Surgical Strategies to Prevent Adjacent Segment Disease in the Cervical Spine.
Publication/Presentation Date
4-1-2019
Abstract
The most popular approach to treating symptomatic cervical disk disease is anterior cervical discectomy and fusion. Although this procedure has significant long-term clinical success, it is associated with progressive adjacent segment degeneration with an annual incidence of ∼3%. Total disk arthroplasty was designed as an alternative to fusion that could preserve segmental motion at the operative level and potentially delay or prevent adjacent-level breakdown. The etiology of adjacent segment pathology (ASP) is multifactorial, and it is likely that most cases of ASP are unavoidable. When attempting to surgically prevent ASP, it is important to consider nonfusion alternatives, be judicious in one's level selection, and attempt to restore sagittal alignment. When ASP becomes a clinical problem, it is important to have an algorithm for how best to treat it.
Volume
32
Issue
3
First Page
91
Last Page
97
ISSN
2380-0194
Published In/Presented At
Butler, J. S., Morrissey, P. B., Wagner, S. C., Kaye, I. D., Sebastian, A. S., Schroeder, G. D., Vaccaro, A. R., & Hilibrand, A. S. (2019). Surgical Strategies to Prevent Adjacent Segment Disease in the Cervical Spine. Clinical spine surgery, 32(3), 91–97. https://doi.org/10.1097/BSD.0000000000000632
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
29578876
Department(s)
Administration and Leadership
Document Type
Article