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
PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
