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Spinal Bone Density Following Spinal Fusion

LIPSCOMB, H J RN, MPH; GRUBB, S A MD; TALMAGE, R V PhD
Spine: April 1989
Original Article: PDF Only

Spinal bone densities were assessed in 25 patients following lumbar fusion and bracing, in an attempt to study bone remodeling by noninvaslve methods. Dual-photon densitometry was used to study specific areas of autologous bone grafts and adjacent vertebrae above the fusion mass. Measurements were made preoperatlvely and at 6-week intervals postoperatlvely. The data for the first 12 months postoperatlvely are reported here. In all patients there was at first a consistent loss in density In the vertebrae above the fusion mass, averaging 15.7%. This was followed by a gradual density increase such that by 1 year postoperatively, in 60% of the subjects, the density of these vertebrae was higher than the preoperative level. In the grafted areas, bone changes were cyclical, demonstrating a remodeling pattern consistent with that described in animal literature for graft healing and also consistent with modern bone remodeling theory. There was a general tendency toward a gradual increase in the density of the fusion mass.

© Lippincott-Raven Publishers.