Frequency of Office Visits
- 1 and 2 months postoperatively: Office visits are needed 1 and 2 months postoperatively to confirm good healing of the bone graft.
Frequency of Imaging
- 1 month: A plain x-ray is taken to confirm hardware integrity and check fusion status.
- 2 months: A plain x-ray usually documents fusion in cases of anterior interbody arthrodeses and occasionally with posterior C1-2 fusions.
- 4 months: For posterior occipitocervical fusions using instrumentation, a thin-cut CT scan with two-dimensional reconstruction is necessary to see and document fusion status.
Other Investigations Required
- No standard requirements: In general, unless further imaging is necessary to work up other elements of a patient’s condition (e.g., a brain MRI in NF1 or cardiac/renal studies in Klippel-Feil syndrome), no other investigations are typically required.