[westie California]

#33015

Good evening Dr. Corenman,

I have a question in reference to Revision Surgery to Correct Pseudarthrosis @ T1-T2. Can you tell us how difficult of a procedure is this? I’ve heard not all spine surgeon’s can perform because it’s “Complex Revision Surgery due to location”. Thanks in advance,

[Donald Corenman, MD, DC]

#33016

It depends upon the patient’s anatomy and the type of pseudoarthrosis. On most individuals, the C7-T1 space can be reached anteriorly but at T1-2, only 40-50% of subjects can be reached due to anatomy. If the anterior approach is used, I would use a structural autograft like iliac crest. If the posterior approach is used, I would use a bone enhancer such as BMP or autograft or both.

Dr. Corenman

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