Summary
Biplanar radiography was used to assess bony union after intertransverse fusion. The patients were assessed clinically and the fusion status was compared with the clinical result.
Posterolateral intertransverse fusion was shown to be capable of fusing the motion segment almost completely. However, the strictly measured fusion rate was only 27%, but this increased to 91% when partial fusions were included. The fusion rate from conventional plain films assessed by the radiologist was 82%, which is similar to other reports. On clinical examination, a satisfactory result was obtained in 82%, but there was no clear correlation with fusion status.
Résumé
On a pratiqué des radiographies däns deux plans perpendiculaires afin d'estimer la fusion osseuse après arthrodèse inter-transversaire. Les patients sont examinés cliniquement et l'état radiologique est comparé au résultat clinique. On sait que l'arthrodèse postéro-latérale inter-transversaire est capable de fusionner presque complètement le segment mobile du rachis. Cependant, le pourcentage de fusion rigoureusement certaine n'est que de 27%, mais il atteint 91% si l'on y ajoute les fusions partielles. Le pourcentage de fusion estimé par le radiologue sur des clichés conventionnels est de 82%, ce qui est identique aux autres séries publiées. Du point de vue clinique, le résultat est satisfaisant dans 82% des cas, mais sans corrélation exacte avec l'état radiologique.
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T. Suzuki MD was the 1983 Joseph Trueta Travelling Fellow from the Department of Orthopaedic Surgery, Tohoku University 1-1, Seiryo machi, Sendai 980, Japan
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Suzuki, T., Pearcy, M.J., Tibrewal, S.B. et al. Posterior intertransverse fusion assessed clinically and with biplanar radiography. International Orthopaedics 9, 11–17 (1985). https://doi.org/10.1007/BF00267032
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DOI: https://doi.org/10.1007/BF00267032