Lee Cathy, Dorcil Job, Radomisli Timothy E
Leni and Peter W May Department of Orthopaedics, Mount Sinai School of Medicine, New York, New York, USA.
Clin Orthop Relat Res. 2004 Feb(419):71-5. doi: 10.1097/00003086-200402000-00012.
Originally described for the treatment of tuberculosis of the spine, spinal fusion has become a widely done procedure for various spinal disorders. Among other indications, spinal fusion is used for treatment of degenerative disc disease, congenital and developmental deformities such as scoliosis, and spinal instability secondary to trauma. One of the most common complications of spinal fusion is nonunion. The incidence of nonunion has been reported as high as 56% in the lumbar spine. Recognizing and treating nonunion of the spine may be crucial in preventing progressive deformity in identifying instrumentation failure, and in relieving persistent pain. The purpose of this article was to review the clinical evaluation and significance of failed union.
脊柱融合术最初是为治疗脊柱结核而描述的，现已成为治疗各种脊柱疾病的一种广泛开展的手术。在其他适应症中，脊柱融合术用于治疗退行性椎间盘疾病、先天性和发育性畸形如脊柱侧弯，以及创伤后继发的脊柱不稳定。脊柱融合术最常见的并发症之一是不愈合。据报道，腰椎不愈合的发生率高达56%。认识和治疗脊柱不愈合对于预防畸形进展、识别内固定失败以及缓解持续疼痛可能至关重要。本文的目的是综述不愈合的临床评估及其意义。
