TY - JOUR
T1 - Adjacent segment disease after lumbar spinal fusion
T2 - A systematic review of the current literature
AU - Charles Malveaux, Wilsa M.S.
AU - Sharan, Alok D.
N1 - Copyright:
Copyright 2011 Elsevier B.V., All rights reserved.
PY - 2011/12
Y1 - 2011/12
N2 - The objectives are to comprehensively define adjacent segment disease; highlight advances in the approach to spinal disorders, present the identified risk factors; examine outcomes; and summarize current recommendations. The literature supports previous degeneration and altered biomechanics of the spine as causes of adjacent segment disease. Excessive facet degeneration is a risk factor. Clinical outcome scores show improvement irrespective of procedure type. The number of spinal segments fused, fusion level, and age yield conflicting reports regarding their contribution to adjacent segment disease. Arthroplasty, dynamic stabilization, and interspinous process implants are effective in decreasing incidence.
AB - The objectives are to comprehensively define adjacent segment disease; highlight advances in the approach to spinal disorders, present the identified risk factors; examine outcomes; and summarize current recommendations. The literature supports previous degeneration and altered biomechanics of the spine as causes of adjacent segment disease. Excessive facet degeneration is a risk factor. Clinical outcome scores show improvement irrespective of procedure type. The number of spinal segments fused, fusion level, and age yield conflicting reports regarding their contribution to adjacent segment disease. Arthroplasty, dynamic stabilization, and interspinous process implants are effective in decreasing incidence.
KW - Adjacent level degeneration
KW - Adjacent segment degeneration
KW - Adjacent segment disease
KW - Lumbar fusion
KW - Spine
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U2 - 10.1053/j.semss.2011.05.008
DO - 10.1053/j.semss.2011.05.008
M3 - Article
AN - SCOPUS:82155172902
SN - 1040-7383
VL - 23
SP - 266
EP - 274
JO - Seminars in Spine Surgery
JF - Seminars in Spine Surgery
IS - 4
ER -