Adjacent segment degeneration after fusion spinal surgery—a systematic review

Hashimoto, Kazuhito; Aizawa, Tadanori; Kanno, Haruo; Itoi, Eiji

doi:10.1007/s00264-018-4241-z

Cited by 178 publications

(156 citation statements)

References 51 publications

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“…He concluded that problems with anterior surgery, imbursement policy and potential problems with salvage surgery are major reasons for loosing popularity of TDR surgery. Other complications reported by Hashimoto et al [30] are Badjacent segment degeneration (ASDeg) and disease (ASDis) that have become major concerns after fusion surgery. Their aetiology, incidence and risk factors are gradually being elucidated^.…”

Section: Surgical Complications Of Lumbar Disc Herniationmentioning

confidence: 99%

Disc herniation and disc disease: the present and the future of management

Benzakour

Benzakour²

2019

International Orthopaedics (SICOT)

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Section: Surgical Complications Of Lumbar Disc Herniationmentioning

confidence: 99%

Disc herniation and disc disease: the present and the future of management

Benzakour

Benzakour²

2019

International Orthopaedics (SICOT)

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“…59) Also, degenerative pathology located at the level adjacent to a fusion construct is largely thought to contribute to outcomes of adjacent segment degeneration and disease. [60][61][62][63][64] This, combined with associations with pain and disability, has demonstrated that MRI is not only a convenience but a necessity in the delivery of standard of care. 44,[49][50][51][52][53] Despite these strengths, traditional T1-and T2-weighted MRI has notable limitations.…”

Section: Mrimentioning

confidence: 99%

Imaging in Spine Surgery: Current Concepts and Future Directions

Harada

Siyaji

Younis

et al. 2020

Spine Surg Relat Res

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Study Design: Narrative Review Objective: To review and highlight the historical and recent advances of imaging in spine surgery and to discuss current applications and future directions Methods: A PubMed review of the current literature was performed on all relevant articles that examined historical and recent imaging techniques used in spine surgery. Studies were examined for their thoroughness in description of various modalities and applications in current and future management. Results: We reviewed 97 articles that discussed past, present, and future applications for imaging in spine surgery. Although most historical approaches relied heavily upon basic radiography, more recent advances have begun to expand upon advanced modalities, including the integration of more sophisticated equipment and artificial intelligence. Conclusion: Since the days of conventional radiography, various modalities have emerged and become integral components of the spinal surgeon's diagnostic armamentarium. As such, it behooves the practitioner to remain informed on the current trends and potential developments in spinal imaging, as rapid adoption and interpretation of new techniques may make significant differences in patient management and outcomes. Future directions will likely become increasingly sophisticated as the implementation of machine learning, and artificial intelligence has become more commonplace in clinical practice.

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“…There are still conflicting vies about the progression of adjacent level stenosis after the fusion technique is done [33]. According to Hilibrand et al [34], the percentage of newly developed pathology adjacent to the operated level is constant at 3% yearly.…”

Section: Adjacent Level Stenosismentioning

confidence: 99%

Surgical complications associated with multilevel anterior cervical decompression and fusion technique in a large prospective study

Mihaylova

Ninov

Hristov

et al. 2020

Biotechnology & Biotechnological Equipment

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This study describes our experience with the treatment of cervical degenerative pathology through anterior cervical decompression and fusion technique. We evaluated the clinical outcome and complications after 6-months follow-up and analysed the data to optimize the efficacy and safety of this particular surgical treatment in order to minimize the risks of complications. The presented study included 111 patients (74 men and 37 women; mean age 56.5 years) treated in the Neurosurgical Department of UMBAL Sv. Ivan Rilski Hospital in Sofia, Bulgaria, for cervical degenerative multilevel pathology with myelopathy. The operations included only anterior cervical approach with single-level or multilevel corpectomy, considering the pathology and neurological deficit in each particular case, followed by instrumented fusion with titanium mesh and locking plates. We analysed the data for intraoperative, early and late postoperative complications and the neurological results were examined and compared with the aid of Nurick and mJOA scales for myelopathy. The mean mJOA score preoperatively was 11.37 (SD ± 2.63) and postoperatively the mean mJOA score was 13.27 (SD ± 2.61), p < 0.0001. Since the emerging of this technique more than 50 years ago, it has improved in many ways, although there are still some contradictory results. Still, the most important aspect should be to consider the individual's pathology in order to better understand the underlying problems and think of ways to resolve them appropriately.

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Adjacent segment degeneration after fusion spinal surgery—a systematic review

Cited by 178 publications

References 51 publications

Disc herniation and disc disease: the present and the future of management

Disc herniation and disc disease: the present and the future of management

Imaging in Spine Surgery: Current Concepts and Future Directions

Surgical complications associated with multilevel anterior cervical decompression and fusion technique in a large prospective study

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