Lumbar Spine Pseudarthrosis: Scope of Problem, Evaluation, Imaging, and Treatment


Pseudarthrosis of the lumbar spine is a known complication after spinal fusion and can lead to persistent or recurrent symptoms. However, not all patients with pseudarthrosis are necessarily symptomatic. Careful assessment should include a thorough patient history, physical examination, and corresponding imaging studies. The diagnosis of a symptomatic pseudarthrosis can be difficult, and a high index of suspicion is necessary. If feasible, nonsurgical options should be instituted first; if they fail, surgical intervention is warranted. Surgical options vary depending on the pathology present and should be individualized to the patient.

This content is only available to members of the AAOS.

Please log in using the link at the top right corner of this page to access your exclusive AAOS member content.

Not a member? Become a member!