrete with no evidence of bony fusion. no herniation, no athropathy, no stenosis.

    “postoperative changes from anterior interbody fusion across l4-s1 levels. the disc spaces and bony grafts remain discrete at both levels. correlation with the timing of the surgery and current symptoms needed to determine weather or not this represents a failed fusion. there is no arthropathy or reactive bony changes within the end plates to suggest this.”

    i clearly had no bone fusions at l4/l5 and almost none at l5/si so is this saying i do? it doesnt make sense to me. especially the amount of pain i have in that area after the fusion that i didnt have before. ive read ct report due to my previous job and when they mention solid fusions it is clearly said as solid or matured or something along that lines. does it even mention to condition of the bone graft substance? im confused and im so tired of hurting.
    thank you very much for your time..

    Donald Corenman, MD, DC
    Moderator
    Post count: 8459

    The radiologist is reporting that there is no evidence of fusion at the two levels. He is covering his bases as if this scan was done 4 months after an attemped fusion (he does not know when surgery occurred), this might not yet be a pseudoarthrosis but if the scan was performed a year later, it would be classified as a non-union.

    Dr. Corenman

    heatherj78
    Member
    Post count: 2

    Thank you very much Dr. Corenman. That is was I thought it was saying but sometimes the terms they use confuse me. The CT at the time was done over 13 months from the 2 level fusion. I have known for quite some time something was wrong due to the increase in pain ever since the fusion. When I saw the neurosurgeon last week he kept saying false joint. He only suspected 1 level, he didn’t realize both levels were not fused. I REALLY appreciate you taking time out to answer my question.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8459

    The term pseudoarthrosis means “false joint”. This term should really be non-union or failure of attempted fusion but “pseudoarthrosis” is the accepted moniker for lack of fusion.

    Dr. Corenman

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