Pseudoartrosis it's a broken unhealed bone, spaghettién known as neoarthrosis. In general, the bones givesñdamaged or broken heal over time to form tissue ónew seo that connects the parts givesñadas of the bone.
Nonunion refers to a complicationón that happens afterés of a fracture ósea, it is the lack of consolidationóno of fracture. It is generated when there is a bad healingóno of the bone, forming a jointóabnormal n between the ends of a fracture.
when a fusióyou don't have a spinal cord ésuccess we say that we are in the presence of a pseudoarthrosis in the cervical and lumbar spine. I melted itón spinal is a type of surgeryía back pain medicine that is given for a variety of problems, What: scoliosis, disc problems or spinal instability.
Index
DiagnóStico of lumbar nonunion
Lumbar pseudoarthrosis is one of the complications mácommon procedures for surgeryíto of column. The prevalence of lumbar nonunion afterés of the fuseón instrumented lumbar spine in adults is highly variable between studies, being low back pain the complaint más común.
The evaluationón diagnóstica includes radiographyías and flexión, extensionón and tomographyíthe computerized ones. magnetic resonanceéethics tooéit can't be úuseful to identify áResidual or new areas of compressionón nervous. The test máThe definitive way to identify a nonunion is a exploración of the fuseón.
Causes
The causes más Frequent Nonunion or Factors mácommon s that increase your risk, son:
- Smoking or using tobacco
- Advanced age
- obesity
- severe anemia
- Diabetes
- I use crósingle steroid
- Osteoporosis
- Inflammatory arthritis
- Previous pseudoarthrosis
- infectionón
- Medications such as non-steroidal anti-inflammatory drugs (SUBSTANCE)
- Bad diet (low proteinínas, football, vitamin C and vitamin D)
Treatment
Treatment for nonunion will probably beginá conservatively with medication, physical therapy or pain management, especially in cases where it is important to rule out other sources of back or neck pain. If that fails to satisfactorily alleviate the síntomas, the mécan dico suggest a cirugíto reviewón.
The treatment does notúrgicus más comúdoes not include the use of a stimulator óseo, A childñthe device that emits electromagnetic waveséultra ticsósingle or pulsed, to stimulate the healing processón. to get results óthe best, the stimulator óshould be used daily for at least 20 minutes to an hour.
The surgical approachúsurgical treatment is recommended only if the approaches are non-surgicalúrgic do not show bettería. The OPCIón wantúrgica available includes graft óseo or graft substitute óseo, which helps to intensify the healing processón.
The bone graft provides césquid óseas fresh and the products thatínatural mimics that play an important role in the healing processóno of bones. Allograft is used for the procedure (cad boneáver), it repairs the tissue, but is at risk of infectionón.
The graft substitute óseo, unlike graft óseo, does not provide césquid óbe fresh for healingón normal; Nevertheless, contains substances thatímicas the body needs to make bone.
the graft óbone or bone graft substituteí they just don't provide stability to the quir siteúrgic. Other surgical procedures may be necessary.úrgicos, how to fix itóinternal n and fixationón external, to provide stability.
