Surgical risk factors associated with the development of adjacent segment pathology in the lumbar spine

EFORT Open Reviews

article

Eduardo Moreira Pinto¹  Artur Teixeira¹  Ricardo Frada¹  Pedro Atilano¹  António Miranda¹ 

[1] Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center

关键词: adjacent segment degeneration;    adjacent segment disease;    adjacent segment pathology;    lumbar fusion;    lumbar spine;   

DOI  :  10.1302/2058-5241.6.210050

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Adjacent segment pathology (ASP) is a major cause of disability, and the recognition of the surgical risk factors associated with the development of this condition is essential for its prevention. Different surgical approaches, from decompression without fusion to non-instrumented and instrumented fusion, have distinct contributions to the development of ASP. Although motion-preservation procedures could reduce the prevalence of ASP, these are also associated with a higher percentage of complications. Several risk factors associated with previous surgery, namely the chosen surgical approach and anatomical dissection, the choice of interbody fusion, the increment and length of the fusion, and the restoration of sagittal alignment, may influence the development of ASP.

【 授权许可】

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