Management of adjacent segment disease after cervical spinal fusion.
Publication/Presentation Date
1-1-2012
Abstract
Adjacent segment disease (ASD) was described after long-term follow-up of patients treated with cervical fusion. The term describes new-onset radiculopathy or myelopathy referable to a motion segment adjacent to previous arthrodesis and often attributed to alterations in the biomechanical environment after fusion. Evidence suggests that ASD affects between 2% and 3% of patients per year. Although prevention of ASD was one major impetus behind the development of motion-sparing surgery, the literature does not yet clearly distinguish a difference in the rate of ASD between fusion and disk replacement. Surgical techniques during index surgery may reduce the rate of ASD.
Volume
43
Issue
1
First Page
53
Last Page
62
ISSN
1558-1373
Published In/Presented At
Kepler, C. K., & Hilibrand, A. S. (2012). Management of adjacent segment disease after cervical spinal fusion. The Orthopedic clinics of North America, 43(1), 53–viii. https://doi.org/10.1016/j.ocl.2011.08.003
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
22082629
Department(s)
Administration and Leadership
Document Type
Article