Lumbar disc degeneration is an equally important risk factor as lumbar fusion for causing adjacent segment disc disease

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Adjacent segment degeneration following spinal fusion for degenerative disc disease.

Fusion has become the standard of care for numerous pathologic conditions of the spine over the past 50 years. Instrumented thoracolumbar fusion for adolescent and adult spinal deformity has enjoyed great success in arresting the progression of and correcting scoliotic deformity. In the cervical spine, decompression and fusion have provided a greater than 90% likelihood of relieving radicular s...

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Adjacent Lumbar Disc Herniation after Lumbar Short Spinal Fusion

A 70-year-old outpatient presented with a chief complaint of sudden left leg motor weakness and sensory disturbance. He had undergone L4/5 posterior interbody fusion with L3-5 posterior fusions for spondylolisthesis 3 years prior, and the screws were removed 1 year later. He has been followed up for 3 years, and there had been no adjacent segment problems before this presentation. Lumbar magnet...

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Protective effect of calcitonin on lumbar fusion-induced adjacent-segment disc degeneration in ovariectomized rat

BACKGROUND Intervertebral disc (IVD) degeneration and pathological changes in the spinal cord are major causes of back pain. In addition to its well-established anti-resorptive effect on bone, calcitonin (CT) potentially exerts protective effects on IVD degeneration in ovariectomized rats. However, possible therapeutic effects of CT on lumbar fusion-induced adjacent-segment disc degeneration (A...

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Does Disc Space Height of Fused Segment Affect Adjacent Disc Degeneration in Anterior Lumbar Interbody Fusion? A Radiological Study

BACKGROUND The restoration of disc space height (DSH) is essential in anterior lumbar interbody fusion (ALIF), while it is unclear whether the reduction of DSH may alter the mechanical status and adversely affect adjacent segment, and few literatures focused on the subject. METHODS Ninety five patients who had undergone ALIF for degenerative disc disease at our institution between March 2004 ...

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Risk Factors for Adjacent Segment Disease Development after Lumbar Fusion

STUDY DESIGN Retrospective cohort study. PURPOSE To identify factors which may be important in the occurrence of symptomatic adjacent segment disease (ASD) after lumbar fusion. OVERVIEW OF LITERATURE Many reports have been published about the risk factors for ASD after lumbar fusion. Despite on the great numbers of risk factors identified for ASD development, study results have been inconsi...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Research

سال: 2016

ISSN: 0736-0266

DOI: 10.1002/jor.23283