Prevalence of Adjacent Segment Degeneration After Spine Surgery

Abstract

Spine surgery is associated with significant risk of ASD. These figures may be useful in the estimation of the burden of the ASD after spine surgery.

Surgical Outcomes of Two Portal Percutaneous Endoscopic Decompression for Adjacent Segment Disease: Preliminary Case Series of 21 Patients

“…Adjacent-level degeneration has been reported to occur after lumbar fusion surgery [14] . In a recent literature review, the rate of symptomatic ASD after decompression and stabilization procedures was approximated to 2%-3% per year [15] .…”

Is the Interspinous Device (Coflex) Outdated in the Treatment of Lumbar Spinal Stenosis? A Seven-Year Follow-up

“…The aim is to relieve clinical symptoms without considering the problem of fixed segment movement. Long-term follow-up reveals adjacent segment ROM increased to compensate for the lost ROM of the fixed segment, resulting in ASD [13][14][15][29][30][31][32][33]. Following improved knowledge of lumbar motion function, surgeons now consider how to treat lumbar degenerative disease while maintaining ROM, and dynamic stabilization has been developed and accepted.…”

“…Traditionally, decompression with fusion and internal fixation has been the mainstay of surgical approaches to the management of symptomatic LSS [3][4][5][6]. However, some authors reported that it may be related to other problems such as serious trauma, transfusion requirement, pseudarthrosis as well as higher morbidity and mortality for elderly patients [7][8][9][10], especially adjacent segment degeneration [11][12][13][14][15][16][17]. In order to overcome these deficiencies associated with fusion surgery, an interspinous process device-Coflex system (Paradigm Spine, LLC, New York) was developed as a possible alternative to spinal decompression with posterolateral fusion and instrumentation [18][19][20].…”

Évaluation de critères d’interprétation de la tomoscintigraphie d’émission monophotonique au 99mTC-HMDP pour le diagnostic des complications tardives des arthrodèses rachidiennes

“…Cependant, dans notre travail, les hyperfixations articulaires des DMA étaient dans la plupart des cas en rapport avec la symptomatologie du patient, établissant ainsi un lien entre l'augmentation réactionnelle du remodelage osseux et les douleurs. Sur le plan morphologique, différentes études dont une méta-analyse rapportent en cas d'arthrodèse l'apparition de signes radiologiques de DMA chez 29,3 à 49 % des patients sans corrélation avec le résultat fonctionnel puisque celle-ci n'est symptomatique que dans 7,4 % des cas [4,22]. Ainsi, il est possible que la scintigraphie avec TEMP présente une exactitude diagnostique supérieure au bilan radiologique conventionnel pour la dégénérescence articulaire chez les patients porteurs d'une arthrodèse.…”