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Decompression With or Without Fusion for Adjacent Segment Disease Without Instability
Journal article   Peer reviewed

Decompression With or Without Fusion for Adjacent Segment Disease Without Instability

Nathan Wanderman, Matthew Galetta, Rishi Sharma, Arjun Sebastian and David Kaye
Clinical spine surgery, v 32(5), pp 179-181
01 Jun 2019
PMID: 30475242

Abstract

Clinical Neurology Life Sciences & Biomedicine Neurosciences & Neurology Science & Technology Orthopedics
Whether an outcome of the natural history of degenerative disease or iatrogenically induced, lumbar adjacent segment disease (ASD), symptomatic degeneration of the superior or inferior spinal motion segment next to a prior fusion is a known risk following surgery, with some authors putting incidence at 6.3%.1ASD can manifest as listhesis, instability, herniated discs, and in many cases, stenosis at the adjacent levels.2 In patients with lumbar ASD-associated stenosis without instability, revision decompression may become necessary. This can successfully be accomplished with decompression alone without extension of the fusion construct. [1st paragraph]

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Orthopedics
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