Pseudoarthrosis after long adult deformity reconstruction

Abstract

Pseudoarthrosis after long adult deformity reconstruction is defined as failure of bony union when surgical arthrodesis is attempted. It accounts for nearly a quarter of reoperation and can present with pain and hardware failure. A thorough work-up, including infectious labs, radiographs, CT, and MRI, should be utilized for treatment planning. Surgery for pseudoarthrosis should correct alignment, improve stiffness of the construct and augment bony healing with use of adjuncts, such as autograft, allograft or BMP.