{"title":"Adjacent segment degeneration and adjacent segment disease: the consequences of spinal fusion?","authors":"Alan S. Hilibrand MD , Matthew Robbins BA","doi":"10.1016/j.spinee.2004.07.007","DOIUrl":null,"url":null,"abstract":"<div><p>Given the number of spinal fusions performed annually, concerns have mounted over the potential for adjacent segment degeneration (radiographic changes of degeneration at levels adjacent to a spinal fusion) and adjacent segment disease (development of new symptoms correlating with adjacent segment degeneration). This article reviews documented evidence on adjacent segment degeneration and disease as it relates to cervical and lumbar arthrodesis. There appears to be an incidence of adjacent segment degeneration and disease after arthrodesis that may be related to natural degeneration or the adjacent fusion. It remains to be seen whether restoration of motion with disc arthroplasty will alter the rate of adjacent segment degeneration or disease.</p></div>","PeriodicalId":49484,"journal":{"name":"Spine Journal","volume":"4 6","pages":"Pages S190-S194"},"PeriodicalIF":4.9000,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.spinee.2004.07.007","citationCount":"842","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spine Journal","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S152994300400573X","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 842
Abstract
Given the number of spinal fusions performed annually, concerns have mounted over the potential for adjacent segment degeneration (radiographic changes of degeneration at levels adjacent to a spinal fusion) and adjacent segment disease (development of new symptoms correlating with adjacent segment degeneration). This article reviews documented evidence on adjacent segment degeneration and disease as it relates to cervical and lumbar arthrodesis. There appears to be an incidence of adjacent segment degeneration and disease after arthrodesis that may be related to natural degeneration or the adjacent fusion. It remains to be seen whether restoration of motion with disc arthroplasty will alter the rate of adjacent segment degeneration or disease.
期刊介绍：
The Spine Journal, the official journal of the North American Spine Society, is an international and multidisciplinary journal that publishes original, peer-reviewed articles on research and treatment related to the spine and spine care, including basic science and clinical investigations. It is a condition of publication that manuscripts submitted to The Spine Journal have not been published, and will not be simultaneously submitted or published elsewhere. The Spine Journal also publishes major reviews of specific topics by acknowledged authorities, technical notes, teaching editorials, and other special features, Letters to the Editor-in-Chief are encouraged.
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