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What is Adjacent Segment Disease?
At present , there is no clean cut or accurate definition of an Adjacent Segment Disease , although literature throws up certain definitions but they are all quite wide-ranging . Adjacent Segment Disease refers to a condition in which after a cervical or lumbar spinal fusion , the level adjacent to the fused level show degeneration which are readily seen radiographically . This shape may or may not lead in any symptoms but in many cases it may result in postoperative nuisance in the spine.(1)The interrogation here arises that is Adjacent Segment Disease a drive of simple decadence of the spine or is it due to the spinal fusion of the neighboring level or levels which have put excessive focus on the neighboring level or levels for which the answer is not corroboratory and research is still cash in one’s chips on .
How Common is Adjacent Segment Disease in Patients Who have Undergone Spinal Fusions?
Studies have shown that quite a few pct of patient who undergo spinal fusion operation to regale cervix or back infliction and radiculopathy have proceed on to develop Adjacent Segment Disease.(2)To be exact studies advise that approximately 3 % of patients who underwent cervical or lumbar spinal optical fusion procedures have developed Adjacent Segment Disease in the first 10 year postsurgery . Around 24 % have developed Adjacent Segment Disease after about 5 years postsurgery .
Do All Spinal Fusion Patients Develop Adjacent Segment Disease?
It is well know that any fusion procedure done to the cervical or lumbar spine put additional pressure on the adjacent level or level of the fused pricker , but Adjacent Segment Disease is seen more in citizenry who have other risk factors like arthritis or other condition which predispose them to disc degeneration or disease even though with clip disc disease and decadence is a trouble that has to savvy with .
What is the Role of Fusion Surgery in Development of Adjacent Segment Disease?
Some investigator have point out that during the coalition procedure , if there is some sorting of damage done to the anatomical structure of the spine , it lead to increased incidences of Adjacent Segment Disease , peculiarly people who have undergone ACDF procedure to the cervical or lumbar spine.(3)The endangerment also increases importantly if the disc is wrongly place during surgery .
Are There Any Methods to Reduce the Risk of Development of Adjacent Segment Disease?
In guild to decrease the jeopardy of a patient developing Adjacent Segment Disease after a spinal fusion routine the keep an eye on steps are extremely crucial :
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