Fusion criteria on 3-mm high-resolution CT scan reconstructions in coronal and sagittal planes (with permission from Mayfield Clinic)
Grade | Time period | Definition |
---|---|---|
I | Applicable at any follow-up | Bridging bone, advanced fusion. Presence of continuous bridging bone extending |
from the L5 to the S1 endplate on the reconstructed images, occupying >50% | ||
of available space for fusion. | ||
II | Applicable at any follow-up | Bridging bone, fusion. Bridging bone filling <50% of available space between |
vertebral bodies. | ||
III | Early: 6 months | Early: Presence of developing bone connected to either end plate without bridging. |
Late: 12,18, 24 months | Late: Presence of developing bone connected to either endplate without bridging | |
with fusion mass greater than previous scan. | ||
IV | 6 months | No bridging or developing bone connected to either endplate. |
V | Applicable at 12, 18, 24 months | No bridging or developing bone. Decrease or nonprogression of developing bone since previous visit. |